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The Patient Perspective

What Should a New Anti-Asthma Agent Provide?

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Summary

Patients want medication that they feel confident using and that will control symptoms and be well tolerated. Patients may dislike and use ineffectively some asthma delivery devices such as inhalers, and they may have anxieties about adverse effects of inhaled corticosteroid medication. Oral medication may offer the advantage of improved patient compliance and, in 2 studies, patients have stated a preference for oral medication. However, the introduction of any new medication is likely to arouse anxieties and expectations in patients, and it is important that they be given clear information on medication use and that time be spent discussing any concerns about change. In the general practice consultation, patients are not always able to raise all the issues that are important to them in their asthma management. Asthma clinics staffed by nurses have more time and the opportunity to deal with patient concerns and teach good medication practice. Pharmacists may also have a role to play in patient counselling and giving advice on changes in medication.

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References

  1. Stewart MA. Effective physician-patient communication and health outcomes: a review. Can Med Assoc J 1995; 152: 1423–33

    CAS  Google Scholar 

  2. Bradley CP. Uncomfortable prescribing decisions: a critical incident study. BMJ 1992; 304: 294–6

    Article  PubMed  CAS  Google Scholar 

  3. Osman LM, Russell IT, Friend JAR, et al. Predicting patient attitudes to asthma medication. Thorax 1993; 48: 827–30

    Article  PubMed  CAS  Google Scholar 

  4. Sibbald B, Collier J, D’Souza M. Questionnaire assessment of patients’ attitudes and beliefs about asthma. Fam Pract 1986; 3: 37–41

    Article  PubMed  CAS  Google Scholar 

  5. Labrune S, Chinet T, Huchon G. Inhaled therapy in asthma: metered-dose inhaler experience. Monaldi Arch Chest Dis 1994; 49: 254–7

    PubMed  CAS  Google Scholar 

  6. Kesten S, Elias M, Cartier A, et al. Patient handling of a multi-dose dry powder inhalation device for albuterol. Chest 1994; 105: 1077–81

    Article  PubMed  CAS  Google Scholar 

  7. Nimmo CJ, Chen DN, Martinusen SM, et al. Assessment of patient acceptance and inhalation technique of a pressurized aerosol inhaler and 2 breath-actuated devices. Ann Pharmacother 1993; 27: 922–7

    PubMed  CAS  Google Scholar 

  8. Chapman KR, Love L, Brubaker H. A comparison of breath-actuated and conventional metered-dose inhaler inhalation techniques in elderly subjects. Chest 1993; 104: 1332–7

    Article  PubMed  CAS  Google Scholar 

  9. Boe J, Stiksa G, Svensson K, et al. New method of evaluating patient preference for different inhalation delivery systems. Ann Allergy 1992; 68: 255–60

    PubMed  CAS  Google Scholar 

  10. Tettersell MJ. Asthma patients’ knowledge in relation to compliance with drug therapy. J Adv Nurs 1993; 18: 103–13

    Article  PubMed  CAS  Google Scholar 

  11. Kelloway JS, Wyatt RA, Adlis SA. Comparison of patients’ compliance with prescribed oral and inhaled asthma medications. Arch Intern Med 1994; 154: 1349–52

    Article  PubMed  CAS  Google Scholar 

  12. Osman LM, Abdalla MI, Beattie JA, et al. Reducing hospital admission through computer supported education for asthma patients. Grampian Asthma Study of Integrated Care (GRASSIC). BMJ 1994; 308: 568–71

    Article  PubMed  CAS  Google Scholar 

  13. Dowse R, Futter WT. Outpatient compliance with theophylline and phenytoin therapy. S Afr Med J 1991; 80: 550–3

    PubMed  CAS  Google Scholar 

  14. Maguire P, Fairbairn S, Fletcher C. Consultation skills of young doctors: II. Most young doctors are bad at giving information. Br Med J Clin Res Ed 1994; 1986: 1576–8

    Google Scholar 

  15. Bertakis KD, Roter D, Putnam SM. The relationship of physician medical interview style to patient satisfaction. J Farn Pract 1991; 32: 175–81

    CAS  Google Scholar 

  16. Hjortdahl P, Laerum E. Continuity of care in general practice: effect on patient satisfaction. BMJ 1992; 304: 1287–90

    Article  PubMed  CAS  Google Scholar 

  17. Osman LM, Hunt D. Factors influencing mothers’ decisions to consult a general practitioner about their children’s illnesses. Br J Gen Pract 1995; 45: 310–2

    PubMed  CAS  Google Scholar 

  18. Campion PD, Butler NM, Cox AD. Principle agendas of doctors and patients in general practice consultations. Fam Pract 1992; 9: 181–90

    Article  PubMed  CAS  Google Scholar 

  19. Savage R, Armstrong D. Effect of a general practitioner’s consulting style on patients’ satisfaction: a controlled study. BMJ 1990; 301: 968–70

    Article  PubMed  CAS  Google Scholar 

  20. Gibson PG, Talbot PI, Toneguzzi RC. Self-management, autonomy, and quality of life in asthma. Population Medicine Group 91C. Chest 1995; 107: 1003–8

    Article  PubMed  CAS  Google Scholar 

  21. Korsch BM. What do patients and parents want to know? What do they need to know? Pediatrics 1984; 74 (Pt 2): 917–9

    PubMed  CAS  Google Scholar 

  22. Martin E, Russell D, Goodwin S, et al. Why patients consult and what happens when they do. BMJ 1991; 303: 289–92

    Article  PubMed  CAS  Google Scholar 

  23. Wilson SR, Scamagas P, German DF, et al. A controlled trial of two forms of self-management education for adults with asthma. Am J Med 1993; 94: 564–76

    Article  PubMed  CAS  Google Scholar 

  24. Ignacio-Garcia JM, Gonzalez-Santos P. Asthma self-management education program by home monitoring of peak expiratory flow. Am J Respir Crit Care Med 1995; 151: 353–9

    PubMed  CAS  Google Scholar 

  25. Wilson AD. Consultation length: general practitioners’ attitudes and practices. Br Med J Clin Res Ed 1994; 1985: 1322–4

    Google Scholar 

  26. Roland MO, Bartholomew J, Courtenay MJ, et al. The ‘five minute’ consultation: effect of time constraint on verbal communication. Br Med J Clin Res Ed 1994; 1986: 874–6

    Google Scholar 

  27. Charlton I, Charlton G, Broomfield J, et al. An evaluation of a nurse-run asthma clinic in general practice using an attitudes and morbidity questionnaire. Fam Pract 1992; 9: 154–60

    Article  PubMed  CAS  Google Scholar 

  28. Osman LM, Robertson R, Douglas JG. Nurses’ role in general practice asthma review [abstract]. Eur Respir J 1995; 8 Suppl. 19: 463

    Google Scholar 

  29. Jones KP, Mullee MA. Proactive, nurse-run asthma care in general practice reduces asthma morbidity: scientific fact or medical assumption? Br J Gen Pract 1995; 497-9

  30. Cunningham-Burley S, MacLean V. Pharmacists and primary care: some research findings and recommendations. Fam Pract 1988; 5: 122–5

    Article  PubMed  CAS  Google Scholar 

  31. Morris LA, Grossman R, Barkdoll G, et al. A segmentational analysis of prescription drug information seeking. Med Care 1987; 25: 953–64

    Article  PubMed  CAS  Google Scholar 

  32. Harvey JL, Plumridge RJ. Comparative attitudes to verbal and written medication information among hospital outpatients. DICP 1991; 25: 925–8

    PubMed  CAS  Google Scholar 

  33. Hunter KA, Bryant BG. Pharmacist provided education and counseling for managing pediatric asthma. Patient Educ Couns 1994; 24: 127–34

    Article  PubMed  CAS  Google Scholar 

  34. Pauley TR, Magee MJ, Cury JD. Pharmacist-managed, physician-directed asthma management program reduces emergency department visits. Ann Pharmacother 1995; 29: 5–9

    PubMed  CAS  Google Scholar 

  35. Hodges ID, Wilkie A, Drennan C, et al. A community wide promotion of asthma self management: process evaluation. NZ Med J 1993; 106: 354–7

    CAS  Google Scholar 

  36. Manfredi C, Czaja R, Buis M, et al. Patient use of treatment-related information received from the Cancer Information Service. Cancer 1993; 71: 1326–37

    Article  PubMed  CAS  Google Scholar 

  37. NAC. National Asthma Campaign. Annual Report. London: 1995

  38. Lewis CC, Pantell RH, Sharp L. Increasing patient knowledge, satisfaction, and involvement: randomized trial of a communication intervention. Pediatrics 1991; 88: 351–8

    PubMed  CAS  Google Scholar 

  39. Cohn LD, Schydlower M, Foley J, et al. Adolescents’ misinterpretation of health risk probability expressions. Pediatrics 1995; 95: 713–6

    PubMed  CAS  Google Scholar 

  40. Kyngas H, Hentinen M. Meaning attached to compliance with self-care, and conditions for compliance among young diabetics. J Adv Nurs 1995; 21: 729–36

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine and Therapeutics, University of Aberdeen, Aberdeen, Scotland

    Liesl Osman

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  1. Liesl Osman
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Osman, L. The Patient Perspective. Drugs 52 (Suppl 6), 29–35 (1996). https://doi.org/10.2165/00003495-199600526-00006

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