title: Management of asthma in adults: do the patients get what they need--and want?
abstract: Suboptimal asthma control may be caused by a combination of factors, such as nonadherence to guidelines, lack of compliance, and poor asthma education. The aim was to assess patients' knowledge of asthma and different management strategies, including patients' attitudes toward involvement in treatment decisions. The participants (n=509) were recruited from all parts of Denmark through a web-based panel (Zapera Danmarkspanel). A questionnaire concerning asthma knowledge, compliance, and treatment was fulfilled through the Internet. Among the participating adult asthmatic patients, signs of uncontrolled disease with night asthma (16%), daily symptoms (18%), or exercise-induced asthma (11%) were found. Of 285 participants with persistent asthma, 70% used inhaled corticosteroids. Lung function was measured within the preceding 6 months in 24% of patients, whereas 7% had never had their lung function measured and peak flow monitoring was reported by 5%. Written action plans were provided for 12% of patients and 50% had had their inhaler technique checked. Although 59% of patients were instructed to adjust their controller therapy if needed, only 23% reported that they had done so. In conclusion, this study of adult asthmatic patients revealed an important deficit in patient education, little use of lung function measurements, and poor compliance with guidelines for asthma management. Furthermore, asthmatic patients want more education, although they do not use it when provided by their doctor, indicating that change in educational strategy is needed.
authors.affiliation: Respiratory and Allergy Research Unit, Department of Internal Medicine, Bispebjerg Hospital, Copenhagen NV, Denmark. backer@dadlnet.dk
authors.forename: Vibeke
authors.initials: V
authors.lastname: Backer
authors.forename: Charlotte S
authors.initials: CS
authors.lastname: Ulrik
authors.forename: Henrik
authors.initials: H
authors.lastname: Harving
authors.forename: Peter
authors.initials: P
authors.lastname: Lange
authors.forename: Ulrik
authors.initials: U
authors.lastname: Søes-Petersen
authors.forename: Peter P
authors.initials: PP
authors.lastname: Plaschke
mesh_terms: D000293:Adolescent; D000318:Adrenergic beta-Agonists / Q000627:therapeutic use*; D000328:Adult; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D001249:Asthma / Q000628:therapy*; D003718:Denmark; D005260:Female; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D012648:Self Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
chemical_list: D000318:Adrenergic beta-Agonists; D018927:Anti-Asthmatic Agents