Asthma in Asia

Physician perspectives on control, inhaler use and patient communications

David Price, Aileen David-Wang, Sang-Heon Cho, James Chung-Man Ho, Jae-Won Jeong, Chong-Kin Liam, Jiangtao Lin, Abdul Razak Muttalif, Diahn-Warng Perng, Tze-Lee Tan, Faisal Yunus, Glenn Neira, REcognise Asthma and LInk to Symptoms and Experience (REALISE) Asia Working Group

Research output: Contribution to journalArticle

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Abstract

OBJECTIVE: We examined the physician perspectives on asthma management in Asia.

METHODS: An online/face-to-face, questionnaire-based survey of respiratory specialists and primary care physicians from eight Asian countries/region was carried out. The survey explored asthma control, inhaler selection, technique and use; physician-patient communications and asthma education. Inclusion criteria were >50% of practice time spent on direct patient care; and treated ≥30 patients with asthma per month, of which >60% were aged ≥12 years.

RESULTS: REALISE Asia (Phase 2) involved 375 physicians with average 15.9(±6.8) years of clinical experience. 89.1% of physicians reporting use of guidelines estimated that 53.2% of their patients have well-controlled (GINA-defined) asthma. Top consideration for inhaler choice was asthma severity (82.4%) and lowest, socio-economic status (32.5%). 54.7% of physicians checked their patients' inhaler techniques during consultations but 28.2(±19.1)% of patients were using their inhalers incorrectly. 21.1-57.9% of physicians could spot improper inhaler techniques in video demonstrations. 79.6% of physicians believed combination inhalers could increase adherence because of convenience (53.7%), efficacy (52.7%) and usability (18.9%). Initial and follow-up consultations took 16.8(±8.4) and 9.2(±5.3) minutes respectively. Most (85.1%) physicians used verbal conversations and least (24.5%), video demonstrations of inhaler use. 56.8% agreed that patient attitudes influenced their treatment approach.

CONCLUSION: Physicians and patients have different views of 'well-controlled' asthma. While physicians informed patients about asthma and inhaler usage, they overestimated actual usage and patients' knowledge was sub-optimal. Physician-patient interactions can be augmented with understanding of patient attitudes, visual aids and ancillary support to perform physical demonstrations to improve treatment outcomes.

Original languageEnglish
Pages (from-to)761-769
Number of pages9
JournalJournal of Asthma
Volume53
Issue number7
Early online date17 May 2016
DOIs
Publication statusPublished - 2016

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Nebulizers and Vaporizers
Asthma
Communication
Physicians
Referral and Consultation
Audiovisual Aids
Primary Care Physicians
Patient Care
Economics
Guidelines
Education

Keywords

  • Physician-patient communications
  • education
  • inhaler techniques
  • attitudes

Cite this

Price, D., David-Wang, A., Cho, S-H., Ho, J. C-M., Jeong, J-W., Liam, C-K., ... REcognise Asthma and LInk to Symptoms and Experience (REALISE) Asia Working Group (2016). Asthma in Asia: Physician perspectives on control, inhaler use and patient communications. Journal of Asthma, 53(7), 761-769. https://doi.org/10.3109/02770903.2016.1141951

Asthma in Asia : Physician perspectives on control, inhaler use and patient communications. / Price, David; David-Wang, Aileen; Cho, Sang-Heon; Ho, James Chung-Man; Jeong, Jae-Won; Liam, Chong-Kin; Lin, Jiangtao; Muttalif, Abdul Razak; Perng, Diahn-Warng; Tan, Tze-Lee; Yunus, Faisal; Neira, Glenn; REcognise Asthma and LInk to Symptoms and Experience (REALISE) Asia Working Group.

In: Journal of Asthma, Vol. 53, No. 7, 2016, p. 761-769.

Research output: Contribution to journalArticle

Price, D, David-Wang, A, Cho, S-H, Ho, JC-M, Jeong, J-W, Liam, C-K, Lin, J, Muttalif, AR, Perng, D-W, Tan, T-L, Yunus, F, Neira, G & REcognise Asthma and LInk to Symptoms and Experience (REALISE) Asia Working Group 2016, 'Asthma in Asia: Physician perspectives on control, inhaler use and patient communications', Journal of Asthma, vol. 53, no. 7, pp. 761-769. https://doi.org/10.3109/02770903.2016.1141951
Price, David ; David-Wang, Aileen ; Cho, Sang-Heon ; Ho, James Chung-Man ; Jeong, Jae-Won ; Liam, Chong-Kin ; Lin, Jiangtao ; Muttalif, Abdul Razak ; Perng, Diahn-Warng ; Tan, Tze-Lee ; Yunus, Faisal ; Neira, Glenn ; REcognise Asthma and LInk to Symptoms and Experience (REALISE) Asia Working Group. / Asthma in Asia : Physician perspectives on control, inhaler use and patient communications. In: Journal of Asthma. 2016 ; Vol. 53, No. 7. pp. 761-769.
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