Time for a new language for asthma control: Results from REALISE Asia

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

*Corresponding author for this work

Research output: Contribution to journalArticle

40 Citations (Scopus)
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Abstract

PURPOSE: Asthma is a global health problem, and asthma prevalence in Asia is increasing. The REcognise Asthma and LInk to Symptoms and Experience Asia study assessed patients' perception of asthma control and attitudes toward treatment in an accessible, real-life adult Asian population.

PATIENTS AND METHODS: An online survey of 2,467 patients with asthma from eight Asian countries/regions, aged 18-50 years, showed greater than or equal to two prescriptions in previous 2 years and access to social media. Patients were asked about their asthma symptoms, exacerbations and treatment type, views and perceptions of asthma control, attitudes toward asthma management, and sources of asthma information.

RESULTS: Patients had a mean age of 34.2 (±7.4) years and were diagnosed with asthma for 12.5 (±9.7) years. Half had the Global Initiative for Asthma-defined uncontrolled asthma. During the previous year, 38% of patients visited the emergency department, 33% were hospitalized, and 73% had greater than or equal to one course of oral corticosteroids. About 90% of patients felt that their asthma was under control, 82% considered their condition as not serious, and 59% were concerned about their condition. In all, 66% of patients viewed asthma control as managing attacks and 24% saw it as an absence of or minimal symptoms. About 14% of patients who correctly identified their controller inhalers had controlled asthma compared to 6% who could not.

CONCLUSION: Patients consistently overestimated their level of asthma control contrary to what their symptoms suggest. They perceived control as management of exacerbations, reflective of a crisis-oriented mind-set. Interventions can leverage on patients' trust in health care providers and desire for self-management via a new language to generate a paradigm shift toward symptom control and preventive care.

Original languageEnglish
Pages (from-to)93-103
Number of pages11
JournalJournal of Asthma and Allergy
Volume8
DOIs
Publication statusPublished - 23 Sep 2015

Keywords

  • Asthma control
  • Attitudes
  • Perception

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

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    Price, D., David-Wang, A., Cho, S. H., Chung-Man Ho, J., Jeong, J. W., Liam, C. K., Lin, J., Muttalif, A. R., Perng, D. W., Tan, T. L., Yunus, F., & Neira, G. (2015). Time for a new language for asthma control: Results from REALISE Asia. Journal of Asthma and Allergy, 8, 93-103. https://doi.org/10.2147/JAA.S82633