Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US
Abstract Background Little is known about how patients and healthcare providers (HCPs) perceive the impact of asthma-related exacerbations. This study examined the impact of asthma-related exacerbations on patients’ lives from these different perspectives. Methods Web-based surveys were administered...
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doaj-15a9d89da0f2474da60a11e935cc69f22020-11-25T01:37:57ZengPAGEPress PublicationsMultidisciplinary Respiratory Medicine2049-69582019-11-0114111010.1186/s40248-019-0196-1Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the USPhaedra T. Johnson0Christopher F. Bell1John White2Breanna Essoi3Linda Nelsen4Carlyne M. Averell5Health Economics and Outcomes Research, OptumUS Value, Evidence, and Outcomes, GlaxoSmithKlineHealth Economics and Outcomes Research, OptumHealth Economics and Outcomes Research, OptumValue, Evidence, and Outcomes, GlaxoSmithKlineUS Value, Evidence, and Outcomes, GlaxoSmithKlineAbstract Background Little is known about how patients and healthcare providers (HCPs) perceive the impact of asthma-related exacerbations. This study examined the impact of asthma-related exacerbations on patients’ lives from these different perspectives. Methods Web-based surveys were administered to a US sample of adult patients with asthma, and HCPs. Participants reviewed six vignettes describing two hypothetical patients with asthma (25-year-old/single/unemployed/no dependents; and 45-year-old/married/employed/two young children) experiencing mild, moderate, or severe exacerbations and rated the impact on eight measures: EuroQoL-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), sleep, household costs, and medical costs. The proportions reporting impact for each measure were calculated for each vignette; and patient responses were compared with HCP responses. Results 302 patients with asthma and 300 HCPs completed the survey. As exacerbation severity increased, a higher proportion of patients and HCPs reported impact of exacerbations on patients with asthma. Compared with HCPs, a greater proportion of patients reported problems with pain/discomfort related to mild and moderate exacerbations. Compared with patients, HCPs were more likely to indicate sleep impact, mobility problems, and financial burden across all exacerbation severity levels; self-care problems with moderate and severe exacerbations; and problems with usual activities and anxiety/depression for severe exacerbations. Conclusions Understanding the distinctions between how patients and HCPs perceive the impact of exacerbations is important for optimizing patient care. HCPs may be less aware of patient’s concerns about exacerbation-related pain/discomfort. Studies are needed to further understand patient-HCP interactions regarding asthma-related exacerbations.http://link.springer.com/article/10.1186/s40248-019-0196-1AsthmaExacerbationsBurdenVignettePatientHealthcare provider |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Phaedra T. Johnson Christopher F. Bell John White Breanna Essoi Linda Nelsen Carlyne M. Averell |
spellingShingle |
Phaedra T. Johnson Christopher F. Bell John White Breanna Essoi Linda Nelsen Carlyne M. Averell Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US Multidisciplinary Respiratory Medicine Asthma Exacerbations Burden Vignette Patient Healthcare provider |
author_facet |
Phaedra T. Johnson Christopher F. Bell John White Breanna Essoi Linda Nelsen Carlyne M. Averell |
author_sort |
Phaedra T. Johnson |
title |
Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US |
title_short |
Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US |
title_full |
Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US |
title_fullStr |
Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US |
title_full_unstemmed |
Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US |
title_sort |
observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the us |
publisher |
PAGEPress Publications |
series |
Multidisciplinary Respiratory Medicine |
issn |
2049-6958 |
publishDate |
2019-11-01 |
description |
Abstract Background Little is known about how patients and healthcare providers (HCPs) perceive the impact of asthma-related exacerbations. This study examined the impact of asthma-related exacerbations on patients’ lives from these different perspectives. Methods Web-based surveys were administered to a US sample of adult patients with asthma, and HCPs. Participants reviewed six vignettes describing two hypothetical patients with asthma (25-year-old/single/unemployed/no dependents; and 45-year-old/married/employed/two young children) experiencing mild, moderate, or severe exacerbations and rated the impact on eight measures: EuroQoL-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), sleep, household costs, and medical costs. The proportions reporting impact for each measure were calculated for each vignette; and patient responses were compared with HCP responses. Results 302 patients with asthma and 300 HCPs completed the survey. As exacerbation severity increased, a higher proportion of patients and HCPs reported impact of exacerbations on patients with asthma. Compared with HCPs, a greater proportion of patients reported problems with pain/discomfort related to mild and moderate exacerbations. Compared with patients, HCPs were more likely to indicate sleep impact, mobility problems, and financial burden across all exacerbation severity levels; self-care problems with moderate and severe exacerbations; and problems with usual activities and anxiety/depression for severe exacerbations. Conclusions Understanding the distinctions between how patients and HCPs perceive the impact of exacerbations is important for optimizing patient care. HCPs may be less aware of patient’s concerns about exacerbation-related pain/discomfort. Studies are needed to further understand patient-HCP interactions regarding asthma-related exacerbations. |
topic |
Asthma Exacerbations Burden Vignette Patient Healthcare provider |
url |
http://link.springer.com/article/10.1186/s40248-019-0196-1 |
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