None listed
Conditions
Brief summary
Background: Patient preferences for specific inhaler regimens and the associated risks and benefits of that regimen are paramount to making informed prescribing choices. Qualitative studies on what patient’s with asthma want from an asthma inhaler regimen are the starting point for understanding asthma treatment from the patient’s perspective, and what their treatment priorities are. Data from qualitative studies on patient preferences for asthma treatment should be incorporated into design of future RCTs into emerging novel inhaler regimens, but in addition should be used to inform how we use existing treatments. Study Aims We aim to identify and understand which aspects of asthma inhaler regimens are most important to people with asthma using qualitative methodologies. Methods: Design: A series of focus groups in patients with mild to moderate asthma will be used to identify and understand what attributes of asthma treatment regimens are the most important to patients and how they might influence their behaviour. Participants: approximately 30 participants with mild to moderate asthma will be recruited from advertising and purposive sampling will be used to achieve a mix of ages, gender, ethnic backgrounds and asthma treatment experience. Study procedures: a focus group topic guide will be used to aid the discussion. The theoretical basis used to inform the focus group topic guide is that of self-regulation and self-management. The main topics covered will be the concept of a “perfect” asthma treatment regimen and patients experiences of having asthma. Data analysis: the focus groups will be audio recorded then transcribed verbatim. We will use content thematic analysis to analyse our data. Significance: This will allow better understanding of the factors influencing patient decisions and which asthma regimens they have a preference for. It will also be used to influence future studies regarding patient preferences for asthma treatment regimens.
Interventions
This is an exploratory qualitative study on patient preferences for asthma treatment regimens. A serise of focus groups will be ran in patients with asthma, each participant will only attend one focus group. The focus groups will be facilitated by a memember of study staff who has experience in qualitative methodology. They will introduce the topic, guide the discussion and ask questions. The discussion will be semi structured and follow the focus group interview guide. An addition member of staff will take notes. Each group will be audio recorded. Each focus group will last approximately a hour. Audio recordings will be transcribed verbatim. We will analysis the transcripts using content thematic analysis.
Sponsors
Eligibility
Inclusion criteria
Adults aged 18-75 with a self-reported doctor diagnosis of asthma who have a current prescription for one or more inhaled asthma medications and have used any inhalers in the last month.
Exclusion criteria
People who are not able to or unwilling to give informed consent, who are not fluent in English, who have other pre-existing respiratory diagnoses in addition to asthma, or who are using step 4/5 add-on maintenance treatments for asthma such as oral prednisone, long-acting muscarinic antagonists (LAMAs) or biological agents.