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. 2024 Mar 15;24(1):134.
doi: 10.1186/s12890-024-02960-8.

Patient education needs in severe asthma, a pilot study

Rodolphe Laurence  1 , Julien Ancel  1 , Maëva A Devilliers  2 , Sophie Carre  1   3 , Sandra Dury  1 , Valérian Dormoy  2 , Gaëtan Deslée  1   2 , Jeanne-Marie Perotin  4   5   6
Affiliations

Patient education needs in severe asthma, a pilot study

Rodolphe Laurence et al. BMC Pulm Med. .

Abstract

Background: Severe asthma is characterized by frequent exacerbations, altered lung function, and impaired quality of life. Tailored patient education allows for the improvement of both asthma management and quality of life. Our study aimed to assess the needs of severe asthma patient in therapeutic education, according to previous therapeutic patient education background and asthma phenotype.

Methods: Consecutive patients monitored for severe asthma in a tertiary referral center were considered for inclusion and answered a questionnaire detailing their patient education needs and the topics they would like to discuss. Asthma history, clinical and biological data, and lung function results were recorded.

Results: Fifty-three patients were included and 47 (88.7%) expressed at least one need. The most frequently selected topics were "life with asthma" (83%), "treatment use" (68%), and "exacerbation management" (60%), independent of previous participation in a patient education program dedicated to asthma. Patients of older age at inclusion, uncontrolled asthma, and T2-high phenotypes were associated with different profiles of patient education needs.

Conclusion: Our study identified frequent and various patient educational needs among severe asthmatics, highlighting the importance of an in-depth assessment of severe asthmatics expectations and the crucial need for the development of dedicated educational tools.

Keywords: Age; Eosinophils; Patient education; Phenotype; Severe asthma.

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Conflict of interest statement

S. Dury reports lecture honoraria from Boehringer Inhelheim and Sanofi-Aventis; outside the submitted work. V. Dormoy reports lecture honoraria from Chiesi and AstraZeneca; outside the submitted work. G. Deslée reports personal fees from Chiesi, GSK and AstraZeneca; outside the submitted work. J.M. Perotin reports lecture honoraria from AstraZeneca, support for attending meetings from AstraZeneca and Chiesi, and membership of working groups and associations receiving financial support from AstraZeneca, Chiesi, Novartis, and Sanofi; outside the submitted work. There are no further conflicting interests to disclose.

Figures

Fig. 1
Fig. 1
Phenotypic characteristics in patients who did select an item (green) and those who did not select the same item (red) among 11 educational needs.: (a) mean age at inclusion, (b) mean ACT score, (c) percentage of patients with ≥ 2 severe asthma exacerbations in the last year, (d) mean FEV1 percentage of predicted value, (e) mean blood eosinophils value and (f) percentage of patients who previously benefit from TPE program. The scales for mean values or percentage are indicated in the center of the circles, corresponding to the values for each light grey concentric circle. *: p < 0.05
See this image and copyright information in PMC

References

    1. Chung KF, Wenzel SE, Brozek JL, Bush A, Castro M, Sterk PJ, et al. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Eur Respir J. 2014;43(2):343–73. doi: 10.1183/09031936.00202013. - DOI - PubMed
    1. Yaghoubi M, Adibi A, Safari A, FitzGerald JM, Sadatsafavi M. The Projected Economic and Health Burden of Uncontrolled Asthma in the United States. Am J Respir Crit Care Med. 2019;200(9):1102–12. doi: 10.1164/rccm.201901-0016OC. - DOI - PMC - PubMed
    1. Roche N, Garcia G, de Larrard A, Cancalon C, Bénard S, Perez V, et al. Real-life impact of uncontrolled severe asthma on mortality and healthcare use in adolescents and adults: findings from the retrospective, observational RESONANCE study in France. BMJ Open. 2022;12(8):e060160. doi: 10.1136/bmjopen-2021-060160. - DOI - PMC - PubMed
    1. Zhang X, Lai Z, Qiu R, Guo E, Li J, Zhang Q, et al. Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study. Asthma Res Pract. 2021;7(1):10. doi: 10.1186/s40733-021-00076-y. - DOI - PMC - PubMed
    1. Ilmarinen P, Stridsman C, Bashir M, Tuomisto LE, Vähätalo I, Goksör E, et al. Level of education and asthma control in adult-onset asthma. J Asthma. 2022;59(4):840–9. doi: 10.1080/02770903.2021.1871742. - DOI - PubMed