Disease variability in asthma: how do the patients respond?--and why?

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Disease variability in asthma: how do the patients respond?--and why? / Ulrik, C.S.; Soes-Petersen, U.; Backer, V.; Lange, Per Jørn; Harving, H.; Plaschke, P.; Ulrik, Charlotte Suppli; Søes-Petersen, Ulrik; Backer, Vibeke; Lange, Peter; Harving, Henrik; Plaschke, Peter.

In: Journal of Asthma, Vol. 45, No. 6, 2008, p. 507-11.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Ulrik, CS, Soes-Petersen, U, Backer, V, Lange, PJ, Harving, H, Plaschke, P, Ulrik, CS, Søes-Petersen, U, Backer, V, Lange, P, Harving, H & Plaschke, P 2008, 'Disease variability in asthma: how do the patients respond?--and why?', Journal of Asthma, vol. 45, no. 6, pp. 507-11. https://doi.org/10.1080/02770900802017736, https://doi.org/10.1080/02770900802017736

APA

Ulrik, C. S., Soes-Petersen, U., Backer, V., Lange, P. J., Harving, H., Plaschke, P., Ulrik, C. S., Søes-Petersen, U., Backer, V., Lange, P., Harving, H., & Plaschke, P. (2008). Disease variability in asthma: how do the patients respond?--and why? Journal of Asthma, 45(6), 507-11. https://doi.org/10.1080/02770900802017736, https://doi.org/10.1080/02770900802017736

Vancouver

Ulrik CS, Soes-Petersen U, Backer V, Lange PJ, Harving H, Plaschke P et al. Disease variability in asthma: how do the patients respond?--and why? Journal of Asthma. 2008;45(6):507-11. https://doi.org/10.1080/02770900802017736, https://doi.org/10.1080/02770900802017736

Author

Ulrik, C.S. ; Soes-Petersen, U. ; Backer, V. ; Lange, Per Jørn ; Harving, H. ; Plaschke, P. ; Ulrik, Charlotte Suppli ; Søes-Petersen, Ulrik ; Backer, Vibeke ; Lange, Peter ; Harving, Henrik ; Plaschke, Peter. / Disease variability in asthma: how do the patients respond?--and why?. In: Journal of Asthma. 2008 ; Vol. 45, No. 6. pp. 507-11.

Bibtex

@article{e82d3070068b11deb05e000ea68e967b,
title = "Disease variability in asthma: how do the patients respond?--and why?",
abstract = "BACKGROUND AND AIM: Asthma is a variable disease, and therapy should be tailored accordingly. The aim of this study was to explore patterns of self-management in response to disease variability in adult asthmatics. METHODS: Adult asthmatics (n = 509), recruited through a web-based panel, answered a questionnaire concerning asthma knowledge, compliance, and treatment, including specified treatment options, through the Internet. RESULTS: Two-thirds of the patients on inhaled corticosteroids (ICS) stepped-up and down their daily dose without prior contact to their doctor, and more than 50% took less ICS than prescribed during periods with fewer symptoms. In case of deterioration, 57% of the patients would only increase their reliever medication, whereas 23% would also increase their controller medication, although 59% were instructed by their doctor to do so. The self-perceived severity of asthma (graded as mild, moderate or severe) was not associated with the patients' response pattern. The preferred treatment strategy, differing primarily with regard to dosing and timing of controller medication, was associated with feeling safe about self-adjustment of controller medication (p < 0.001), but not with self-reported knowledge of asthma (p > 0.5). CONCLUSION: In case of deterioration, the majority of adult asthmatics only increase their reliever medication, although instructed by their doctors also to increase their controller medication. Furthermore, the patients' preferred strategy for management of disease variability seems not to be driven by their knowledge of the disease.",
author = "C.S. Ulrik and U. Soes-Petersen and V. Backer and Lange, {Per J{\o}rn} and H. Harving and P. Plaschke and Ulrik, {Charlotte Suppli} and Ulrik S{\o}es-Petersen and Vibeke Backer and Peter Lange and Henrik Harving and Peter Plaschke",
year = "2008",
doi = "10.1080/02770900802017736",
language = "English",
volume = "45",
pages = "507--11",
journal = "Journal of Asthma",
issn = "0277-0903",
publisher = "Taylor & Francis",
number = "6",

}

RIS

TY - JOUR

T1 - Disease variability in asthma: how do the patients respond?--and why?

AU - Ulrik, C.S.

AU - Soes-Petersen, U.

AU - Backer, V.

AU - Lange, Per Jørn

AU - Harving, H.

AU - Plaschke, P.

AU - Ulrik, Charlotte Suppli

AU - Søes-Petersen, Ulrik

AU - Backer, Vibeke

AU - Lange, Peter

AU - Harving, Henrik

AU - Plaschke, Peter

PY - 2008

Y1 - 2008

N2 - BACKGROUND AND AIM: Asthma is a variable disease, and therapy should be tailored accordingly. The aim of this study was to explore patterns of self-management in response to disease variability in adult asthmatics. METHODS: Adult asthmatics (n = 509), recruited through a web-based panel, answered a questionnaire concerning asthma knowledge, compliance, and treatment, including specified treatment options, through the Internet. RESULTS: Two-thirds of the patients on inhaled corticosteroids (ICS) stepped-up and down their daily dose without prior contact to their doctor, and more than 50% took less ICS than prescribed during periods with fewer symptoms. In case of deterioration, 57% of the patients would only increase their reliever medication, whereas 23% would also increase their controller medication, although 59% were instructed by their doctor to do so. The self-perceived severity of asthma (graded as mild, moderate or severe) was not associated with the patients' response pattern. The preferred treatment strategy, differing primarily with regard to dosing and timing of controller medication, was associated with feeling safe about self-adjustment of controller medication (p < 0.001), but not with self-reported knowledge of asthma (p > 0.5). CONCLUSION: In case of deterioration, the majority of adult asthmatics only increase their reliever medication, although instructed by their doctors also to increase their controller medication. Furthermore, the patients' preferred strategy for management of disease variability seems not to be driven by their knowledge of the disease.

AB - BACKGROUND AND AIM: Asthma is a variable disease, and therapy should be tailored accordingly. The aim of this study was to explore patterns of self-management in response to disease variability in adult asthmatics. METHODS: Adult asthmatics (n = 509), recruited through a web-based panel, answered a questionnaire concerning asthma knowledge, compliance, and treatment, including specified treatment options, through the Internet. RESULTS: Two-thirds of the patients on inhaled corticosteroids (ICS) stepped-up and down their daily dose without prior contact to their doctor, and more than 50% took less ICS than prescribed during periods with fewer symptoms. In case of deterioration, 57% of the patients would only increase their reliever medication, whereas 23% would also increase their controller medication, although 59% were instructed by their doctor to do so. The self-perceived severity of asthma (graded as mild, moderate or severe) was not associated with the patients' response pattern. The preferred treatment strategy, differing primarily with regard to dosing and timing of controller medication, was associated with feeling safe about self-adjustment of controller medication (p < 0.001), but not with self-reported knowledge of asthma (p > 0.5). CONCLUSION: In case of deterioration, the majority of adult asthmatics only increase their reliever medication, although instructed by their doctors also to increase their controller medication. Furthermore, the patients' preferred strategy for management of disease variability seems not to be driven by their knowledge of the disease.

U2 - 10.1080/02770900802017736

DO - 10.1080/02770900802017736

M3 - Journal article

C2 - 18612905

VL - 45

SP - 507

EP - 511

JO - Journal of Asthma

JF - Journal of Asthma

SN - 0277-0903

IS - 6

ER -

ID: 10955167