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Non-pharmacological management of adult asthma in Australia: cross-sectional analysis of a population-based cohort study

Citation

Tan, DJ and Burgess, JA and Perret, JL and Bui, DS and Abramson, MJ and Dharmage, SC and Walters, EH, Non-pharmacological management of adult asthma in Australia: cross-sectional analysis of a population-based cohort study, Journal of Asthma pp. 1-8. ISSN 0277-0903 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Taylor & Francis Group, LLC

DOI: doi:10.1080/02770903.2018.1545030

Abstract

Aim: To identify the level of non-pharmacological care received by middle-aged adults with current asthma in Australia and to identify its association with clinical measures.

Methods: The Tasmanian Longitudinal Health Study (TAHS) is a population-based cohort first studied in 1968 (n = 8583). In 2010, when participants were aged 49 years, a stratified sample enriched for asthma and bronchitis underwent clinical assessments including respiratory questionnaires and lung function testing (n = 836). Current asthma was defined as self-reported asthma symptoms and/or healthcare utilization in the last 12 months. Multivariable linear regression and log-binomial models were used to assess the relevant associations.

Results: Of the entire TAHS cohort, 15.6% (95% CI 13.418.2%) had current asthma. Of these, 37.9% (95% CI 30.545.9%) had seen a general practitioner for their asthma and 16.5% (95% CI 11.523.1%) had discussed their asthma with a pharmacist in the last 12 months. Written asthma action plans (AAPs) were reported by 17.9% (95% CI 12.923.2%), verbal AAPs by 53.8% (95% CI 45.961.6%) and doctor-assessments of inhaler technique by 42.7% (95% CI 35.250.5%). Adults with asthma of greater severity were more likely to have received verbal AAPs (p-trend =0.02). In contrast, adults with lower spirometry were more likely to have received verbal AAPs (p = 0.04), written AAPs (p = 0.001) and education on inhaler technique (p = 0.04).

Conclusion: Despite an established evidence base and recommendations in local and international guidelines, non-pharmacological asthma management remains sub-optimal in the middle-aged adult asthma population.

Item Details

Item Type:Refereed Article
Keywords:primary care, self-management, asthma action plan, inhaler technique, patient education
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Respiratory Diseases
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Respiratory System and Diseases (incl. Asthma)
UTAS Author:Walters, EH (Professor Haydn Walters)
ID Code:131397
Year Published:2018
Web of Science® Times Cited:8
Deposited By:Medicine
Deposited On:2019-03-15
Last Modified:2019-05-10
Downloads:0

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