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Asthma controller medications: what do patients want?

T A Balsbaugh1, C V Chambers, J J Diamond

  • 1Department of Family Medicine, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. thomas.balsbaugh@mail.tju.edu

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|October 19, 1999
PubMed
Summary

Patients with asthma prioritize avoiding blood tests for controller medications above all else. Medication dosing frequency is also a key factor, while administration route is less important.

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Area of Science:

  • Pulmonary Medicine
  • Patient-Reported Outcomes
  • Pharmacoeconomics

Background:

  • Asthma controller medications are crucial for long-term disease management.
  • Patient adherence to prescribed asthma treatment plans is often suboptimal.
  • Understanding patient preferences is key to improving medication selection and adherence.

Purpose of the Study:

  • To identify and quantify patient preferences for key attributes of asthma controller medications.
  • To determine the relative importance of route of administration, dosing frequency, and need for blood monitoring.

Main Methods:

  • Cross-sectional survey of 394 primary care patients diagnosed with asthma.
  • Conjoint analysis (trade-off analysis) to assess preferences for hypothetical medications.

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  • Quantification of patient willingness to accept or reject medication features.

    • Main Results:

    • Blood test monitoring was the most significant deterrent, accounting for 45% of preference variation.
    • Dosing frequency strongly influenced patient decisions, explaining 40% of variation.
    • Route of administration had a lesser impact, accounting for only 15% of variation.

    Conclusions:

    • Asthma patients strongly prefer controller medications that do not require blood test monitoring.
    • Medication dosing frequency is a critical factor influencing patient choice.
    • Incorporating patient preferences into treatment decisions may enhance adherence and physician-patient collaboration.