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Updated: Jul 14, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Difficult asthma: people's perspectives on taking corticosteroid therapy.

Jacqueline Gamble1, Donna Fitzsimons, Dave Lynes

  • 1Regional Respiratory Centre, Belfast City Hospital, Belfast, Ireland, UK. jackie.gamble@bch.n-i.nhs.uk

Journal of Clinical Nursing
|May 24, 2007
PubMed
Summary

Patient decisions about corticosteroid therapy for difficult asthma are complex, heavily influenced by fear of side effects and a desire for more information. Understanding patient perspectives is crucial for improving treatment adherence.

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Last Updated: Jul 14, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Area of Science:

  • Pulmonary Medicine
  • Patient Adherence Research
  • Qualitative Health Research

Background:

  • Difficult asthma affects millions globally, with corticosteroid therapy being the primary treatment.
  • Low patient compliance with corticosteroid therapy poses significant morbidity and mortality risks.
  • Existing research primarily uses quantitative methods, lacking insight into patient perspectives on corticosteroid use.

Purpose of the Study:

  • To explore the experiences of patients with difficult asthma undergoing corticosteroid therapy.
  • To understand the factors influencing patient adherence to corticosteroid treatment.
  • To identify reasons for non-compliance among patients with difficult asthma.

Main Methods:

  • Employed a hermeneutic phenomenological approach for in-depth exploration.
  • Conducted unstructured interviews with a purposive sample of 10 participants.
  • Analyzed transcribed interview data using a multi-step technique.

Main Results:

  • Fear of side effects (e.g., weight gain, mood changes) emerged as a primary concern.
  • Patients linked treatment control to knowledge, desiring more information from healthcare providers.
  • Decision-making involved weighing personal costs and benefits, influenced by social factors and self-perception.

Conclusions:

  • Patient adherence to corticosteroid therapy is a complex decision-making process dominated by concerns about side effects.
  • Effective patient-provider communication regarding treatment benefits and risks is vital.
  • Nurses play a key role in addressing patient fears and misconceptions to improve adherence.