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The Reliever Reliance Test: evaluating a new tool to address SABA over-reliance
Zoe Moon1, Alan Kaplan2, Vincent Mak3
1Spoonful of Sugar Ltd, a UCL Business Company, London, UK.
NPJ Primary Care Respiratory Medicine
|November 5, 2024
Summary
The Reliever Reliance Test (RRT) effectively identifies patients over-reliant on short-acting beta-agonists (SABA) for asthma. This tool raises awareness and encourages patients to discuss their treatment with doctors, improving asthma management.
Area of Science:
- Pulmonology
- Behavioral Science
Background:
- Over-reliance on short-acting beta-agonists (SABA) is linked to poor asthma control, increased exacerbations, and mortality.
- Addressing patient beliefs driving SABA over-reliance is crucial for reducing overuse and improving outcomes.
Purpose of the Study:
- To evaluate the utility, impact, and acceptability of the Reliever Reliance Test (RRT).
- The RRT is a brief, self-administered tool designed to identify and address SABA over-reliance in asthma patients.
Main Methods:
- Asthma patients in Argentina who completed the RRT were invited to an online survey.
- The survey assessed RRT acceptability, its effect on SABA perceptions, and patient intention to consult physicians about asthma treatment.
Main Results:
- 82% of 93 surveyed patients were classified by the RRT as medium-to-high risk for SABA over-reliance.
- Among those at high risk, 73% reported overusing SABA (≥3 times/week).
- 75% of patients intended to follow RRT recommendations to review their asthma management with a healthcare provider.
Conclusions:
- The RRT is an acceptable tool for patients with asthma.
- The RRT effectively increases awareness, identifies, and addresses SABA over-reliance.
- The RRT encourages patients to proactively engage with their doctors regarding asthma treatment review.
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