Observational Study Regarding Adherence, Drug Use, Will to Take Part in Shared Decisioning in Asthma Outpatients
Observational Study Regarding Adherence, Drug Use, Will to Take Part in Shared Decisioning in Asthma Outpatients
In a private practice setting typical for ambulatory medicine in Germany, asthma staging
 according to the GINA guidelines will be correlated with "real life" treatment and self
 management of adult outpatients suffering from asthma. Attitudes concerning adherence,
 awareness, interest in shared decision making and knowledge about the disease are assessed.
The study focuses on outpatients that have two different types of treatment at hand:
 on-demand reliever treatment and anti-inflammatory treatment. We will assess the correlation
 of number of devices and medications in regular or intermittent use with doctors
 recommendations and prescriptions and the parameters adherence, awareness, interest in shared
 decision making and knowledge about the disease.

 The patients will be seen two to three times. The first visit is used to inform the patient
 about the study, to check with regard to inclusion and exclusion criteria, and finally to
 sign the informed consent, if the patient agrees to be enrolled in the study. The patient
 then will get the questionnaire, and she or he is asked to collect all asthma related
 medications in continuous or intermittent use and to bring them to the private practice
 staff.

 In the second visit, the private practice staff will check the medications the patient has
 brought. This is a physical check, i.e. it is based on devices and medications on the desk,
 not on questions.

 At least six months later, the private practice staff will check all asthma related
 prescriptions for the patient concerned, and for the last six months. The patient will be
 asked to give information if the questionnaire has not been answered completely.

 In a previous study with 1.670 paediatric outpatients enrolled we have shown under-diagnosis,
 under-treatment and a low overall effectiveness of paediatric outdoor patient asthma care. In
 this previous paediatric study we compared suspected diagnosis and reported treatment. We did
 not assess parameters indicating low or high adherence, nor did we ask for interest in shared
 decision making or for awareness and indicators for knowledge about the disease.
Inclusion Criteria:

 -  Age > 18 years

 -  Asthma with irregular or regular use of short acting beta-agonists and/or:

 -  Asthma treatment with inhaled steroids

 -  Ability to understand the questionnaire

 Exclusion Criteria:

 -  Age < 18 years

 -  Significant airway disease other than asthma

 -  Asthma treatment with fixed combination of inhaled steroids with long or short acting
 beta-agonists

 -  Ability to understand the questionnaire must be doubted