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Exploring the Alignment Between Healthcare Professionals’ and Patients’ Views of Asthma Using Drawings
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A4857 - Exploring the Alignment Between Healthcare Professionals’ and Patients’ Views of Asthma Using Drawings
Author Block: M. Cheung, B. Saini, L. Smith; Faculty of Pharmacy, The University of Sydney, Sydney, Australia.
Rationale Differences between healthcare professionals’ (HCPs) and patients’ views of asthma can influence communication, rapport, treatment provision and consequently clinical and psychosocial outcomes. This study aimed to explore the alignment between HCPs’ and patients’ perceptions of asthma. Methods HCPs and adults with asthma independently participated in a one-on-one semi-structured interview, which was followed by a creative expression exercise (using drawings). HCPs’ views on patients’ sketched expressions about their asthma (drawings) were elicited. A qualitative inductive approach utilising a coding process was used to cluster thematic material from the interviews and drawings. Data collected from the HCP and patient samples were compared. Results HCPs’ drawings and interviews (N = 20) were clinically focussed and indicated little evidence of the social and emotional burden of asthma. In contrast, patients’ drawings and interviews (N = 18) highlighted the prominence of how the social and emotional consequences of asthma had a profound impact on their lives. This included feeling ‘alone’, ‘different’ and ‘fearful’ due to having asthma. When viewing the patients’ drawings, HCPs were often surprised by the intensity of the consequences portrayed. HCPs revealed that their patients do not commonly share concerns about the psychosocial experiences of living with asthma, and as such the HCPs found this exercise insightful. Conclusions The findings of this study highlight the significance of the psychosocial aspects of living with asthma, and raises the question of how this area may be targeted to improve patient self-management. HCPs can more effectively explore the patient’s perspective by asking after their psychosocial experiences and concerns, as this may help to bridge the gap between HCPs’ and patients’ shared understandings, and engage patients to take a more active role in the management of their asthma. Creative methods for eliciting patients’ lived experiences may offer a window into how asthma affects their lives personally.
Author Block: M. Cheung, B. Saini, L. Smith; Faculty of Pharmacy, The University of Sydney, Sydney, Australia.
Rationale Differences between healthcare professionals’ (HCPs) and patients’ views of asthma can influence communication, rapport, treatment provision and consequently clinical and psychosocial outcomes. This study aimed to explore the alignment between HCPs’ and patients’ perceptions of asthma. Methods HCPs and adults with asthma independently participated in a one-on-one semi-structured interview, which was followed by a creative expression exercise (using drawings). HCPs’ views on patients’ sketched expressions about their asthma (drawings) were elicited. A qualitative inductive approach utilising a coding process was used to cluster thematic material from the interviews and drawings. Data collected from the HCP and patient samples were compared. Results HCPs’ drawings and interviews (N = 20) were clinically focussed and indicated little evidence of the social and emotional burden of asthma. In contrast, patients’ drawings and interviews (N = 18) highlighted the prominence of how the social and emotional consequences of asthma had a profound impact on their lives. This included feeling ‘alone’, ‘different’ and ‘fearful’ due to having asthma. When viewing the patients’ drawings, HCPs were often surprised by the intensity of the consequences portrayed. HCPs revealed that their patients do not commonly share concerns about the psychosocial experiences of living with asthma, and as such the HCPs found this exercise insightful. Conclusions The findings of this study highlight the significance of the psychosocial aspects of living with asthma, and raises the question of how this area may be targeted to improve patient self-management. HCPs can more effectively explore the patient’s perspective by asking after their psychosocial experiences and concerns, as this may help to bridge the gap between HCPs’ and patients’ shared understandings, and engage patients to take a more active role in the management of their asthma. Creative methods for eliciting patients’ lived experiences may offer a window into how asthma affects their lives personally.
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