Willingness of patients to perform self-management of asthma and the role of inhaled steroids

Scand J Prim Health Care. 2002 Mar;20(1):60-4. doi: 10.1080/028134302317282770.


Objective: Asthma self-management is a generally accepted effective treatment strategy for asthma patients. Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described.

Design: Cross-sectional explorative study.

Setting: General practice.

Subjects: 283 adult steroid-requiring asthma patients were invited by their GP to participate in a self-management programme.

Main outcome measures: In a multivariate logistic regression model, the relation between baseline dosage of inhaled steroids, occupational status, age and sex as independent variables and willingness to participate as dependent variables was explored.

Results: Of all invited, 148 (52%) were willing to participate. Subjects not using inhaled steroids were least willing to participate (43/143 = 30%). Subjects with low doses of inhaled steroids ( < 400 mcg daily) were most willing to participate (44/54 = 81%). Unemployed asthmatics had a higher tendency to participate than patients with a regular job.

Conclusion: Acceptance of self-management by patients is not a limiting issue in promoting self-management of asthma in general practice. High acceptance in patients taking low or intermediate doses of inhaled steroids makes general practice the most appropriate setting for self-management. A selection procedure is recommended.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Inhalation
  • Adult
  • Age Factors
  • Anti-Inflammatory Agents / therapeutic use*
  • Asthma / drug therapy*
  • Asthma / psychology*
  • Cross-Sectional Studies
  • Family Practice / organization & administration
  • Female
  • Humans
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Occupations
  • Patient Acceptance of Health Care / psychology*
  • Patient Selection
  • Primary Health Care / organization & administration
  • Self Care / methods
  • Self Care / psychology*
  • Steroids


  • Anti-Inflammatory Agents
  • Steroids