To assess the challenges and barriers to asthma care BEAs experience.
We conducted virtual focus groups consisting of BEAs (n = 16) with a physician diagnosis of asthma. Discussion questions regarding asthma triggers, management, and challenges were used. Focus group discussions were recorded and transcribed verbatim. The transcripts were then coded by 3 coders using a thematic saturation approach.
Seven major domains were identified: heightened anxiety around asthma management; asthma symptoms interfering with school and/or work; asthma in social group setting; transitioning to adulthood leading to increased autonomy and financial independence; use of technology in asthma management; concerns regarding coronavirus disease 2019; and perceived discrimination and biases. These domains create complex barriers to optimal asthma management and overlapping elements were identified. Technology was described as a potential method to address these challenges.
BEAs with asthma have unique challenges due to age and race. Physicians should address these challenges through innovative means such as technology-based interventions.
目的:评估哮喘治疗的挑战和障碍。
方法:我们进行了由BEA(n=16)组成的虚拟焦点小组,医生诊断为哮喘。关于哮喘诱因的讨论问题,管理,挑战被利用。焦点小组讨论进行了记录和逐字抄录。然后使用主题饱和方法由3位编码器对转录本进行编码。
结果:确定了七个主要领域:围绕哮喘管理的焦虑加剧;哮喘症状干扰学校和/或工作;社会群体环境中的哮喘;过渡到成年,导致自主性和财务独立性增加;在哮喘管理中使用技术;对2019年冠状病毒疾病的担忧;以及感知的歧视和偏见。这些领域为优化哮喘管理创造了复杂的障碍,并确定了重叠的元素。技术被描述为解决这些挑战的潜在方法。
结论:哮喘患者因年龄和种族而面临独特的挑战。医生应该通过创新手段解决这些挑战,如基于技术的干预措施。