Perceptions, attitudes, and behaviors of asthma patients towards the use of short-acting β2-agonists: A systematic review

Zhe Chi Loh, Rabia Hussain, Shamala Balan, Bandana Saini, Jaya Muneswarao, Siew Chin Ong, Zaheer Babar

Research output: Contribution to journalReview articlepeer-review

3 Citations (Scopus)

Abstract

Background
Short-acting β2-agonists (SABA), the most potent and rapid-acting relievers are commonly used to provide quick relief of asthma symptoms. However, there is an increasing concern regarding the misuse of SABA medicines.

Objective
This qualitative systematic review aims to determine, evaluate, and summarize the perceptions, attitudes, and behaviors towards the use of SABA from the patients’ perspectives.

Methods
The databases searched included PubMed, Scopus, PsycINFO, CINAHL, and Cochrane database. Original research articles reporting the perceptions, attitudes, or behaviors of asthma patients towards the use of SABA, which was available as full text, published in the English language between the year 2000 and February 2023 were included in the review. Commentaries, letters to editor, review articles, and conference proceedings were excluded.

Results
A total of five articles were included. Six overarching themes were obtained: (1) perceptions on health status; (2) perceptions and attitudes towards the impact of asthma; (3) perceptions towards asthma control; (4) perceptions towards asthma knowledge; (5) risk perceptions; (6) perceptions, attitudes, and behaviors towards the use of SABA.

Conclusion
Despite the fact that SABA could rapidly alleviate asthma symptoms, SABA over-users were less likely to describe their health status and asthma control as ‘excellent’. Most SABA over-users did not know that frequent SABA usage would worsen their asthma control, and they exhibited psychological linkage towards the use of SABA. Collaborative efforts between policymakers, healthcare professionals and patients are warranted to reconstruct SABA prescribing practice and usage.
Original languageEnglish
Article numbere0283876
Number of pages16
JournalPLoS One
Volume18
Issue number4
DOIs
Publication statusPublished - 20 Apr 2023

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