https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Regional variation in prevalence of difficult-to-treat asthma and oral corticosteroid use for patients in Australia: heat map analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52775 Wed 28 Feb 2024 16:20:21 AEDT ]]> Beliefs about medicines and adherence to asthma medications during pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51366 Wed 28 Feb 2024 15:46:29 AEDT ]]> A systematic review of the cost-effectiveness of medication adherence-enhancing intervention for asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44505 Wed 16 Aug 2023 09:41:09 AEST ]]> Parenting stress in mothers with asthma during the postpartum period https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43927 n = 157) and without (n = 79) asthma. Mothers with asthma participated in this study following participation in a randomized controlled trial of a novel asthma management strategy during pregnancy. Mothers completed the Parenting Stress Index Short Form during the first 12 months postpartum. Mothers with asthma also completed the Asthma Control Questionnaire. Results: Parenting stress did not differ between mothers with and without asthma. Additionally, for mothers with asthma, there were no differences in levels of parenting stress based on asthma control. Conclusions: This study suggests that mothers with asthma are not at an increased risk for excessive parenting stress. However, due to response and sampling bias, levels of parenting stress in asthmatic mothers may be underreported in our sample.]]> Wed 13 Mar 2024 08:01:44 AEDT ]]> Rhinitis in pregnant women with asthma is associated with poorer asthma control and quality of life https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26396 2.5), moderate/severe versus mild (VAS>6 vs <5), atopic versus non-atopic and pregnancy rhinitis. At baseline, women completed the 20-Item Sino-Nasal Outcome Test (SNOT20), asthma-specific (AQLQ-M) QoL questionnaires and the Six-Item Short-Form State Trait Anxiety Inventory (STAI-6). Asthma control was assessed using the asthma control questionnaire (ACQ). Perinatal outcomes were collected after delivery. Results: Current rhinitis was present in 142 (65%) women including 45 (20%) women who developed pregnancy rhinitis. Women with current rhinitis had higher scores for ACQ (p=0.004), SNOT20 (p<0.0001) and AQLQ-M (p<0.0001) compared to women with no rhinitis. Current rhinitis was associated with increased anxiety symptoms (p=0.002), rhinitis severity was associated with higher ACQ score (p=0.004) and atopic rhinitis was associated with poorer lung function (p=0.037). Rhinitis symptom severity improved significantly during gestation (p<0.0001). There was no impact on perinatal outcomes. Improved asthma control was associated with improvement in rhinitis. Conclusion: Rhinitis in pregnant women with asthma is common and associated with poorer asthma control, sino-nasal and asthma-specific QoL impairment and anxiety. In the context of active asthma management there was significant improvement in rhinitis symptoms and severity as pregnancy progressed.]]> Wed 11 Apr 2018 17:22:04 AEST ]]> The influence of asthma control on psychosocial outcomes for pregnant women with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26397 1.5 at randomization and ≤1.5 at end of study) and unimproved (ACQ7>1.5 at end of study). Regression models were fitted for each psychosocial measure at the end of the study, with adjustment for baseline values and smoking status, with predictor variable asthma control. Results: Women with unimproved asthma had poorer physical (SF12, p=0.012) and asthma-specific quality of life across all domains (AQLQ-M, p≤0.012) compared to women with controlled asthma. They believed that they had less control over their asthma (PCAQ total p=0.014), had more symptoms and that their illness had a greater effect on their emotions and their lives in general (BIPQ identity, consequences, concern, emotional response p≤0.015). Women with improved asthma control had significantly lower AQLQ-M breathlessness (p=0.048) and lower total scores (p=0.04) than women with controlled asthma. Conclusions: Pregnant women who are not able to get control of their asthma symptoms may experience worse quality of life and are likely to have more negative perceptions about their condition.]]> Wed 11 Apr 2018 10:20:12 AEST ]]> Validation of the patient-completed asthma knowledge questionnaire (PAKQ) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33713 Questionnaire de connaissances sur l'asthme destiné aux patients adultes (QCA-PA) based on key points related to asthma knowledge and self-management accordingly to the Global Initiative for Asthma report. Methods: Based on Vallerand's methodology, a preliminary version of the "Patient-completed Asthma Knowledge Questionnaire" (PAKQ) was back-translated and evaluated by an expert committee. A sample of 20 individuals with asthma pretested the questionnaire, after which 62 adults were recruited. Sociodemographic data were collected and the PAKQ together with a comparator questionnaire (Consumer Questionnaire (CQ)) were completed. Fourteen days after the first visit, participants returned to recomplete both questionnaires; half were randomly selected to receive a one-on-one asthma education session and again completed both questionnaires immediately after education, and at 10 days follow-up. Results: The PAKQ showed good internal consistency (KR-20 = 0.77). Moderate correlation with CQ (r = 0.596, p = 0.01) attested to its concurrent validity. Confirmatory factor analyses confirmed a single factor structure. A repeated measures ANOVA showed its reproducibility (n = 21:F(1) = 3.578, p = 0.07, ηp2 = 0.152) and responsiveness (n = 21:F(1) = 26.041, P < 0.05, ηp2 = 0.566). Conclusion: The PAKQ is a valid asthma knowledge questionnaire which is based on international asthma recommendations and could he lp healthcare professionals in individualizing educational interventions for people with asthma.]]> Wed 06 Apr 2022 13:58:52 AEST ]]> Psychosocial variables are related to future exacerbation risk and perinatal outcomes in pregnant women with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14595 Wed 04 Sep 2019 11:33:48 AEST ]]> The relationship of exhaled nitric oxide to airway inflammation and responsiveness in children https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:532 Thu 25 Jul 2013 09:10:32 AEST ]]> Attack, flare-up, or exacerbation?: The terminology preferences of patients with severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46415 Thu 24 Nov 2022 13:56:58 AEDT ]]> The effects of maternal asthma during pregnancy on child cognitive and behavioral development: a systematic review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:35529 Thu 24 Mar 2022 11:35:45 AEDT ]]> Psychosocial outcomes are related to asthma control and quality of life in pregnant women with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14782 Sat 24 Mar 2018 08:26:30 AEDT ]]> Insight into older peoples' healthcare experiences with managing COPD, asthma, and asthma-COPD overlap https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14580 Sat 24 Mar 2018 08:22:41 AEDT ]]> Relationship between current psychological symptoms and future risk of asthma outcomes: a 12-month prospective cohort study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:13647 Sat 24 Mar 2018 08:17:07 AEDT ]]> Premenstrual asthma: prevalence, cycle-to-cycle variability and relationship to oral contraceptive use and menstrual symptoms https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4823 Sat 24 Mar 2018 07:18:53 AEDT ]]> Trends in asthma self-management skills and inhaled corticosteroid use during pregnancy and postpartum from 2004 to 2017 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42045 N = 895). Medication use, adherence, knowledge, and inhaler technique were compared between cohorts. Changes in self-management knowledge/skills and women's perception of medication risk to the fetus were assessed in 685 women with 5 assessments during pregnancy, and 95 women who had a postpartum assessment. RESULTS:At study entry, 41%, 29%, and 38% of participants used ICS in the 2004, 2007, and 2013 cohorts, respectively (p = 0.017), with 40% non-adherence in each cohort. Self-management skills of pregnant women with asthma did not improve between 2004 and 2017 and possession of a written action plan remained low. Maximum improvements were reached by 3 sessions for medications knowledge and one session for inhaler technique, and were maintained postpartum. ICS adherence was maximally improved after one session, but not maintained postpartum. Perceived risk of asthma medications on the fetus was highest for corticosteroid-containing medication; and was significantly reduced following education. Conclusions: There was a high prevalence of non-adherence and poor self-management skills in all cohorts. More awareness of the importance of optimal asthma management during pregnancy is warranted, since no improvements were observed over the past decade.]]> Mon 22 Aug 2022 10:25:31 AEST ]]> Observational study of mental health in asthmatic women during the prenatal and postnatal periods https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37145 Mon 14 Nov 2022 20:40:10 AEDT ]]> Exacerbations of asthma following step-up and step-down inhaled corticosteroid and long acting beta agonist therapy in the managing asthma in pregnancy study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44479 Fri 14 Oct 2022 08:50:25 AEDT ]]>