Adapter l’accompagnement thérapeutique de l’asthmatique en fonction des profils médico-psycho-sociaux. Enseignements de l’enquête REALISE™ chez des patients asthmatiques adultes et repères éducationnels pour la pratique

DECCACHE, A.; DIDIER, A.; MAYRAN, P.; JEZIORSKI, A.; RAHERISON-SEMJEN, Chantal

doi:10.1016/j.rmr.2017.06.003

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Revue Des Maladies Respiratoires. 2018-03-27, vol. 35, n° 3, p. 313-323

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INTRODUCTION: This work is based on the data of REALISE, a survey conducted among 8000 European patients to identify the profiles of adult asthma patients and how these are linked with treatment adherence behaviors. METHODS: A cluster analysis was performed by combining data in three ways: control of asthma, attitude towards the disease, compliance with treatment. A multidisciplinary group analyzed the results for the 1024 French survey respondents. RESULTS: Four patient profiles were identified: "rather confident" (28% of patients), rather young patients with a low level of concern about their asthma. "Rather committed" (23%) patients considering themselves to be mostly healthy, reporting better therapeutic declared. "Rather questing" (26%), patients poorly controlled, seeking to manage their asthma themselves. "Rather concerned" profile (23%), a bit older, with poor clinical control, considering their asthma to be severe. CONCLUSIONS: Cluster analysis provides a multidimensional approach to understand the therapeutic behavior of the different patient profiles better and so adjust communication by and education of healthcare professionals.< Réduire

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