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Article Abstract

Over-use of SABA is associated with poor asthma control and greater risk of exacerbations and death. Identifying and addressing the beliefs driving SABA over-reliance is key to reducing over-use. This study aimed to assess the utility, impact and acceptability of the Reliever Reliance Test (RRT), a brief patient self-test behaviour-change tool to identify and address SABA over-reliance. Patients with asthma who completed the RRT in Argentina were invited to an online survey exploring the acceptability of the RRT, and its impact on patients' perceptions of SABA and intention to discuss asthma treatment with a doctor. 93 patients completed the questionnaire. The RRT classified 76/93 (82%) as medium-to-high risk of SABA over-reliance (a mindset where SABA is perceived as the most important aspect of asthma treatment), with 73% of these reporting SABA overuse (3 or more times a week). 75% intended to follow the RRT recommendations to review their asthma treatment with their doctor. The RRT is acceptable to patients and was effective at raising awareness of, identifying and addressing SABA over-reliance and encouraging patients to review their treatment with their doctor.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538409PMC
http://dx.doi.org/10.1038/s41533-024-00389-4DOI Listing

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Article Synopsis
  • Over-reliance on Short-Acting Beta-Agonists (SABA) leads to poor asthma control and increased risks of exacerbations and death, highlighting the need for intervention.
  • The study evaluated the Reliever Reliance Test (RRT), a tool designed to help patients self-assess and change their behavior related to SABA usage.
  • Results showed that 82% of participants were at medium-to-high risk for SABA over-reliance, 73% reported SABA overuse, and 75% intended to discuss their treatment with a doctor, indicating that the RRT effectively raised awareness and facilitated discussions about asthma management.
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