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Research

Experiences and behaviours of patients with asthma requesting prescriptions from primary care during medication shortages linked to the COVID-19 lockdown: insights from a qualitative analysis of a UK asthma online community

Nadya L Ow, Sara Sadek Attalla, Gwyneth Davies, Chris J Griffiths and Anna De Simoni
BJGP Open 2022; 6 (4): BJGPO.2021.0222. DOI: https://doi.org/10.3399/BJGPO.2021.0222
Nadya L Ow
1 Wolfson Institute of Population Health, Asthma UK Centre for Applied Research, (AUKCAR), Queen Mary University of London, London, UK
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  • ORCID record for Nadya L Ow
Sara Sadek Attalla
1 Wolfson Institute of Population Health, Asthma UK Centre for Applied Research, (AUKCAR), Queen Mary University of London, London, UK
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Gwyneth Davies
2 Population Data Science, Asthma UK Centre for Applied Research, (AUKCAR), Swansea University Medical School, Swansea, UK
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Chris J Griffiths
1 Wolfson Institute of Population Health, Asthma UK Centre for Applied Research, (AUKCAR), Queen Mary University of London, London, UK
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Anna De Simoni
1 Wolfson Institute of Population Health, Asthma UK Centre for Applied Research, (AUKCAR), Queen Mary University of London, London, UK
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  • For correspondence: a.desimoni@qmul.ac.uk
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    Figure 1. Prescription data. Panel A: bronchodilator;6 panel B: respiratory corticosteroids;30 panel C: montelukast;31 panel D: ratio of corticosteroids (respiratory) per each 1000 reliever prescriptions (bronchodilator), illustrating a shift towards a higher volume of corticosteroid compared with salbutamol prescriptions after the COVID-19 lockdown32

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    Table 1. Characteristics of the Asthma UK community participants as ascertained from their posts, and treatments mentioned by participants
    Sample characteristicsn
    Number of unique usernames, names, or pseudonyms (Hidden usernames excluded)* 67
     Adults with asthma48
     Children with asthma talked about by third party2
     Unspecified age17
    Sex of participants
     Female34
     Male3
     Usernames with unspecified sex30
    Number of posts n
    Total number of posts 136
     Posts by hidden usernames11
    Treatment (number of posts stating type of treatment)
     Preventer inhalers34
     Reliever inhalers37
     Combined inhalers33
     Montelukast18
     Injections4
     Antihistamines7
     Nebuliser or nebules27
     Nasal spray7
     Prednisolone tablets4
     Magnesium (intravenous)1
     Not stated13
    • *This number does not include participants from the ‘hidden username’ group, which could not be accounted for.

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    Table 2. Themes divided into factors, concerns, and strategies used by members of an online asthma community
    CodingSub-themes
    Factors leading to increased prescription requests
    • Patients stockpiling

    • Doctors prescribing more

    • Realising inhalers were out of date

    • Requesting new treatment for fear of being admitted to hospital during the pandemic

    • Belief that asthma treatment could be used to treat COVID-19 symptoms

    • Original treatment being out of stock

    • Request of multiple prescriptions to avoid prescription charge

    • Beliefs about reduced dose towards end of use of inhalers

    • Buying extra inhalers owing to difficulty with tracking remaining doses without counters

    Concerns towards lack of and/or change in treatment
    • Deterioration of medical condition

    • Healthcare professionals not being aware of the shortage

    • Pharmacies not having patients’ interests at heart

    Patients’ and healthcare professionals’ strategies to deal with lack of or change in treatment
    • Change of treatment

    • Contacting healthcare providers, out-of-hours health care, pharmacies, online pharmacies, and private healthcare services

    • Individually driven check of asthma medication shortages

    • Keeping track of doses when canisters have no counter

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Experiences and behaviours of patients with asthma requesting prescriptions from primary care during medication shortages linked to the COVID-19 lockdown: insights from a qualitative analysis of a UK asthma online community
Nadya L Ow, Sara Sadek Attalla, Gwyneth Davies, Chris J Griffiths, Anna De Simoni
BJGP Open 2022; 6 (4): BJGPO.2021.0222. DOI: 10.3399/BJGPO.2021.0222

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Experiences and behaviours of patients with asthma requesting prescriptions from primary care during medication shortages linked to the COVID-19 lockdown: insights from a qualitative analysis of a UK asthma online community
Nadya L Ow, Sara Sadek Attalla, Gwyneth Davies, Chris J Griffiths, Anna De Simoni
BJGP Open 2022; 6 (4): BJGPO.2021.0222. DOI: 10.3399/BJGPO.2021.0222
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Keywords

  • asthma
  • coronavirus
  • pandemics
  • COVID-19
  • shortage
  • inhalers
  • online community
  • Qualitative research

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