Summary of severe asthma burden domains, characteristics, impacts and nonpharmacological strategies
Burden | Characteristic | Impact | Strategy |
Emotional | Feeling alone | Personal relationships | Education sessions |
Guilt | Everyday activities/roles | Psychotherapeutic intervention | |
Anxiety and/or depression | Physical activity | Exercise intervention | |
Panic | Treatment adherence | Multidimensional assessment | |
Financial | Worsening of symptoms | Healthcare services | Written asthma action plan |
Poor treatment adherence | Inability to purchase medications | Symptom monitoring | |
Loss of productivity at work | Career choice/longevity | Psychotherapeutic intervention | |
Absenteeism | Employment | Psychosocial and family support | |
Functional | Fatigue | Employment/social engagements | Multidimensional assessment |
Inability to participate in desired activities/lifestyle | Relationships/travel | Education sessions | |
Decrease in moderate and vigorous physical activity | Weight gain/obesity/deconditioning | Exercise interventions | |
Lack of personal and emotional intimacy | Personal relationships | Psychotherapeutic intervention | |
Medication | Nonadherence | Symptom control | Multidimensional assessment |
Comorbidities | Disease management complexity | Assessment and guideline-based treatment | |
Neuropsychiatric symptoms | Treatment adherence | Written asthma action plan | |
Lack of intimacy | Personal relationships | Psychotherapeutic intervention | |
Weight gain | Physical activity/self-esteem | Exercise intervention |