Table 3 Consensus on the research priorities in asthma.

From: Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise

 

Rank

Question

Consensus (%)a

Mean rating

Asthma

Diagnosis

1

How could asthma be diagnosed earlier in primary care?

88.3

4.26

2

How could asthma be diagnosed in settings with limited availability of diagnostic tests?

85.3

4.38

3

What practical algorithms could distinguish between recurrent wheeze/ asthma and other acute respiratory diseases for young children?

85.3

4.24

Management

1

What steps could be taken to prevent exacerbations and progression of asthma?

97.1

4.38

2

What methods could be used to enhance adherence to asthma controller therapy?

94.1

4.5

3

What is the most effective management for acute exacerbation of asthma in children?

91.1

4.29

4

How could guidelines be adapted to manage asthma in Lower-Middle-Income Countries (LMICs)?

88.2

4.35

5

What is the role of intermittent therapy, such as SABA, ICS/SABA and ICS/LABA, in the management of asthma?

88.2

4.26

6

When and how should asthmatic patients be stepped down from ICS?

85.3

4.09

7

What is the best way to select drug therapy in children with asthma?

82.3

4.12

Monitoring

1

What are the best ways to monitor asthma in primary care?

100

4.44

2

What are the best clinical tools to monitor asthmatic and allergic children in primary care in LMICs?

82.3

4.18

Self-management

1

What are the most effective strategies for ensuring sustained good inhaler techniques among asthma patients?

94.2

4.38

2-a

What is the best way to engage people with asthma in self-management?

94.1

4.44

2-b

What is the best way to support patients to improve their adherence to asthma medications?

94.1

4.44

4

What are the best ways for healthcare professionals to engage patients in supported self-management and empower them to take control of their asthma?

94.1

4.24

5

What are ‘physicians’ barriers to supporting patients to effectively self-manage their asthma in low-resource settings?

88.3

4.15

6

What educational interventions are effective and cost-effective for children /families with asthma?

88.2

4.21

7

What strategies/adaptations can help empower people with limited health literacy to effectively self-manage their asthma?

85.3

4.09

  1. Questions rated on a Likert scale (0: not important, –5: very important).
  2. SABA short-acting inhaled beta-agonists, ICS inhaled corticosteroids, LABA long-acting beta-agonists.
  3. a% rating 4 (important) or 5 (very important).