How informed are bronchial asthma patients: a questionnaire based study in a tertiary care hospital

Sunil B. Jadhav, Philips Antony


Background: Asthma has been considered as one of the most common chronic diseases worldwide. Asthma due to its effects on bronchial passage compromises the respiration and intern impairs the quality of life. Aim was to evaluate the knowledge of asthma among patients attending our tertiary care hospital.

Methods: The patients were subjected to chest X-ray and spirometry followed by the knowledge on asthma questionnaire which consisted of 28 questions.

Results: Out of 75 patients, aged between 18-80 years, majority were males. Out of 75 patients, 60 (80%) patients had obtained a total score below 10 out of the total of 28 score. The causative factors for asthma, 60 (80%) patients believed that asthma was due to allergy. Only 2-3 patients (3-4%) had knowledge of the underlying pathologic process during an asthma attack. Fifty nine (79%) patients were aware of the symptoms of asthma. However, only 10 (13%) patients knew about the early signs of worsening of asthma and only 14 (19%) patients could judge the severity of asthma. Only 5 (7%) patients knew which drug was for regular use and which was to be used if breathlessness occurred. Merely around 4-10 (5 to 13%) patients knew that asthma could be prevented by avoiding trigger factors and by taking medication regularly.

Conclusions: A good level of knowledge about asthma and better practices are rigorously important to prevent asthma exacerbations. More comprehensive, regular and patient centred counselling programs will be beneficial in improving awareness of asthma.


Asthma, Education, Knowledge, Questionnaire

Full Text:



Aggarwal AN, Chaudhry K, Chhabra SK, D Souza GA, Gupta D, Jindal SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Ind J Chest Diseases Allied Sci. 2006 Jan 18;48(1):13-22.

Wilson SR, Scamagas P, German DF, Hughes GW, Lulla S, Coss S, et al. A controlled trial of two forms of self-management education for adults with asthma. Am J Med. 1993 Jun 1;94(6):564-76.

Prabhakaran L, Lim G, Abisheganaden J, Chee CB, Choo YM. Impact of an asthma education programme on patients' knowledge, inhaler technique and compliance to treatment. Singapore Med J. 2006 Mar;47(3):225-31.

Hilton S, Anderson HR, Sibbald B, Freeling P. Controlled evaluation of the effects of patient education on asthma morbidity in general practice. The Lancet. 1986 Jan 4;327(8471):26-9.

Lai CK, Teresita S, Kim YY, Kuo SH, Mukhopadhyay A, Soriano JB, et al. Asthma control in the Asia-Pacific region: the asthma insights and reality in Asia-Pacific study. J Allergy Clin Immunol. 2003 Feb 1;111(2):263-8.

Burke W, Fesinmeyer M, Reed K, Hampson L, Carlsten C. Family history as a predictor of asthma risk. Am J Preventive Med. 2003 Feb 1;24(2):160-9.

Eder W, Ege MJ, von Mutius E. The asthma epidemic. New Eng J Med. 2006 Nov 23;355(21):2226-35.

Evans GW, Kantrowitz E. Socioeconomic status and health: the potential role of environmental risk exposure. Annual review of public health. 2002 May;23(1):303-31.

Bousquet J, Bousquet PJ, Godard P, Daures JP. The public health implications of asthma. Bulletin of the World Health Organization. 2005;83:548-54.

Scherer YK, Bruce S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart & Lung: J Acute and Critical Care. 2001 Jul 1;30(4):250-7.

Uchmanowicz B, Panaszek B, Uchmanowicz I, Rosińczuk J. Clinical factors affecting quality of life of patients with asthma. Patient preference and adherence. 2016;10:579.

Taylor L. India’s asthma market to grow 10% a year. Pharma times online, 2010. Available at:

Khan S, Roy A, Christopher DJ, Cherian AM. Prevalence of bronchial asthma among bank employees of Vellore using questionnaire-based data. J Indian Med Assoc 2002;100(11):643-55.

Gajanan G, Padbidri VS, Chaudhury A. Assessment of knowledge and attitude of parents towards the allergy and bronchial asthma in their children. Inter J Med Pub Heal. 2016;6(3).

Kotwani A, Chhabra SK, Tayal V, Vijayan VK. Quality of asthma management in an urban community in Delhi, India. Indian J Med Res. 2012 Feb;135(2):184-92.

Cabelloa ML, Oceja-Setienb E, Higueraa LG, Caberoa M, Belmontea EP, Gómez-acebob I. Assessment of parental asthma knowledge with the Newcastle Asthma Knowledge Questionnaire. Rev Pediatr. 2013;15:117-26.

Gupta PP, Gupta KB. Awareness about the disease in asthma patients receiving treatment from physicians at different levels. Indian J Chest Dis Allied Sci. 2001;43(2):91-5.

Omole MK, Ilesanmi NA. Patient medication knowledge governing adherence to asthma pharmacotherapy: a survey in rural Lagos, Nigeria. African J Biomed Res. 2010;13(2):93-8.

Borges MC, Ferraz É, Pontes SM, Cetlin AD, Caldeira RD, Silva CS, et al. Development and validation of an asthma knowledge questionnaire for use in Brazil. J Brasileiro De Pneumologia. 2010 Feb;36(1):8-13.

Mahendra Kumar BJ, Jimmy Jose, Kumarswamy M, Naveen MR. Assessing the knowledge, attitude and medication adherence among asthma patients in a rural population. Asian J Pharm Clin Res. 2011;4(1):93-7.