“This illness diminishes me. What it does is like theft”: A qualitative meta‐synthesis of people's experiences of living with asthma
Open accessAbstract
Background: What matters to people in their everyday experiences of living with asthma is influenced by a diverse range of personal, social, medical and environmental factors. Previous reviews of the asthma literature have largely focused on medical aspects of asthma or specific population groups with particular needs. Objective: To identify, describe and synthesize from the available qualitative literature the views and experiences of adults living with asthma. Method: We systematically searched for qualitative studies reporting on the personal experience of living with asthma. A meta‐synthesis approach was used to analyse and interpret the data. Key themes relating to personal perspectives on asthma were identified and grouped into overarching concepts. Results: We identified 26 studies. There was a paucity of literature on the physical burden of asthma symptoms and the role of social support. Our synthesis generated a central concept of the “work” associated with living with asthma: work was of a personal nature, and at times an intensely emotional experience. Individuals tailored their behaviour in response to demands of the physical and social environment, including interactions with health‐care professionals. Conclusion: This is the first systematic review of the qualitative literature reporting on people's own perspectives of living with asthma. Our findings draw attention to the nuances and sensitivities surrounding patient experiences of self‐management. Medical care is a central plank of managing chronic conditions, but our health‐care systems are now expected to deliver patient‐centred care. Considering the broader aspects of asthma management, beyond that of symptoms and treatment, will help to facilitate comprehensive care.
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Symptoms, exacerbations, and triggers in asthma are associated with lower quality of life, tiredness, activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and reduced productivity.
“Symptoms, exacerbations, and triggers in asthma are associated with lower quality of life (QoL), tiredness, activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and reduced productivity.3–7”
From A systematic review of psychological, physical health factors, and quality of life in adult asthma (2019) · cites this paper as [3]
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- Authors
- Pickles, K., Eassey, D., Reddel, H. K., Locock, L., Kirkpatrick, S., & Smith, L.
- Affiliations
- The University of Sydney (AU)
- University of Oxford (GB)
- Corresponding author
- Smith, Lorraine
- Venue
- Health Expectations
- Publisher
- Wiley
- Published
- 2017-08-02
- Volume
- 21
- Issue
- 1
- Pages
- 23-40
- ISSN
- 1369-6513 (ISSN-L)
- 1369-7625
- PMC
- PMC5750696
- OpenAlex
- W2740361797
- Cited by
- 28
- References
- 88
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 8 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 1
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Health Expectations (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Funders
- Centre for Research Excellence in Severe Asthma, Australia
- NIHR Oxford Biomedical Research Centre
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- asthma, lived experience, patient experience, self-management, chronic disease, social support, emotional burden, patient-centered care, adult asthma
- MeSH terms
- Self-Management, Asthma, Chronic Disease, Health Personnel, Humans, Quality of Life, Social Support, Qualitative Research
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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