Assessment of asthma patients' willingness to pay for and willingness to give time to an asthma self-management program

Jamie Claire Barner, Purdue University

Abstract

Advances in pharmacotherapeutics have made asthma a disease that can be managed effectively on an outpatient basis. One of the solutions in helping patients manage their asthma is health education programs focusing on self-management. Despite the abundance of asthma management programs, researchers have found that patients are reluctant to enroll and complete the program. The purpose of this study was to determine factors that influence asthma patients' willingness to pay and willingness to give time for an asthma self-management program. One hundred sixteen adult asthma patients (18–34 years) were surveyed on the following factors to determine their effect on willingness to pay and willingness to give time to an asthma self-management program: sociodemographic factors, predisposing, enabling, and reinforcing factors, level of asthma self-management, and health care utilization. Patients who were younger and employed, who indicated an interest in participating in a self-management program, who had greater perceived access to health care resources, who received less education from health care providers, and who exhibited suboptimal behaviors during asthma attacks were more likely to pay more for a program that would help them manage their asthma. This model was significant with 35 percent of the variance explained. Patients who were in the younger age group, who indicated an interest in participating in a self-management program, who had a higher number of comorbidities and who had more emergency room visits were willing to spend more time in an asthma self-management program. This model was significant with 18 percent of the variance explained. Overall the PRECEDE Model performed well in this study as exhibited by high explanatory power of the relationships, as well as significant models.

Degree

Ph.D.

Advisors

Murray, Purdue University.

Subject Area

Pharmaceuticals|Health education|Economics

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