TABLE 4

Suggested solutions of unmet needs identified

Care and support needsSuggested solutions
Adequate information
Family carers and significant others of people with severe asthma need tailored information regarding:
  • Diagnosis, treatment and plan of care (example: when to ring an ambulance, symptom management)

  • Adverse effects of new treatments

  • Resuscitation techniques

Family carers and significant others of people with severe asthma recommended possible solutions including:
  • Tailored education and discussion with healthcare team regarding the diagnosis, treatment and responses

  • Simplified visual toolkits or leaflets regarding the nature, consequences and outcomes of severe asthma

  • Provision of information in multimedia format or training and symposiums

Biopsychosocial needs
Family carers and significant others of people with severe asthma desire:
  • Access to needs assessment tools to assess capacity to provide care and support

  • Access to basic psychological and emotional support services

  • Access to local support groups or organisations

Many family carers and significant others of people with severe asthma wanted for more:
  • Societal awareness and acceptance

  • Understanding of other people's feelings

  • Consciousness of the difficulties and hardships of family carers or significant others of people with severe asthma

The suggested solutions apply to both support from a healthcare and a societal perspective:
Support from a healthcare perspective:
  • Provision for an evidenced-based needs assessment tool to help identify and communicate with health professionals about their physical needs

  • Provision for technology-assisted counselling and psychological services

  • Organisation of supportive environments for carers of people with severe asthma

  • Promote support networks for new and long-term carers of people with severe asthma

  • Join online forums or organisations to connect and share experiences

  • Promote self-management

Support from a societal perspective:
  • Listening and paying attention to the sensitive issues or problems associated with severe asthma

  • Advocacy toolkits

Carers’ involvement in decision-making
Family carers and significant others of people with severe asthma desire to:
  • Participate and be involved in decision-making

  • Engage with competent and compassionate healthcare professionals

  • Access equitable outpatient specialist clinics in a timely manner

  • Equitable and efficient access to specialised clinical tests (example: pulmonary lung function testing)

Healthcare strategy should include:
  • Good communication skills especially when delivering critical information

  • Centralised and streamlined referral process to dedicated severe asthma clinics

  • Engagement and promotion of a patient-centred approach

  • Information links to other services that will help carers navigate the system