The Plymouth Respiratory Psychology Partnership

Key Findings

  • The burden of steroid treatment in severe asthma patients is not fully understood, and is probably underestimated. Hyland ME, Whalley B, Jones R, Masoli M. (2015) A qualitative study of the impact of severe asthma and its treatment showing that treatment burden is neglected in existing asthma assessment scales. Quality of Life Research 24(3):631-9. doi: 10.1007/s11136-014-0801-x

  • Patterns of medication usage by asthma patients that differ from guidelines do not necessarily produce poor outcome and the majority of such patients are well controlled, but the risk of poor outcome is increased in those patients who have severe asthma. Greaves CJ, Hyland ME, Halpin DMG, Blake S, Seamark D (2005). Patterns Of Corticosteroid Medication Use: Non-Adherence Can Be Effective In Milder Asthma. , 14 , 99–105.

  • The advice given to asthma patients varies widely between different respiratory nurses, even though the nurses are all trained. Hyland ME, Blake S, Greaves CJ, Pinnuck M, Seamark C, Seamark D, Ward D, Halpin DM (2009). Guidelines Versus Practice: Uk Asthma Nurses Often Recommend Intermittent, Symptom-Driven Use Of Inhaled Corticosteroids. Primary Care Respiratory Journal, 18 (2), 114–117.

  • The frequency of asthma attacks can be predicted from the frequency with which the patient visits the doctor for non-asthma related problems. Hyland ME, Whalley B, Halpin DM, Greaves CJ, Seamark C, Blake S, Pinnuck M, Ward D, Hawkins A, Seamark D (2012). Frequency Of Non-Asthma Gp Visits Predicts Asthma Exacerbations: An Observational Study In General Practice. Primary Care Respiratory Journal, 21 (4), 405–411.

  • Childhood stress is a risk factor for developing asthma. Hyland ME, Alkhalaf AM, Whalley B (2012). Beating And Insulting Children As A Risk For Adult Cancer, Cardiac Disease And Asthma. Journal Of Behavioral Medicine,

  • End of life planning is seldom done for COPD patients even though they would welcome a discussion on this topic. Seamark D, Blake S, Seamark C, Hyland ME, Greaves C, Pinnuck M, Ward D, Hawkins A, Halpin DM. (2012). Is Hospitalisation For Copd An Opportunity For Advance Care Planning? A Qualitative Study Primary Care Respiratory Journal, 21 (3), 261–266.

  • The lung information needs questionnaire is a useful tool for educating COPD patients. Wakabayashi R, Motegi T, Yamada K, Ishii T, Jones RC, Hyland ME, Gemma A, Kida K (2011). Efficient Integrated Education For Older Patients With Chronic Obstructive Pulmonary Disease Using The Lung Information Needs Questionnaire. Geriatrics And Gerontology International, 11 (4), 422–430. And, Hyland ME, Jones RCM, Hanney KE (2006). The Lung Information Needs Questionnaire: Development, Preliminary Validation And Findings Respiratory Medicine, 100 (10), 1807–1816.

  • The DOSE index provides a useful measure of severity in COPD. Jones RC, Donaldson GC, Chavannes NH, Kida K, Dickson-Spillmann M, Harding S, Wedzicha JA, Price D, Hyland ME (2009). Derivation And Validation Of A Composite Index Of Severity In Chronic Obstructive Pulmonary Disease: The Dose Index. American Journal Of Respiratory And Critical Care Medicine, 180 (12), 1189–1195. And, Motegi, T., Jones, R. C., Ishii, T., Hattori, K., Kusunoki, Y., Furutate, R., ... & Kida, K. (2013). A comparison of three multidimensional indices of COPD severity as predictors of future exacerbations. International Journal of COPD, 8, 259-271.


Collaboration between the Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth University School of Psychology and Plymouth Hospitals NHS Trust (PHNT).