TABLE 3.
Multivariate Predictors of Tendency to Step Up Therapy From Low-Intensity Treatment or to Step Down Therapy From High-Intensity Treatment (n = 310)
| Predictor | Step Up Therapy (Low-Intensity Treatment) |
Step Down Therapy (High- Intensity Treatment) |
||
|---|---|---|---|---|
| OR | 95% CI | OR | 95% CI | |
| Control (not well-controlled vs well-controlled symptoms) | NAa | NAa | NAb | NAb |
| Bother | 13.40 | 7.70–23.40 | 0.72 | 0.40–1.20 |
| Direction worse | 1.30 | 0.60–2.60 | 0.11 | 0.05–0.23 |
| Acute care | 5.50 | 3.00–9.80 | 0.37 | 0.22–0.62 |
| Wheeze | 6.80 | 4.00–11.70 | NAc | NAc |
OR indicates odds ratio; CI, confidence interval.
a
No OR is calculable, because 100% of respondents recommended stepping up therapy for patients without well-controlled symptoms and no respondents recommended other treatment options (eg, decrease therapy or make no change in therapy).
b
No vignette of a patient with poorly controlled asthma symptoms while on a high-intensity treatment regimen was presented.
c
No vignette of a patient with wheezing on physical exam while on a high-intensity treatment regimen was presented.