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Parker SM, Smith JA, Birring SS, Chamberlain-Mitchell S, Gruffydd-Jones K, Haines J, Hennessey S, McGarvey LP, Marsden P, Martin MJ, Morice A, O'Hara J, Thomas M. British Thoracic Society Clinical Statement on chronic cough in adults. Thorax 2023; 78:s3-s19. [PMID: 38088193 DOI: 10.1136/thorax-2023-220592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Affiliation(s)
- Sean M Parker
- Department of Respiratory Medicine, North Tyneside General Hospital, Northumbria Healthcare NHS Foundation Trust, North Shields, UK
| | - Jaclyn Ann Smith
- Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
| | - Surinder S Birring
- Department of Respiratory Medicine, Kings College Hospital, London, UK
- Centre for Human and Applied Physiological Sciences, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, UK
| | | | | | - Jemma Haines
- Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
- North West Lung Centre, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK
| | | | | | - Paul Marsden
- Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
- North West Lung Centre, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK
| | | | - Alyn Morice
- Castle Hill Hospital, Cottingham, UK
- University of Hull, Hull, UK
| | - James O'Hara
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
- Population Health Sciences Institute, Newcastle University, Newcastle, UK
| | - Mike Thomas
- Academic Unit of Primary Care and Population Science, University of Southampton, Southampton, UK
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Abstract
Chronic cough is a common presentation to primary care and constitutes a significant volume of referrals to secondary care. It affects around 10% of the adult population and has a plethora of respiratory and non-respiratory causes. It can have a significant impact on the quality of life of affected individuals. In many patients, minimal baseline investigations lead to an easily identifiable and treatable cause. In others, no cause can be identified even after extensive investigations in specialized cough clinics. This evidence-based review article outlines the approach to the adult patient presenting with chronic cough and focuses upon current management strategies in those with chronic idiopathic cough. It includes results from trials of speech and language therapies, and the emerging concept of chronic idiopathic cough as a neuropathic disorder with its own bespoke approach to management including the use of neuromodulatory agents.
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Affiliation(s)
- A Mathur
- Department of Respiratory Medicine, Chest Clinic C, Aberdeen Royal Infirmary, Aberdeen, UK
| | - P S K Liu-Shiu-Cheong
- Department of Respiratory Medicine, Chest Clinic C, Aberdeen Royal Infirmary, Aberdeen, UK
| | - G P Currie
- Department of Respiratory Medicine, Chest Clinic C, Aberdeen Royal Infirmary, Aberdeen, UK
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Marco-Ruiz L, Bønes E, de la Asunción E, Gabarron E, Aviles-Solis JC, Lee E, Traver V, Sato K, Bellika JG. Combining multivariate statistics and the think-aloud protocol to assess Human-Computer Interaction barriers in symptom checkers. J Biomed Inform 2017; 74:104-122. [PMID: 28893671 DOI: 10.1016/j.jbi.2017.09.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2017] [Revised: 08/28/2017] [Accepted: 09/04/2017] [Indexed: 10/18/2022]
Abstract
Symptom checkers are software tools that allow users to submit a set of symptoms and receive advice related to them in the form of a diagnosis list, health information or triage. The heterogeneity of their potential users and the number of different components in their user interfaces can make testing with end-users unaffordable. We designed and executed a two-phase method to test the respiratory diseases module of the symptom checker Erdusyk. Phase I consisted of an online test with a large sample of users (n=53). In Phase I, users evaluated the system remotely and completed a questionnaire based on the Technology Acceptance Model. Principal Component Analysis was used to correlate each section of the interface with the questionnaire responses, thus identifying which areas of the user interface presented significant contributions to the technology acceptance. In the second phase, the think-aloud procedure was executed with a small number of samples (n=15), focusing on the areas with significant contributions to analyze the reasons for such contributions. Our method was used effectively to optimize the testing of symptom checker user interfaces. The method allowed kept the cost of testing at reasonable levels by restricting the use of the think-aloud procedure while still assuring a high amount of coverage. The main barriers detected in Erdusyk were related to problems understanding time repetition patterns, the selection of levels in scales to record intensities, navigation, the quantification of some symptom attributes, and the characteristics of the symptoms.
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Affiliation(s)
- Luis Marco-Ruiz
- Norwegian Centre for E-health Research, University Hospital of North Norway, P.O. Box 35, N-9038 Tromsø, Norway; Department of Clinical Medicine, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037 Tromsø, Norway.
| | - Erlend Bønes
- Norwegian Centre for E-health Research, University Hospital of North Norway, P.O. Box 35, N-9038 Tromsø, Norway
| | - Estela de la Asunción
- Norwegian Centre for E-health Research, University Hospital of North Norway, P.O. Box 35, N-9038 Tromsø, Norway
| | - Elia Gabarron
- Norwegian Centre for E-health Research, University Hospital of North Norway, P.O. Box 35, N-9038 Tromsø, Norway; Department of Clinical Medicine, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Juan Carlos Aviles-Solis
- Department of Community Medicine, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Eunji Lee
- SINTEF, Forskningsveien 1, 0373 Oslo, Norway
| | - Vicente Traver
- Instituto de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas, Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia, Spain
| | - Keiichi Sato
- Institute of Design, Illinois Institute of Technology, 565 West Adams Street, Chicago, IL 60661, United States; Department of Computer Science, UIT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Johan G Bellika
- Norwegian Centre for E-health Research, University Hospital of North Norway, P.O. Box 35, N-9038 Tromsø, Norway; Department of Clinical Medicine, Faculty of Health Sciences, UIT The Arctic University of Norway, 9037 Tromsø, Norway
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