Lived experiences of individuals with cystic fibrosis on CFTR-modulators

被引:16
作者
Page, Annelise [1 ]
Goldenberg, Aaron [2 ]
Matthews, Anne L. [2 ]
机构
[1] Tri Health, 10506A Montgomery Rd, Cincinnati, OH 45242 USA
[2] Case Western Reserve Univ, 10900 Euclid Ave, Cleveland, OH 44106 USA
关键词
Cystic fibrosis; CFTR-modulators; Lived experiences; Quality of life; Career; Psychosocial; Family planning; Identity; Relationships; Ivacaftor; Lumacaftor; Lexacaftor; Tezacaftor; QUALITY-OF-LIFE; ADULTS; ANXIETY; ADOLESCENTS; DEPRESSION; EMPLOYMENT; IVACAFTOR; IMPACT;
D O I
10.1186/s12890-022-01825-2
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background CFTR-modulators are a category of drugs that facilitate trafficking and opening of the abnormal CFTR protein in individuals with cystic fibrosis (CF) who have certain genetic mutations. Clinical trial data show that individuals taking CFTR-modulators have increased or stable lung function (FEV1) as well as reduced frequency of pulmonary exacerbations. There are no data on whether CFTR-modulators influence psychosocial aspects of the lives of individuals with CF. The purpose of this qualitative study was to explore how the introduction of CFTR-modulators has affected individuals' lived experiences outside of clinical health variables; that is, to explore whether there is a relationship between using CFTR-modulator drugs and the psychological and social aspects of the lives of individuals with CF, including: career, relationships, family planning and psychological functioning. Methods Eight men and women with CF ages 24-32, with a history of taking any approved CFTR-modulator for at least six months, were recruited from an adult CF center. A semi-structured interview guide was used to interview the participants. The data were coded using a grounded theory approach with an iterative methodology. Results Four themes emerged from the data: stability, identity, potentiality, and hope. Conclusions Although these themes cannot be generalized to all individuals with CF, this study provides preliminary data for how CFTR-modulators may influence an individual with CF's outlook on life and that these individuals are feeling hopeful about the future.
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页数:12
相关论文
共 23 条
[1]   Life satisfaction of adolescents and adults with cystic fibrosis: Impact of partnership and gender [J].
Besier, Tanja ;
Schmitz, Tim G. ;
Goldbeck, Lutz .
JOURNAL OF CYSTIC FIBROSIS, 2009, 8 (02) :104-109
[2]   Psychological and educational factors:: Better predictors of work status than FEV1 in adults with cystic fibrosis [J].
Burker, EJ ;
Sedway, J ;
Carone, S .
PEDIATRIC PULMONOLOGY, 2004, 38 (05) :413-418
[3]   ECFS best practice guidelines: the 2018 revision [J].
Castellani, Carlo ;
Duff, Alistair J. A. ;
Bell, Scott C. ;
Heijerman, Harry G. M. ;
Munck, Anne ;
Ratjen, Felix ;
Sermet-Gaudelus, Isabelle ;
Southern, Kevin W. ;
Barben, Jurg ;
Flume, Patrick A. ;
Hodkova, Pavia ;
Kashirskaya, Nataliya ;
Kirszenbaum, Maya N. ;
Madge, Sue ;
Oxley, Helen ;
Plant, Barry ;
Schwarzenberg, Sarah Jane ;
Smyth, Alan R. ;
Taccetti, Giovanni ;
Wagner, Thomas O. F. ;
Wolfe, Susan P. ;
Drevinek, Pavel .
JOURNAL OF CYSTIC FIBROSIS, 2018, 17 (02) :153-178
[4]  
Cepuch Grazyna, 2012, Postepy Hig Med Dosw (Online), V66, P714, DOI 10.5604/17322693.1014657
[5]   Attitudes Toward Discussing Approved and Investigational Treatments for Cystic Fibrosis in Prenatal Genetic Counseling Practice [J].
Elsas, Caroline Rung ;
Schwind, Elinor Langfelder ;
Hercher, Laura ;
Smith, Michael J. ;
Young, Kara Gardner .
JOURNAL OF GENETIC COUNSELING, 2017, 26 (01) :63-71
[6]   Pregnancy in cystic fibrosis - Fetal and maternal outcome [J].
Gilljam, M ;
Antoniou, M ;
Shin, J ;
Dupuis, A ;
Corey, M ;
Tullis, DE .
CHEST, 2000, 118 (01) :85-91
[7]   Quality of life in patients with Cystic Fibrosis: Association with anxiety and depression [J].
Havermans, Trudy ;
Colpaert, Kristine ;
Dupont, Lieven J. .
JOURNAL OF CYSTIC FIBROSIS, 2008, 7 (06) :581-584
[8]   Efficacy and safety of the elexacaftor plus tezacaftor plus ivacaftor combination regimen in people with cystic fibrosis homozygous for the F508del mutation: a double-blind, randomised, phase 3 trial [J].
Heijerman, Harry G. M. ;
McKone, Edward F. ;
Downey, Damian G. ;
Van Braeckel, Eva ;
Rowe, Steven M. ;
Tullis, Elizabeth ;
Mall, Marcus A. ;
Welter, John J. ;
Ramsey, Bonnie W. ;
Mckee, Charlotte M. ;
Marigowda, Gautham ;
Moskowitz, Samuel M. ;
Waltz, David ;
Sosnay, Patrick R. ;
Simard, Christopher ;
Ahluwalia, Neil ;
Xuan, Fengjuan ;
Zhang, Yaohua ;
Taylor-Cousar, Jennifer L. ;
Mccoy, Karen S. .
LANCET, 2019, 394 (10212) :1940-1948
[9]   Hoping to Live a "Normal" Life Whilst Living with Unpredictable Health and Fear of Death: Impact of Cystic Fibrosis on Young Adults [J].
Higham, Lorraine ;
Ahmed, Shenaz ;
Ahmed, Mushtaq .
JOURNAL OF GENETIC COUNSELING, 2013, 22 (03) :374-383
[10]  
Horky S, 2017, Patient Experience Journal, V4, P95, DOI [10.35680/2372-0247.1200, 10.35680/2372-0247.1200, DOI 10.35680/2372-0247.1200]