Mothers Of Asthmatic Children Research Articles

A Study to Assess the Knowledge on Home Asthma Management among Mothers of Asthmatic Children in Selected Rural areas, Bangalore with A View to Develop an Asthma Action Plan

A Study to Assess the Knowledge on Home Asthma Management among Mothers of Asthmatic Children in Selected Rural areas, Bangalore with A View to Develop an Asthma Action Plan

Suicidal ideation in mothers of asthmatic children and adolescents in a subspecialty outpatient practice

We aimed to investigate prevalence and factors associated with Suicide ideation (SI) in mothers of asthmatic children. This cross-sectional study included 362 dyads of mothers and children with asthma aged 2 to 14 years who attended two pediatric outpatient clinics in Brazil. We assessed the presence of SI (Self-Report Questionnaire-20), the occurrence of stressful events and maternal social support. The prevalence of SI was 8.6%. Low maternal education, exposure to serious illness, and low perception of social support in its affective–social interaction dimension remained significantly associated with SI in the final model. Thus, life stressors, social support and low maternal education accounted for most of the variation in prevalence of maternal SI. There were no effects of child asthma severity on maternal SI in this study.

Asthma-Related Knowledge and Practices among Mothers of Asthmatic Children: A Latent Class Analysis.

Mothers’ knowledge about childhood asthma influences management practices and disease control, but validating knowledge/practice questionnaires is difficult due to the lack of a gold standard. We hypothesized that Latent Class Analysis (LCA) could help identify underlying mother profiles with similar knowledge/practices. A total of 438 mothers of asthmatic children answered a knowledge/practice questionnaire. Using answers to the knowledge/practice questionnaire as manifest variables, LCA identified two classes: Class 1, “poor knowledge” (33%); Class 2, “good knowledge” (67%). Classification accuracy was 0.96. Mothers in Class 2 were more likely to be aware of asthma-worsening factors and indicators of attacks. Mothers in Class 1 were more likely to prevent exposure to tobacco smoke (91.1% vs. 78.8%, p = 0.005). For attacks, mothers in Class 2 were more likely to go to the emergency department and follow the asthma action plan. Mothers in Class 2 more frequently had a high education level (79.5% vs. 65.2%, p = 0.004). Children in Class 2 more frequently had fully controlled asthma (36.7% vs. 25.9%, p = 0.015) and hospitalizations for attacks in the previous 12 months (24.2% vs. 10.7%, p = 0.003). LCA can help discover underlying mother profiles and plan targeted educational interventions.

A study to assess the effectiveness of internet based asthma self-care management among mothers of asthmatic children

A study to assess the effectiveness of internet based asthma self-care management among mothers of asthmatic children

Psychosocial impact of Covid-19 outbreak on Italian asthmatic children and their mothers in a post lockdown scenario

Italy was the first European country to fight the Covid-19 outbreak. To limit the transmission of the virus, the Italian Government imposed strict domestic quarantine policies and temporary closure of non-essential businesses and schools from March 10th,2020. Although more and more literature is exploring the impact of the pandemic on non-referred children and families, only a few studies are focused on the psychosocial impact of Covid-19 in chronically ill children and their caregivers. The present study investigates asthma control and children and mothers’ psychological functioning (i.e.: psychological well-being, fear of contagion, and mothers’ Covid-19 related fears) in 45 asthmatic children aged 7-to-14, compared to a control sample. The subjects were administered an online survey after the lockdown (from 28th May to 23rd August 2020). The analysis shows that asthmatic children presented higher concern in relation to contagion, however, no difference in psychological functioning was displayed between the two cohorts. Mothers reported more Covid-19 related fears, and greater worries according to the resumption of their children’s activities. Moreover, they indicated a global worsening of their psychological well-being during the lockdown. Furthermore, regarding the clinical sample, the multivariate regression model showed that a worsening of mothers' psychological and children’s physical well-being was associated with a worsening of children’s psychological well-being during the lockdown. The results of this study indicate that mothers of asthmatic children can be more prone to experience psychological fatigue in a pandemic scenario. Special programs should be developed to support caregivers of chronically ill children.

Discriminant analysis and logistic regression on genetic history and environmental factors in children with asthma.

Asthma is known to be related to genetic and environmental factors, we aimed to identify the predictors discriminating between children with asthma and a control group in order to build typical profiles of these children. A multidimensional analysis covered children (58 with asthma and 217 as control group), under 17 years of age, involving environmental variables and medical history of these children and their families. Chi-square tests highlighted significant links between variables as rhinitis and conjunctivitis (P<0.001). The results showed, in group of asthmatic children, significant high frequencies of allergies, mainly seasonal (P<0.001), rhinitis, family history more present in mothers (P=0.002) and in maternal aunts and uncles (P<0.02). Allergies were mostly present in mothers of asthmatic children (P=0.03). Children whose father, mother or both had asthma were significantly more numerous in asthmatic group (P=0.0007). A multiple correspondence analysis (MCA) identified two typical profiles of children, a first group of asthmatic children with positive modalities of family history, medical and environmental factors, a second, the control group (nA, non-asthmatic children), with essentially negative modalities of the variables. Logistic regression (LR) resulted in a final model which retained four significant predictors, rhinitis (P=0.01), atopic dermatitis (P=0.04), mother antecedents (P=0.03) and paternal uncle antecedents (P=0.008) with a globally appreciable predictive value (82%) of the Hosmer-Lemeshow Test. These results allowed the drafting of a typical profile quantifying through a function of a few predictors, the variation of the probability for a child to develop an asthma.

Effectiveness of an Educational Package on Health Promotion Behaviours of Mothers of Asthmatic Children in Karnataka, India: A Quasi Experimental Study

Effectiveness of an Educational Package on Health Promotion Behaviours of Mothers of Asthmatic Children in Karnataka, India: A Quasi Experimental Study

Evaluation of anxiety and depression in mothers of children with asthma.

BackgroundAsthma is the most common chronic disease in childhood. Parents have an important role in managing asthma in children. Studies have shown a higher degree of depression and anxiety and lower family performance in mothers of asthmatic children in comparison with the control group.ObjectiveThe aim of this study was to evaluate the parenting styles and also depression, anxiety and stress parameters in mothers of children with asthma.MethodsThis case-control study was performed on 45 mothers of 3 to 15 years old asthmatic children in the allergy clinic of Mashhad University of Medical Sciences, Mashhad, Iran, during the years of 2014 to 2016. The control group was 45 mothers of non-asthmatic children who were matched for the age of their children with the case group in the same population. The parenting styles, as well as depression and anxiety of mothers were evaluated using parenting scales, and the depression-anxiety-stress scales (DASS). The mothers were also asked to fill a strengths and difficulties questionnaire (SDQ) for their children. Furthermore, parenting styles in the case group were compared to mothers of children without asthma as the control group. The data were then analyzed by SPSS 11.5, using Chi-square, ANOVA, and independent-samples t-test.ResultsThe results of this study showed that 21 mothers (74.6%) were normal, but 12 mothers (26.7%) had a mild −, 9 (20%) a moderate - and 3 (6.7%) a severe degree of abnormality according to DASS. Independent-samples t-test showed a significant difference between the case and control groups regarding depression in mothers and laxness (p<0.001), over reactivity (p<0.013) and verbosity (p<0.031) in children with asthma.ConclusionThe results of this study demonstrated that anxiety and depression are partially frequent in mothers of children with asthma, and parenting styles are less affective in these families.

The Effect of Family-Centered Empowerment Model on Quality of Life Among Mothers of Asthmatic Children

Background: Asthma causes different physical, emotional, and social limitations for the afflicted children and their families and reduces their quality of life. Therefore, the quality of life in families, particularly in mothers, needs to be enhanced through strategies such as empowerment. Objectives: The aim of this study was to assess the effect of the Family-Centered Empowerment Model on quality of life among the mothers of asthmatic children. Methods: A convenience sample of 172 mothers was recruited for this quasi-experimental study. Mothers were alternately allocated either to a control group or an experimental group based on the day in which they referred to the study setting. Accordingly, mothers who referred to the setting in odd and even days of a weak were allocated respectively to the control and experimental groups. A demographic questionnaire and the pediatric asthma caregiver’s quality of life questionnaire (PACQLQ) were used for data collection. The validity of the questionnaire was confirmed by a panel of experts (relevance: 0.98; clarity: 0.96; and simplicity: 0.94) while its reliability was confirmed by a Cronbach’s alpha of 0.88. A four-step empowerment program was implemented for the mothers in the experimental group based on the Family-Centered Empowerment Model. The four steps included knowledge improvement, self-efficacy, self-esteem, and evaluation. Mothers in the control group received no intervention during the study. Before and after the intervention, the mothers in both groups were asked to complete the study questionnaires. The data were described and analyzed by using descriptive and inferential statistics. Results: There were no significant between-group differences regarding the mothers’ demographic characteristics and their baseline quality of life scores. However, after the intervention, the scores of quality of life and its physical limitation and emotional function domains were significantly lower in the experimental group, denoting higher quality of life (P < 0.001). Conclusions: The Family-Centered Empowerment Model significantly improves quality of life among the mothers of children who suffer from asthma. Given the important role of mothers in giving care to their ill children, nurses are recommended to use the model to encourage mothers’ active participation in care giving to their children.

Psychiatric Problems in Mothers of Asthmatic Children

Results: The mean age of participants was 33 ± 5 years and the average number of their children was 2 ± 1. The percentages of participants with scores in the abnormal range (≥ 2.5) were 17% for anxiety, 2% for obsessive compulsion, 15% for aggression, and 15% for the reference idea. Smoking had significant correlation with the presence of physical complaints (P < 0.007). Smoking history correlated with obsessivecompulsive behavior (P < 0.007) and substance abuse correlated with physical complaints (P = 0.001). Presence of physical complaints correlated with allergy in the children (P = 0.035). The total questionnaires' score and scores for each section also correlated (P = 0.000). Conclusions: This study showed that mothers of asthmatic children are prone to psychiatric symptoms. These symptoms included high scores on anxiety, aggression, reference idea and obsessive-compulsive thoughts. Scores on the physical complaint section were significantly higher in mothers whose children had allergic symptoms. Therefore, it is recommended that they get evaluated for psychiatric symptoms, and psychiatric treatment is recommended alongside treating asthma in their children.

Psychiatric Problems in Mothers of Asthmatic Children

Background: Chronic physical conditions in children significantly affect the quality of life in parents, especially mother. Many people with chronic pulmonary conditions as well as their family members need psychiatric assistance. Objectives: The goal of the current study was to evaluate the mental status as well as substance abuse behavior of mothers of asthmatic children. Patients and Methods: This was an observational cross-sectional study performed through completion of a questionnaire by participants. All mothers of asthmatic children at Masih Daneshvari Hospital from February 2011 to March 2013, consisted of 182 individuals, were included in the study after obtaining informed consents. The SCL-90 (symptom check list) questionnaire was completed by patients. History of substance abuse or cigarette smoking was asked from the sample group. Correlations between variables were analyzed using student t-test and chi-square test by SPSS-16 software (the statistical package for social science). Results: The mean age of participants was 33 ± 5 years and the average number of their children was 2 ± 1. The percentages of participants with scores in the abnormal range (≥ 2.5) were 17% for anxiety, 2% for obsessive compulsion, 15% for aggression, and 15% for the reference idea. Smoking had significant correlation with the presence of physical complaints (P < 0.007). Smoking history correlated with obsessive-compulsive behavior (P < 0.007) and substance abuse correlated with physical complaints (P = 0.001). Presence of physical complaints correlated with allergy in the children (P = 0.035). The total questionnaires' score and scores for each section also correlated (P = 0.000). Conclusions: This study showed that mothers of asthmatic children are prone to psychiatric symptoms. These symptoms included high scores on anxiety, aggression, reference idea and obsessive-compulsive thoughts. Scores on the physical complaint section were significantly higher in mothers whose children had allergic symptoms. Therefore, it is recommended that they get evaluated for psychiatric symptoms, and psychiatric treatment is recommended alongside treating asthma in their children.

O cuidado materno no manejo da asma infantil contribuição da enfermagem transcultural

O objeto deste estudo são as práticas culturais do cuidado materno no manejo da asma infantil. Objetivos: descrever o conhecimento e o cuidado materno sobre a asma infantil e analisar o cuidado materno no manejo da asma infantil. Estudo descritivo-exploratório desenvolvido a partir de questionários e entrevistas com mães de crianças com asma, no período de setembro de 2008 janeiro de 2009. Após análise temática dos dados, emergiram três categorias: 1) Conceito e manejo da asma na visão das mães cuidadoras; 2) Asma como sofrimento e risco para a vida dos filhos; 3) Plantas medicinais, simpatias e religiosidade no cuidado do filho com asma. Concluiu-se que é importante respeitarmos a cultura das mães cuidadoras das crianças com asma, para que seus valores possam ser preservados, acomodados e reestruturados junto ao cuidado profissional.

Evaluation of family functioning and anxiety-depression parameters in mothers of children with asthma

Background Psychological problems are more commonly observed in mothers of children with asthma when compared to the general population. Smoking in the house and parental cooperation are the other factors which influence psychological status in mothers of children with asthma. In our study, we aimed to investigate family functioning and frequency of psychological symptoms in mothers of children with asthma. Methods The study group consisted of 160 mothers of 4–15 year old children with asthma and the control group consisted of 90 mothers of healthy children. Beck's inventory, continuous anxiety inventory and family assessment device were administered to each group of mothers. Results Results indicated that levels of depression and anxiety symptoms were higher and perception of family functioning was less healthy in mothers of children with asthma compared to those in the control group (p<0.0001). Smoking status at home and level of communication with the father were found to have a significant impact on the evaluation scale in mothers in the case group. Discussion Psychiatric symptoms observed in mothers of asthmatic children might be associated to influencing the functioning of the entire family rather that of the mother alone. Therefore, evaluation of family functioning in mothers of children with asthma might be beneficial in terms of follow-up and control of disease.

Influence of Asthma on the Validity of Reported Lifelong Environmental Tobacco Smoke in the EGEA Study

The aim of this study was to assess the short-term reproducibility and the validity of reported ETS (environmental tobacco smoke) exposure, with a special emphasis on the potential misclassification related to personal or family history of asthma. Analyses were based on the data on the Epidemiological study on the Genetics and Environment of Asthma, bronchial hyperresponsiveness and atopy (EGEA), a case-control study of asthma that included first degree relatives of asthmatic cases. The study was comprised of 348 families of asthmatics recruited in six chest clinics throughout France and 416 population-based controls. For studying the validity of ETS reports, personal active smoking histories reported by family members were taken as reference. The reproducibility of ETS exposure report was good, and independent of asthma. The validity of the report of maternal and paternal smoking in childhood and spouse smoking during life was high (overall agreement > or = 84%). Mothers of asthmatic children significantly underreported their smoking habits when questioned on their children's passive tobacco exposure. Offspring of parents who had stopped smoking underestimated their ETS exposure in childhood. In conclusion, interviews with mothers on their personal active smoking habits may provide a more accurate estimate of their asthmatic child's passive exposure than asking mothers specifically about their children's passive exposure. There was no indication that asthma status (either of the parent/spouse or of the respondent) by itself influences the report of ETS exposure during childhood or adulthood.

Household Smoking and Bronchial Hyperresponsiveness in Children with Asthma

This study investigated whether household environmental tobacco smoke (ETS) exposure is associated with increased bronchial hyperresponsiveness (BHR) in children with asthma. Two hundred forty-nine children, ages 7–11 years, sampled from a larger group with reported asthma or multiple asthma symptoms identified in a community survey in Cape Town, underwent histamine challenge testing and had urinary cotinine measured. Parents were interviewed for information on smoking habits and a variety of covariates. Children with asthma whose mothers smoked had a lower frequency of BHR than asthmatic children of nonsmoking mothers, particularly if the mother smoked ≥15 cigarettes daily. BHR was also less common among children sharing a house with four or more smokers vs. fewer or none. BHR was unrelated to paternal smoking. In contrast, FEV1 was lower among children whose mothers currently smoked. The findings do not support a mechanism whereby ETS exposure aggravates existing childhood asthma by increasing BHR. This association may be masked, however, by the degree to which mothers of asthmatic children adjust their smoking. The results are consistent with an adverse effect of maternal smoking on lung function in asthmatic children.

Knowledge and expectations among Kuwaiti mothers attending clinics for asthmatic children

A ‘knowledge and expectation’ survey was conducted among the mothers of asthmatic children attending specialized paediatric clinics in the mostly urbanized areas of Kuwait. The 123 women interviewed generally displayed high levels of knowledge regarding causes, signs and prognosis of asthma. A set of beliefs regarding the possible social and emotional impact of asthma revealed a mostly positive expectation regarding the effect of the disease on affected children. Knowledge scores were higher among the younger, more affluent and better educated mothers. More particularly, scores were higher among women who had had previous personal experience with asthma, and those who had access to information through a physician. Younger, better educated mothers with personal experience of asthma were also more likely to express positive expectations. It is important to assess whether an ‘optimistic bias’ among mothers with previous experience with asthma may lower their vigilance regarding the disease in their children. Physicians should be alerted to that possibility when communicating with mothers of asthmatic children.

Influência da natação como coadjuvante terapêutico no tratamento de crianças asmáticas

O presente estudo teve por objetivo investigar qual a influência da natação como coadjuvante terapêutico para crianças asmáticas na faixa etária de seis a 14 anos. Propôs-se a verificar se esta atividade física diminui a duração e a intensidade das crises e/ou aumenta o intervalo das mesmas. Para tanto, foi realizada uma entrevista com as mães das crianças asmáticas que praticam natação. Foram realizadas ao todo 17 entrevistas em seis escolas de natação da Ilha de Santa Catarina. Para análise dos dados quantitativos, foi utilizada a estatística descritiva e as informações que precisaram de abordagens qualitativas foram tratadas através de análise interpretativa. Pelos dados obtidos no presente estudo, percebeu-se que a prática da natação aumenta o intervalo entre as crises, diminui sua duração, tendo havido melhora no grau de intensidade das mesmas. Outros resultados obtidos foram os seguintes: as crianças asmáticas adquirem mais resistência com a prática da natação; evidenciou-se também melhora nos aspectos psicológicos e sociais; e, mesmo que subjetivamente, foi percebido que, após a prática da natação, houve melhor eficácia da mecânica respiratória, conseqüentemente melhor ventilação pulmonar e também reeducação respiratória

Pre- and perinatal risk factors for asthma in inner city African-American children.

The relations between pre- and perinatal risk factors and asthma were investigated using a case-control study of 262 African-American children aged 4-9 years, both asthmatic and nonasthmatic, all of whom resided in a poor urban area and received health care at a local hospital-based clinic. Risk factors were ascertained through review of obstetric, perinatal, and pediatric records. Asthmatic children had significantly lower birth weights and gestational ages than nonasthmatic children and were more likely to have required oxygen supplementation and positive pressure ventilation after birth than nonasthmatics (p < 0.05). The mothers of asthmatic children were more likely to have smoked during pregnancy (50% vs. 27%), to have gained less weight during pregnancy (26.3 pounds (11.9 kg) vs. 34.5 pounds (15.7 kg)), and to have had no prenatal care (12% vs. 2% ) than mothers of nonasthmatic children. Multiple logistic regression demonstrated that the strongest independent predictors of asthma were maternal history of asthma (adjusted odds ratio (OR) = 9,7), lack of prenatal care (OR = 4.7), history of bronchiolitis (OR = 4.7), positive pressure ventilation at birth (OR = 3.3), low maternal weight gain (<20 pounds (<9 kg)) (OR = 3.4), and maternal smoking during pregnancy (OR = 2.8). These data suggest that pre- and perinatal exposures may increase susceptibility to asthma in inner city children.

Past maternal experience of asthma, childhood morbidity, and the psychosocial impact of the disorder.

Both previous experience of asthma, either in person or in a close family contact, by the mother of an asthmatic child and the child's current morbidity may influence the psychosocial impact of the disorder. A questionnaire concerning prior asthma experience, current psychosocial impact, and morbidity was returned by the mothers of 124 young asthmatic children. Family communication was significantly worse in the past maternal contact group. There were significant trends between morbidity and family communication, emotional distress, and manipulation. No beneficial effect of previous experience of asthma on measures of psychosocial disturbance experienced by the mothers of asthmatic children was detected. Increased psychosocial disturbance was associated with higher morbidity from asthma in the child.

Mothers of children with asthma: perceptions of parenting stress and the mother-child relationship.

In a study of 41 mothers of asthmatic children ranging from 8 to 13 years of age, perceived parenting stress was greater and the quality of the mother-child relationship more problematic than for a comparison group of mothers with healthy children. These mothers also perceived certain areas of behavioral difficulty in their asthmatic children that were greater than those of children in a comparative sample of mothers. The findings suggested that mothers and their asthmatic children may be at risk for a variety of individual and relational problems.