Parents Of Asthmatic Children Research Articles

The Effect of Parents’ Perceived Stimulant Factors that Induce Asthma on the Quality of Life of their Children: A Cross-Sectional Study in Babylon, Iraq

Background: Asthma is a chronic respiratory condition that causes wheezing, dyspnea, and coughing. Asthma symptoms can be increased by a variety of stimulants for each asthma subtype, affecting children's quality of life. Objectives: To assess the quality of life of children with asthma, identify parents' perceived stimulant factors that influence quality of life for asthmatic children, and determine relationships between quality of life, parents' perceived stimulant factors, and demographic data for asthmatic children and their parents. Methods: From October 4, 2023, to July 1, 2024, a descriptive study was done on parents of asthmatic children in Hillah City. A nonprobability purposive sample of 155 parents of school-aged asthmatic children was obtained using a specially designed method for the study. Results: The average age of the children was 8.8±2.1 years. The majority of the children were males from rural areas, and they were diagnosed between 4 and 5 years old. Parents identified weather as the most stimulating factor, followed by infections, irritants, exercise, emotions, obesity, allergens, and some drugs. The study found that the majority of asthmatic children had a decent quality of life, while parents with a higher perception of stimulant variables have a lower quality of life. Conclusions: A high level of parents' perceived stimulant variables was negatively linked with quality of life among asthmatic children; additionally, residence, monthly income, and age of diagnosis were connected with quality of life.

Inhaled Corticosteroid Phobia Among Parents of Asthmatic Children in Al-Qassim Region

Inhaled Corticosteroid Phobia Among Parents of Asthmatic Children in Al-Qassim Region

The frequency of sleep-disordered breathing in preschool children with asthma and its effects on control of asthma.

The frequency and score of SDB were higher in patients with uncontrolled asthma. Frequency and score of SDB were significantly affected by the severity of asthma. SDB must be evaluated in preschool children with uncontrolled asthma. Sleep-disordered breathing (SDB) is more common in asthmatic patients than in non-asthmatic persons, and SDB affects negatively to control asthma. A limited number of studies are discovered on the effect of SDB in preschool asthmatic children. In this study, we aimed to investigate the prevalence of SDB and its effect on control and severity of asthma in preschool children. A pediatric sleep questionnaire was completed by parents of asthmatic children. Patients who received a score of 0.33 or higher were diagnosed with SDB. Control and severity of asthma was assessed by a pediatric allergy specialist based on the Global Initiative for Asthma (GINA) criteria. The study included 249 patients, with a mean±SD age of 4.37±1.04 (range: 2-5.9) years; 69% were boys; 56.6% children had uncontrolled asthma and 28.7% had SDB. The SDB score was significantly different between controlled and uncontrolled asthma (0.19 vs 0.28; P < 0.001). The frequency of uncontrolled asthma in patients with and without SDB was 74.3% and 49.4%, respectively (P < 0.010). Based on the severity of asthma, the frequency of SDB among patients with mild, moderate, and severe asthma was 23.4%, 35.2%, and 47.4%, respectively (P = 0.010).

Parental knowledge, attitude toward asthma, and its correlation with compliance of asthma management in children

BACKGROUND: Asthma is one of the common chronic illnesses in children affecting about 10-15% worldwide. Proper management of asthma depends on the knowledge, attitude, and practices of the parents towards asthma which in turn will enable early intervention and prompt management. OBJECTIVE: To determine the parental knowledge, attitude towards asthma and its correlation with the compliance of asthma management in children. METHODOLOGY: It is a cross-sectional observational study carried out in a tertiary care hospital between January 2020 to December 2020. RESULTS: The study included 112 participants. Mothers were the predominant caregivers (72.3%). Family history of asthma was noticed in 42.8%. 88.4% knew that their child was suffering from asthma, 18% felt that asthma is contagious. Change in the climate (91.1%), dust (60.7%), respiratory infection (49.1%), and smoke (44.6%) were the common triggers. 15% tried an alternate system of medication. Majority (87%) had moderate knowledge, 92 (82%) showed good practices. 56 (50%) exhibited negative attitude. Nearly 60% of the participants preferred inhaler therapy. The causes for non-adherence to inhaler therapy were fear of addiction (46.7%), child refusing inhaler (40%), cost of therapy (40%) and child being symptom free in between episodes (37.8%). CONCLUSIONS: This study revealed a moderate level of knowledge and good practices towards childhood asthma among the parents of asthmatic children. Better knowledge and good practices among the parents strongly correlated with mother being the participant of the study, educational status, positive family history of asthma and persistent asthma symptoms. Better knowledge and positive attitude towards asthma was associated with adherence to inhaler therapy.

Knowledge and practices among parents of asthmatic children: a quasi-experimental study conducted at tertiary care center of Western India

Background: Asthma is one of the most common chronic respiratory disease of childhood and emerging as a global health issue. It is primary cause of school absences and the third leading cause of hospitalization in children younger than the age of 15 years. Parents as the primary caregiver plays an important in management of the disease. The main objective of this study was to assess the knowledge and practices of parents of asthmatic children and improve it with the help of an informational booklet at AIIMS, Jodhpur.Methods: It was a quasi-experimental, pre-test post-test control group design on 60 parents of children suffering from asthma (30 in control group and 30 in experimental group) coming to paediatric OPD. Non probability purposive sampling was used to select the subjects. Self-structured tools like socio-demographic information, knowledge questionnaire and practices extended questionnaire were used to collect the required data. Reliability and validity of tools were analysed. Data analysis was performed in SPSS version 16.Results: The study findings reveal that most of the subjects had unsatisfactory level of knowledge and practices regarding asthma which significantly improvement in knowledge (t=11.449, p&lt;0.05) and practices (t=-8.079, p&lt;0.05) after application of informational booklet. Knowledge level of subjects were found to have significant association with education, occupation and monthly income of family.Conclusions: Prevention is better than cure. Parents are primary caregiver of children and spend most of the time with them. Their sufficient knowledge regarding asthma and right practices can help in reducing sudden asthma attacks and hospital visit in these children. Informational booklet have a positive impact on improving the knowledge and practices among parents.

Knowledge, attitude and practices among parents of asthmatic children in Rajasthan: a hospital based descriptive observational study

Background: Asthma is chronic inflammatory disorder associated with variable airflow obstruction and bronchial hyper responsiveness with different phenotypes. The objective of this study was to study the knowledge, attitude and practices among parents of Asthmatic children.Methods: It was a prospective observational study, conducted at Fortis Hospital Jaipur, from April 2016 to March 2018. All Asthmatic children fulfilling inclusion were included, 120 children were studied. A detailed interview of all the children/parents was conducted by pre-validated KAP questionnaire. Subjects were labelled as Bronchial Asthma in children above 5 years of age on the basis of symptoms and measurement of Peak Expiratory Flow (PEF) both baseline and post bronchodilator by PEF meter and in children less than 5 years of age by clinical symptoms, family history and response to bronchodilator according to GINA guidelines. Statistical analysis was done by one-way ANOVA test and Chi-square test.Results: In this study 26.4% parents were ignorant about etiology, 32% believed it to be allergy and 39.62% believed it to be hereditary. 1.9% had misconception of contagious. 68% parents know that their child have asthma while 32% parents did not know. Majority (52.1%) attributed it to cold air and rainy season followed by Dust mite and pollution in (42%).Conclusions: Knowledge about Asthma has improved over last few decades but still needs replenishment. Knowledge gap between recommended and actual practices, lack of adherence to aerosol therapy and fear of medication side-effects still persists. Parental education is important part of management of Asthma.

CORTICOSTEROID PHOBIA AMONG PARENTS OF ASTHMATIC CHILDREN AND ITS IMPACT ON ASTHMA MANAGEMENT IN HAIL REGION.

16May 2018 CORTICOSTEROID PHOBIA AMONG PARENTS OF ASTHMATIC CHILDREN AND ITS IMPACT ON ASTHMA MANAGEMENT IN HAIL REGION. Hawreyah J Alshamary , Shamma M Alaezaimee , Bayan D Aldokheel , Maram S Alnabri , Saleh A Alammari and Nawaf K Almuzaini and Somaia Ibrahim Bashir. 4th year students at college of medicine, university of Hail. MBBS, MD pediatrics and child health- Associate professor, college of medicine, Hail university, Hail, Saudi Arabia.

Corticosteroid phobia among parents of asthmatic children.

Özçeker D, Uçkun U, İslamova D, Tamay Z, Güler N. Corticosteroid phobia among parents of asthmatic children. Turk J Pediatr 2018; 60: 142-146. Asthma is one of the most prevalent chronic diseases among children. Its prevalence and morbidity have been rising in recent decades. Pediatric asthma causes a significant burden on families; allergen-avoidance measures, uncontrolled disease, and disease severity which are the major cost predictors of childhood asthma in Turkey. Inhaled corticosteroids (ICS) are considered as cornerstone medications in asthma management which reduce asthma morbidity and mortality. Our aim was to address corticosteroid phobia in caregivers of asthmatic children and its impact on asthma management. Five hundred caregivers of asthmatic children were interviewed using structured questionnaire in this study. Over fifty percent of the caregivers (56.8%), most of whom (82.6%) are already aware of using corticosteroids in their anti-asthma drug regimen, mentioned that they are afraid of using them. Almost one fourth of caregivers (24.8%) made either some changes in their treatment regimen or stopped using the drugs due to corticophobia. Of the caregivers 55.2% had no idea about the side effects of corticosteroids and only 12.6% of them mentioned that they were informed by their physicians about the effects of corticosteroids. Any change in asthma treatment regimen due to corticophobia was found to be related with poor asthma control level (p: 0.004). The impact of parental information about the effects and importance of steroids given by the physicians on better asthma control was found to be highly significant (p < 0.001). That`s why physicians and health care providers should spend enough time explaining the importance of adherence to treatment in asthma management, which may help in overcoming the fear of using ICS.

PHS77 - The Association Between Parenting Stress And The Child’s Quality of Life Among Parents of Asthmatic Children

PHS77 - The Association Between Parenting Stress And The Child’s Quality of Life Among Parents of Asthmatic Children

Motivating parents of kids with asthma to quit smoking: the effect of the teachable moment and increasing intervention intensity using a longitudinal randomized trial design.

We tested two aims: (1) the teachable moment (TM): whether second-hand smoke exposure (SHSe) feedback motivates cessation in parents of children with asthma versus parents of healthy children (HC); and (2) whether greater intervention intensity [enhanced-precaution adoption model (PAM)] produces greater cessation than a previously tested intervention (PAM). Aim 1: two home visits (asthma education or child wellness), and cessation induction using motivational interviewing and SHSe feedback. Aim 2: post-home-visits, parents with asthmatic children were randomized to PAM (n = 171; six asthma education calls) or enhanced-PAM (n = 170; six asthma education/smoking cessation calls + repeat SHSe feedback). Rhode Island, USA. Parents of asthmatic (n = 341) or healthy (n = 219) children who did not have to want to quit smoking to enroll. Measurements were given at baseline, 2, 4, 6 and 12 months. Abstinence was bioverified. Outcomes were 7-day and 30-day point prevalence abstinence (ppa) and SHSe (primary) and asthma morbidity (secondary). Aim 1: the TM was supported: parents of asthmatic children were more than twice as likely to achieve 30-day [odds ratio (OR) = 2.60, 95% confidence interval (CI) = 1.22-5.54] and 7-day ppa (OR = 2.26, 95% CI = 1.13-4.51) at 2 months (primary end-point) and have non-detectable levels of SHSe than HCs. Greater treatment intensity yielded stronger TM effects (OR = 3.60; 95% CI = 1.72-7.55). Aim 2: enhanced-PAM was more likely to achieve 30-day ppa at the primary end-point, 4 months (OR = 2.12, 95% CI 1.09-4.12) and improved asthma outcomes versus PAM. Smoking cessation intervention (Motivational Interviewing plus biomarker feedback) appear to motivate smoking cessation more strongly among parents of asthmatic children than among parents of healthy children. Increased intervention intensity yields greater smoking cessation among parents of asthmatic children and better asthma outcomes.

Impacting Environmental and Public Health through the Use of Dual Targeted and Tailored Asthma Educational Interventions

Home-based asthma environmental education for parents of asthmatic children is needed since many health professionals lack the time to offer it. However, developing targeted and tailored education is important in order to address the individual needs of participants. This nonrandomized longitudinal study examined knowledge on asthma with an Asthma and Healthy Homes educational intervention training offered to parents of children from low income families who reside in the Rio Grande Valley of Texas. Eighty-nine parents received the training and pre- and posttest surveys were used to measure knowledge outcomes. A standardized assessment on asthma triggers was used to identify the different triggers each child was exposed to, and a follow-up survey was conducted 6 months after the educational intervention to identify how many parents reported household and behavior changes as a result of the training. Results showed significant changes in behavior by participants as a result of the training received. This study suggests that these behavioral changes are attributed to the dual “targeted” and “tailored” educational interventions delivered to parents which resulted in a greater understanding of how to manage asthma by eliminating asthma triggers in their respective homes.

Asthma in Underserved Schoolchildren in Miami, Florida: Results of a School- and Community-Based Needs Assessment

Objective. Asthma is the most common chronic condition in childhood and disproportionately impacts the poorer and ethnic minorities. The objectives of the study were to estimate the prevalence of asthma in Miami–Dade County (MDC) schoolchildren to aid case-finding and linkage to care. Methods. We used the CDC Youth Risk Behavior Surveillance System (YRBSS) definition of possible asthma (“Ever told by a doctor or nurse that they had asthma and still had asthma”) and analyzed data from four sources. These included the: (1)-MDC YRBSS 2009, (2)-MDC Health Connect Asthma Survey of school nurses (>2008), (3)-parents’ survey in the five HealthConnect survey elementary schools with highest asthma prevalence, and (4)-focus group with parents of asthmatic children. Results. (1)-MDC YRBSS data showed that 21.3% of high- and 21.4% of middle-school students had been diagnosed with possible asthma. Prevalence was the highest in African-American middle-school girls (26.9%). (2)-HealthConnect survey responders reported that 4.9% of the students in 131 MDC schools had possible asthma. Asthma prevalence was higher in elementary schools (median = 7.1%) and in low-income MDC zip codes. (3)-Of the parent survey responders, 24.9% indicated that their child had possible asthma, and 19.2% reported that their children had no usual source of care. (4)-Focus group participants reported frequent loss of Medicaid coverage for their children, landlords’ indifference to the role of poorly maintained housing in asthma, and unmet needs regarding knowledge of health system navigation. Conclusions. Asthma may be common in MDC schoolchildren, particularly in poor communities. Formidable structural factors limit the caregivers’ abilities to manage childhood asthma.

Preferred Learning Methods for Parents of Asthmatic Children

Preferred Learning Methods for Parents of Asthmatic Children

Parental Preference for Short- Versus Long-Course Corticosteroid Therapy in Children With Asthma Presenting to the Pediatric Emergency Department

Asthma is the most common chronic condition affecting children and a prominent chief complaint in pediatric emergency departments (ED). We aimed to determine parental preference between short- and long-term courses of oral corticosteroids for use in children with mild to moderate asthma presenting to our pediatric ED with acute asthma exacerbations. We surveyed parents of asthmatic children who presented to our pediatric ED from August 2011 to April 2012. Questions characterized each patient's asthma severity, assessed parental preference among systemic steroid and inhaled medication delivery options for acute asthma management, and inquired about compliance, medication costs, and intention to follow up. The majority of our parents prefer the use of 1 to 2 days of steroids to 5 days for acute asthma exacerbations in the ED. Thus, dexamethasone is an attractive alternative to prednisone/prednisolone and should be considered in the management of acute asthma exacerbations in the ED.

Parent misperception of control in childhood/adolescent asthma: the Room to Breathe survey

The aim of our study was to determine how often asthma control is achieved in children and adolescents, and how asthma affects parents' and children's daily lives. Interviews, including the childhood asthma control test (C-ACT), were conducted with 1,284 parents of asthmatic children (aged 4-15 yrs), as well as with the children themselves (aged 8-15 yrs; n=943), in Canada, Greece, Hungary, the Netherlands, South Africa and the UK. Parents reported mild asthma attacks at least weekly in 11% of children, and serious attacks (requiring oral corticosteroids or hospitalisation) at least annually in 35%. Although 73% of parents described their child's asthma as mild or intermittent, 40% of children/adolescents had C-ACT scores ≤ 19, indicating inadequate control, and only 14.7% achieved complete Global Initiative for Asthma (GINA)-defined control and just 9.2% achieved Scottish Intercollegiate Guidelines Network (SIGN)/British Thoracic Society (BTS)-defined control. Guideline-defined asthma control was significantly less common than well-controlled asthma using the C-ACT (p<0.001). Asthma restricted the child's activities in 39% of families and caused lifestyle changes in 70%. Complete asthma control is uncommon in children worldwide. Guideline-defined control measures appear to be more stringent than those defined by C-ACT or families. Overall, parents underestimate their child's asthma severity and overestimate asthma control. This is a major potential barrier to successful asthma treatment in children.

Steroid Phobia among Parents of Asthmatic Children: Myths and Truth.

Asthma is one of the most common chronic diseases of childhood. Inhaled corticosteroids (ICS) are the recommended controller drug for asthma treatment. The aim of our study was to determine concerns and fears of parents of children with asthma towards the use of ICS. One hundred parents of asthmatic children were interviewed using structural questionnaire. Airway inflammation was reported by only 6% of interviewed parents, whereas airway narrowing was addressed by 34%. Interesting data, 71% of parents were concerned with the role of steroids in asthma treatment, but more than half (53%) of them addressed fears from side effects. Apparent gaps were found in knowledge of parents of asthmatic children about ICS as controller asthma medication. So, physician and health providers should explain to asthmatic parents that airway inflammation is the core for asthma management. This may remove fears about ICS and thus improve adherence to treatment.

In their own words: early childhood asthma and parents’ experiences of the diagnostic process

This paper explores the experiences of parents of asthmatic children in the period leading up to their child receiving a formal medical diagnosis. To what extent did the parents face difficulties in obtaining this diagnosis? How did they describe their encounters with the healthcare professionals? In particular, did parents portray themselves as passive and dominated or active and participating during the prediagnosis phase? In-depth interviews with individuals and participants in a focus group exposed the prediagnosis phase as a distinct and memorable phase of the disease, often recalled as a period of frustration and uncertainty. Results show that instead of accepting the authority of the professional, parents eventually acquire knowledge elsewhere about the diagnosis and the healthcare system, and act according to that knowledge. As a fundamental uncertainty appears involved in the diagnostic process, parents dealing with this uncertainty use a number of strategies to gain control of the process of alleviating their child's disease. The paper discusses the status of the information that the researcher obtained from parents. Lay narratives cannot be treated as simple reports of an external reality. As the parental role is rooted in normative conceptions about what constitutes 'responsible parenthood', information given to the observer may therefore be influenced by the informants' concern with their appearance as moral persons or adequate parents. Although a research strategy based on one-sided interviews has limitations, using parents as a source of information offers a rare glimpse into the realities of patient-physician encounters.

Eccrine sweat response in children with asthma

Even though there is a general conviction among parents of asthmatic children and pediatricians that asthmatic children sweat more than healthy ones, this has not been formally tested. To determine sweating response and factors affecting this response in children with asthma and compare these findings with healthy children. Eighty-two children with asthma and 51 healthy controls aged 6-18 years were enrolled in the study. Transepidermal water loss (TEWL) was measured on palmar, volar, forehead, and back surfaces before and after exercise and was expressed as the difference between the measurements recorded before and after exercise. Transepidermal water loss measurements (after exercise - resting) on the palmar surface were higher in children with asthma [22.8 g/m(2 )h (15-34.3)] compared with healthy children [15.2 g/m(2) h (6-22.2)] (P < 0.001). However, a gender stratified analysis showed that the TEWL measurements were higher on all surfaces only in boys but not in girls. Within the group of asthmatic children, TEWL measurements on the volar surface and back were lower in patients using anti-inflammatory therapy compared with those who were on as needed bronchodilator therapy only. Our results show that asthma is associated with a higher rate of sweating response to exercise in boys, and anti-inflammatory treatment decreases the amount of sweating. The relationship of eccrine sweating with muscarinic receptor response and methacholine hyperresponsiveness remains to be determined.

Comparison of Asthma Knowledge, Management, and Psychological Burden among Parents of Asthmatic Children From Rural and Urban Neighborhoods in India

Introduction: Asthma prevalence is increasing in developing countries such as India. Little is known on parental knowledge of asthma severity, management and psychosocial impact, particularly among rural dwellers. Further, it is not known whether the female asthmatic child is particularly vulnerable. Objective: To evaluate parental asthma knowledge and psychological impact of having an asthmatic child. Methods: 134 consecutive caregivers were surveyed at the visit for their child's asthma exacerbation at an urban hospital in Kanpur, India between 3/2007–3/2008. Results: The child's age range was 5.7Â ± 2.7 years. 76% were urban city dwellers with significantly higher number having a college degree. 23% children had moderate to severe persistent asthma; however, only 42% were on inhaled steroids. Parental severity perception was comparable to National Heart, Lung and Blood Institute (NHLBI) classification. While 67% identified bronchoconstriction occurred with asthma, only 8.9% recognized that inflammation played a role. There was no difference in the perceived stress by area of residence with 89% reported not or only sometimes feeling stressed with having an asthmatic child. Similarly, the concern among those with a female asthmatic child did not differ with 73% of caregivers believing that asthma would not affect their daughter's future. Conclusion: In an urban Indian hospital, 23% of asthmatic children had moderate to severe persistent asthma but only 9% were on controllers. Their parents were well educated, able to identify asthma severity appropriately and denied being stressed with having asthmatic children, irrespective of the gender of the child. However, their understanding of asthma pathophysiology was sub-optimal. Increased disease knowledge may lead to greater medication adherence among asthmatic children in India.

Childhood asthma: Regional and social inequalities in parents' perceptions of the diagnostic process in Norway

The article examines the experiences of Norwegian parents of asthmatic children in the period leading up to a formal diagnosis from a doctor. The outcomes include delays in both the process of achieving a formal diagnosis and diagnosis during acute hospitalization. These outcomes were to some extent differentiated by the regional and educational background of parents. Families living in regions dominated by paediatricians in private practice were less likely to record delays in the process of achieving a formal diagnosis. Parents with higher education rarely experienced delays, often giving positive evaluations of the process. These results confirm previous studies of diagnostic decisions in adults, suggesting that lower socioeconomic groups tend to present with more advanced or severe disease. The findings make it difficult to defend a generalized account of the lay actor as passive and at the mercy of external social forces and modern expert systems. People do not appear as passive recipients of care but exercise agency, in the sense of actively seeking out alternative sources of medical care. The empirical material consists of a 1999 survey (N = 1800) of parents with children having a confirmed diagnosis of asthma.