Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia.
Adrenal Cortex Hormones
/ therapeutic use
Adult
Albuterol
/ therapeutic use
Asthma
/ drug therapy
Child
Child, Preschool
Female
Health Education
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Parents
/ psychology
Prospective Studies
Quality of Life
Saudi Arabia
Surveys and Questionnaires
bronchial diseases
lung diseases
pediatric asthma
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
23
02
2020
revised:
27
08
2020
accepted:
02
09
2020
pubmed:
9
9
2020
medline:
25
2
2021
entrez:
8
9
2020
Statut:
ppublish
Résumé
Appropriate asthma management in children reduces emergency department visits, hospitalization, and improves the quality of life. We aim to assess the level of children asthma control and its association with parental knowledge. A prospective study conducted to measure childhood asthma control with a validated childhood asthma control test (C-ACT), and to assess asthma knowledge among the parents of children aged 4-11 years and their parents upon asthma clinic visits. C-ACT score ≤ 19 is considered as uncontrolled child asthma. We have invited 238 parents to participate in the study; 177 (74.4%) completed the survey. The mean age of the parents and their children were 38.8 ± 7.6 and 7.8 ± 2.7 years, respectively; 28.2% of parents were smokers, and 46.3% of them were college graduated. Nearly 61.6% of the parents and children scored ≤ 19 on C-ACT; 54.2% and 37.9% of parents knew how inhaled salbutamol and corticosteroids work, respectively. A quarter of the parents received an asthma action plan. Multinomial logistic regression analysis showed that parents who did not know their children's medications name (OR, 6.1; 95% CI, 2.15-17.29), and when to use inhaled corticosteroid (OR, 2.1; 95% CI, 1.32-3.45) were independent factors predicting uncontrolled asthma in children with score ≤ 19. The study indicated that there is an association between poor asthma control (scored ≤ 19 on C-ACT) and parental knowledge of asthma medications. The parents should be educated thoroughly on asthma care, including medications used to minimize asthma exacerbations in their children.
Sections du résumé
BACKGROUND
Appropriate asthma management in children reduces emergency department visits, hospitalization, and improves the quality of life. We aim to assess the level of children asthma control and its association with parental knowledge.
METHODS
A prospective study conducted to measure childhood asthma control with a validated childhood asthma control test (C-ACT), and to assess asthma knowledge among the parents of children aged 4-11 years and their parents upon asthma clinic visits. C-ACT score ≤ 19 is considered as uncontrolled child asthma.
RESULTS
We have invited 238 parents to participate in the study; 177 (74.4%) completed the survey. The mean age of the parents and their children were 38.8 ± 7.6 and 7.8 ± 2.7 years, respectively; 28.2% of parents were smokers, and 46.3% of them were college graduated. Nearly 61.6% of the parents and children scored ≤ 19 on C-ACT; 54.2% and 37.9% of parents knew how inhaled salbutamol and corticosteroids work, respectively. A quarter of the parents received an asthma action plan. Multinomial logistic regression analysis showed that parents who did not know their children's medications name (OR, 6.1; 95% CI, 2.15-17.29), and when to use inhaled corticosteroid (OR, 2.1; 95% CI, 1.32-3.45) were independent factors predicting uncontrolled asthma in children with score ≤ 19.
CONCLUSIONS
The study indicated that there is an association between poor asthma control (scored ≤ 19 on C-ACT) and parental knowledge of asthma medications. The parents should be educated thoroughly on asthma care, including medications used to minimize asthma exacerbations in their children.
Substances chimiques
Adrenal Cortex Hormones
0
Albuterol
QF8SVZ843E
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2901-2907Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Centers for Disease Control and Preventation (CDC). Uncontrolled asthma among persons with current asthma. 2017. https://www.cdc.gov/asthma/asthma_stats/uncontrolled_asthma.htm. Accessed 18 April 2018.
Al Frayh AR, Shakoor Z, Gad El Rab MO, Hasnain SM. Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol. 2001;86(3):292-296.
Al Ghobain MO, Al-Hajjaj MS, Al Moamary MS. Asthma prevalence among 16- to 18-year-old adolescents in Saudi Arabia using the ISAAC questionnaire. BMC Public Health. 2012;12:239.
Moorman JE, Rudd RA, Johnson CA, et al. National surveillance for asthma-United States, 1980-2004. MMWR Surveill Summ. 2007;56(8):1-5.
Liu AH, Gilsenan AW, Stanford RH, Lincourt W, Ziemiecki R, Ortega H. Status of asthma control in pediatric primary care: results from the pediatric Asthma Control Characteristics and Prevalence Survey Study (ACCESS). J Pediatr. 2010;157(2):276-281.
Centers for Disease Control and Preventation (CDC). National Health Interview Survey (NHIS) Data. 2014. https://www.cdc.gov/asthma/nhis/2014/table4-1.htm. Accessed 15 March 2018.
Delmas MC, Guignon N, Leynaert B, Moisy M, Marguet C, Fuhrman C. Increase in asthma prevalence among young children in France. Rev Mal Respir. 2017;34(5):525-534.
Centers for Disease Control and Prevention (CDC). Asthma's impact on the nation data from the CDC National Asthma Control Program. 2010. https://www.cdc.gov/asthma/impacts_nation/asthmafactsheet.pdf. Accessed 30 September 2018.
Pearson WS, Goates SA, Harrykissoon SD, Miller SA. State-based Medicaid costs for pediatric asthma emergency department visits. Prev Chronic Dis. 2014;11:E108.
Miadich SA, Everhart RS, Borschuk AP, Winter MA, Fiese BH. Quality of life in children with asthma: a developmental perspective. J Pediatr Psychol. 2015;40(7):672-679.
Taras H, Potts-Datema W. Childhood asthma and student performance at school. J Sch Health. 2005;75(8):296-312.
National Asthma Education and Prevention Program (NAEPP). Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health. Bethesda, MD, USA. 2007.
Bateman ED, Hurd SS, Barnes PJ, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J. 2008;31:143-178.
Warman KL, Silver EJ, McCourt MP, Stein RE. How does home management of asthma exacerbations by parents of inner-city children differ from NHLBI guideline recommendations? National Heart, Lung, and Blood Institute. Pediatrics. 1999;103(2):422-427.
Scarfone RJ, Zorc JJ, Capraro GA. Patient self-management of acute asthma: adherence to national guidelines a decade later. Pediatrics. 2001;108(6):1332-1338.
Reeves MJ, Bohm SR, Korzeniewski SJ, Brown MD. Asthma care and management before an emergency department visit in children in western Michigan: how well does care adhere to guidelines? Pediatrics. 2006;117(4 Pt 2):S118-S126.
Alteneiji M, Alkalbani A, Nasser H, Iram D, Alblooshi A, Narchi H. Cross-sectional study assessing the performance of the arabic translated childhood asthma control test. NPJ Prim Care Resp Med. 2018;28(1):41.
Pink J, Pink K, Elwyn G. Measuring patient knowledge of asthma: a systematic review of outcome measures. J Asthma. 2009;46(10):980-987.
World Health Organization (WHO). Process of translation and adaptation of instruments; 2007. https://www.who.int/substance_abuse/research_tools/translation/en/
Von Mutius E. Presentation of new GINA guidelines for paediatrics. The global initiative on asthma. Clin Exp Allergy. 2000;30(suppl 1):6-10.
Hammer SC, Robroeks CM, van Rij C, et al. Actual asthma control in a paediatric outpatient clinic population: do patients perceive their actual level of control? Pediatr Allergy Immunol. 2008;19(7):626-633.
Liu AH, Zeiger R, Sorkness C, et al. Development and cross-sectional validation of the Childhood Asthma Control Test. J Allergy Clin Immunol. 2007;119(4):817-825.
DeWalt DA, Dilling MH, Rosenthal MS, Pignone MP. Low parental literacy is associated with worse asthma care measures in children. Ambul Pediatr. 2007;7(1):25-31.
Gong T, Lundholm C, Rejnö G, Mood C, Långström N, Almqvist C. Parental socioeconomic status, childhood asthma and medication use-a population-based study. PLOS One. 2014;9:e106579.
Buzoianu E, Moiceanu M, Plesca DA. Asthma control assessment in children: correlation between asthma control test and peak expiratory flow. Maedica. 2014;9(4):338-343.
Agrawal SK, Singh M, Mathew JL, Malhi P. Efficacy of an individualized written home-management plan in the control of moderate persistent asthma: a randomized, controlled trial. Acta Paediatr. 2005;94(12):1742-1746.
Sunshine J, Song L, Krieger J. Written action plan use in inner-city children: is it independently associated with improved asthma outcomes? Ann Allergy Asthma Immunol. 2011;107(3):207-213.
Johnston SL, Pattemore PK, Sanderson G, et al. Community study of role of viral infections in exacerbations of asthma in 9-11 year old children. BMJ. 1995;310(6989):1225-1229.
National Advisory Committee on Immunization (NACI). Statement on seasonal trivalent inactivated influenza vaccine (TIV) for 2010-2011: an advisory committee statement (ACS). Can Commun Dis Rep. 2010;36(ACS-6):1-49.
Centers for Disease Control Prevention (CDC). Influenza vaccination coverage among persons with asthma-United States, 2005-06 influenza season. Morb Mortal Wkly Rep. 2008;57(24):653-657.
Dombkowski KJ, Leung SW, Clark SJ. Physician perspectives regarding annual influenza vaccination among children with asthma. Ambul Pediatr. 2008;8(5):294-299.
Omer SB, Salmon DA, Orenstein WA, deHart MP, Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. N Engl J Med. 2009;360(19):1981-1988.
Centers for Disease Control and Prevention (CDC). National early season flu vaccination coverage, United States. 2015. https://www.cdc.gov/flu/fluvaxview/nifs-estimates-nov2015.htm. Accessed 8 June 2018.
World Health Assembly. Prevention and control of influenza pandemics and annual epidemics, 2003. https://www.who.int/immunization/sage/1_WHA56_19_Prevention_and_control_of_influenza_pandemics.pdf. Accessed 4 August 2018.
Commission of the European Communities. Proposal for a council recommendation on seasonal influenza vaccination. 2009. https://ec.europa.eu/health/ph_threats/com/Influenza/docs/seasonflu_rec2009_en.pdf. Accessed 4 August 2018.
Vasileiou E, Sheikh A, Butler C, et al. Effectiveness of influenza vaccines in asthma: a systematic review and meta-analysis. Clin Infect Dis. 2017;65(8):1388-1395.
Sangvai S, Hersey SJ, Snyder DA, et al. Implementation of the asthma control test in a large primary care network. Pediatr Qual Saf. 2017;2(5):e038.