Asthma Control and Care Among Malaysian Primary School Children: A Cross-Sectional Study

Ahad, Azainorsuzila Mohd; Khoo, Ee Ming

doi:10.1177/1010539517717766

Cited by 13 publications

(15 citation statements)

References 19 publications

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“…3–5 These treatments, however, only work if they are taken, and adherence to regular E-B medicine is notoriously poor. 6,7 A widely accepted model that helps understand key reasons for poor adherence is the necessity-concerns framework which holds that patients’/carers’ use common-sense judgement when they decide to use treatment (or not). People balance their perception about the necessity for a treatment with their concerns about possible adverse consequences.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children

Ramdzan

Pinnock

Liew

et al. 2019

npj Prim Care Resp Med

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Complementary and alternative medicine (CAM) is widely used especially in Asia including for childhood asthma. The use of CAM could influence adherence to evidence-based (E-B) medicine. We explored the views of carers of Malaysian children with asthma regarding the use of CAM for childhood asthma, and its relationship with self-reported adherence to E-B medicine. We used a screening questionnaire to identify children diagnosed with asthma from seven suburban primary schools in Malaysia. Informed consent was obtained prior to the interviews. We conducted the interviews using a semi-structured topic guide in participants’ preferred language (Malay, Mandarin, or Tamil). All interviews were audio-recorded, transcribed verbatim and coded using Nvivo. Analysis was performed thematically, informed by the Necessity-Concerns Framework. A total of 46 carers (16 Malays, 21 Indians, 9 Chinese) contributed to 12 focus groups and one individual interview. We categorised participants’ as ‘Non-CAM’; ‘CAM’; or ‘combination’ user. Cultural practices and beliefs in the efficacy of CAM resulted in widespread use of CAM. Most carers used CAM as ‘complementary’ to E-B medicine. Concerns about dependence on or side effects of E-B treatment influenced carers’ decisions to rely on CAM as an ‘alternative’, with an important minority of accounts describing potentially harmful CAM-use. Healthcare professionals should discuss beliefs about the necessity for and concerns about use of both E-B medicine and CAM, and provide balanced information about effectiveness and safety. The aim is to improve adherence to regular E-B preventer medication and prevent delays in seeking medical advice and harmful practices associated with CAM.

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Section: Introductionmentioning

confidence: 99%

Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children

Ramdzan

Pinnock

Liew

et al. 2019

npj Prim Care Resp Med

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“… 36 37 In addition, there are practical challenges in Malaysia (eg, lack of continuity of care) which make it more difficult to establish trusting relationships with children and their families. 3 38 …”

Section: Discussionmentioning

confidence: 99%

“…With an estimated prevalence in Malaysia of 8.9% in schoolchildren, asthma is the the most common chronic disease among children and responsible for significant morbidity and mortality. [1][2][3] Supported self-management is a key component of asthma management which improves asthma control and reduces asthma exacerbations. [4][5][6] Self-management involves discussion of a personalised asthma action plan empowering children and their parents to identify triggers, recognise deteriorating control, and take timely and appropriate action.…”

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confidence: 99%

How young children learn independent asthma self-management: a qualitative study in Malaysia

et al. 2020

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ObjectiveWe aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills.DesignThis is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and conducted focus groups and interviews using a semi-structured topic guide in the participants’ preferred language. All interviews were audio-recorded, transcribed verbatim, entered into NVivo and analysed using a grounded theory approach.SettingsWe identified children aged 7–12 years with parent-reported, physician-diagnosed asthma from seven suburban primary schools in Malaysia. Focus groups and interviews were conducted either at schools or a health centre.ResultsNinety-nine participants (46 caregivers, 53 children) contributed to 24 focus groups and 6 individual interviews. Children mirrored their parents’ management of asthma but, in parallel, learnt and gained confidence to independently self-manage asthma from their own experiences and self-experimentation. Increasing independence was more apparent in children aged 10 years and above. Cultural norms and beliefs influenced children’s independence to self-manage asthma either directly or indirectly through their social network. External influences, for example, support from school and healthcare, also played a role in the transition.ConclusionChildren learnt the skills to self-manage asthma as early as 7 years old with growing independence from the age of 10 years. Healthcare professionals should use child-centred approach and involve schools to facilitate asthma self-management and support a smooth transition to independent self-management.Trial registration numberMalaysian National Medical Research Register (NMRR-15-1242-26898).

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“…It is highest in Malays (8.1%), followed by Indians (7.4%) and Chinese (4.3%). Asthma control was also found to be poorest in Malays (35.7%), followed by Indians (33.5%) and Chinese (10.6%) 7,8 .…”

Section: Introductionmentioning

confidence: 97%

Perceptions of childhood asthma and its control among Malays in Malaysia: a qualitative study

Sukri

Ramdzan

Liew

et al. 2020

npj Prim. Care Respir. Med.

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Children with poor asthma control have poor health outcomes. In Malaysia, the Malays have the highest asthma prevalence and poorest control compared to other ethnicities. We aimed to explore Malay children with asthma and their parents' perceptions on asthma and its control. We conducted focus group discussions (FGD) using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim and analysed thematically. Sixteen children and parents (N = 32) participated. The perception of asthma was based on personal experience, cultural and religious beliefs, and there was mismatch between children and parents. Parents perceived mild symptoms as normal, some had poor practices, raising safety concerns as children were dependent on them for self-management. Conflicting religious opinions on inhaler use during Ramadhan caused confusion in practice. Parents perceived a lack of system support towards asthma care and asthma affected quality of life. Urgent intervention is needed to address misconceptions to improve asthma care in children.

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Asthma Control and Care Among Malaysian Primary School Children: A Cross-Sectional Study

Cited by 13 publications

References 19 publications

Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children

Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children

How young children learn independent asthma self-management: a qualitative study in Malaysia

Perceptions of childhood asthma and its control among Malays in Malaysia: a qualitative study

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