Caregiver knowledge and its relationship to asthma control among children in Saudi Arabia

BinSaeed, Abdulaziz A.

doi:10.3109/02770903.2014.906608

Cited by 32 publications

(27 citation statements)

References 33 publications

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“…In addition to these important factors, there are other attributes to the magnitude of disease burdens such as socioeconomic status, number of siblings, knowledge of caregivers, and income. [ 37 38 39 40 41 42 ] Consequently, many asthma patients continue to be underdiagnosed, undertreated, and at risk of acute exacerbations resulting in missed work or school, increased use of expensive acute healthcare services, and reduced quality of life. [ 43 44 45 ] A study by Al-Kabbaa et al .…”

Section: Methodsmentioning

confidence: 99%

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2016

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This is an updated guideline for the diagnosis and management of asthma, developed by the Saudi Initiative for Asthma (SINA) group, a subsidiary of the Saudi Thoracic Society. The main objective of SINA is to have guidelines that are up to date, simple to understand and easy to use by nonasthma specialists, including primary care and general practice physicians. SINA approach is mainly based on symptom control and assessment of risk as it is the ultimate goal of treatment. The new SINA guidelines include updates of acute and chronic asthma management, with more emphasis on the use of asthma control in the management of asthma in adults and children, inclusion of a new medication appendix, and keeping consistency on the management at different age groups. The section on asthma in children is rewritten and expanded where the approach is stratified based on the age. The guidelines are constructed based on the available evidence, local literature, and the current situation in Saudi Arabia. There is also an emphasis on patient–doctor partnership in the management that also includes a self-management plan.

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Section: Methodsmentioning

confidence: 99%

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2016

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“…In another Nigerian study, mothers constituted 88.5% of the caregivers with the mean age of the caregivers being 38.6 ± 9.1 years (20). Furthermore, almost all the caregivers (97.5%) in a study conducted in Riyadh, Saudi Arabia, were the mothers of the children with a mean age of 35.2 ± 5.6 years (21). Another study that evaluated the association of QoL of caregivers of children with asthma severity and health-care utilization had most of the caregivers as mothers aged between 31 and 40 years old (22).…”

Section: Discussionmentioning

confidence: 97%

“…Many children with asthma avoid or are prevented by their caregivers from engaging in physical activity or strenuous activities. This might interfere in the assessment of asthma control parameters, relevant for evaluating the impact of asthma on the daily activities of a child (21,35). Caregivers might want to avoid the burden that comes with managing asthma exacerbations by limiting their child's physical activity, but this could affect the overall development of the child (36).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and quality of life of caregivers towards asthma in their children: a Nigerian perspective

Amorha

Ayogu

Ngwoke

et al. 2020

JHSCI

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Introduction: The burden of uncontrolled asthma is high and caregivers can offer support in the management of asthma. Asthma is one of the most common chronic diseases in children. The objective of this study was to assess the knowledge, attitudes, and quality of life (QoL) of caregivers toward asthma in their children. Methods: This cross-sectional study was conducted in the Paediatric Respiratory Unit of the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State (July 2017-September 2017). We utilized a 46-item questionnaire comprising knowledge and attitude domains and the 13-item Pediatric Asthma Caregiver’s QoL Questionnaire (PACQLQ). Data were analyzed using the IBM SPSS Version 25.0. Statistical significance was set at p < 0.05. Results: Fifty-one caregivers participated in the study. More than half (n = 36, 70.6%) of the caregivers were 40 years old and above, female (n = 37, 72.5%), graduates from higher institutions (n = 33, 64.7%), and self-employed (n = 27, 52.9%). About a quarter (n = 13, 25.5%) had a family history of asthma and a similar proportion (n = 14, 27.5%) knew the three main symptoms of asthma. Conclusion: Less than half (n = 24, 47.1%) of the caregivers had good asthma knowledge. Dust (n = 35, 68.6%) and smoke (n = 31, 60.8%) were identified as the most common asthma triggers in their children. The majority of the caregivers (n = 41, 80.3%) agreed that most people can have well-controlled asthma without seeing a doctor regularly. Overall, less than half of the caregivers (n = 24, 47.1%) showed positive attitudes toward their children’s asthma. The overall score for the PACQLQ was 3.91 (0.98) which implied a poor QoL. The caregivers had both impaired activity and emotional function from managing asthma in their children. More female caregivers had better knowledge about asthma than their male counterparts (t = −3.178; df = 49; p = 0.003). Less than half of the caregivers had good asthma knowledge and positive attitudes toward asthma in their children. They had an impaired QoL from managing asthma in their children.

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“…A study carried out in Saudi Arabia found that the prevalence of uncontrolled asthma was substantially higher among children of caregivers who agree that it is not good for children to use an inhaler for too long and that inhalers can affect or damage heart. 10 Uncontrolled asthma is associated with parental beliefs concerning the use and potential side effects of asthma medication, which emphasizes the need to focus efforts to improve knowledge and positively influence parent´s perception with respect to inhaled therapy. 11 Thirteen parents (11%) consider pMDI's/DPI's use less effective than the use of nebulizers.…”

Section: Discussionmentioning

confidence: 99%

Parent’s perceptions and concerns about inhaled asthma therapy

Barreira

Luís²,

Marcos³

et al. 2019

Gaz Med

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Aim: To determine parent´s perceptions and concerns about inhaled therapy and their relation to disease control. Methods: A questionnaire was applied by interviewing parents of 119 asthmatic children attending the Pediatric Allergy or Pneumology outpatient clinic. Results: Eighty-one (68%) parents expressed concerns and worries about the use of inhaled therapy in their children, either with controlled or partially/uncontrolled asthma (65% Vs 78% p=0.22). Regarding their beliefs about inhaled therapy, 11% (n=13) stated that they considered pMDI’s/DPI’s less effective than nebulizers. When questioned about the knowledge of their child's acute exacerbation therapy, 91.5% (n=109) reported knowing it, albeit only 40% (n=44) did answer it correctly. Nine parents said they were unaware of their children’s reliever treatment. Discussion: We expected to find parental concerns about inhaled therapy, but such a high percentage wasn´t expected. A substantial number of parents believe that their children can become addicted or dependent on the use of the inhaler. This finding reinforces the misconceptions parents do have regarding inhaled therapy. There is a higher proportion of parents with concerns in the group with partially/uncontrolled asthma, although it was not statistically significant. The majority of patients/parents reported knowing the reliever plan in an exacerbation, although most of them could not explain the plan correctly. These results are worrying, as they show parents have an inappropriate knowledge of reliever measures. Therefore, we suggest that improvements in education about inhaled therapy should be made, including the regular review of the inhalation technique and the reliever plan in every consultation.

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Caregiver knowledge and its relationship to asthma control among children in Saudi Arabia

Abstract: Although innovations are needed to help patients improve their adherence to treatment and to effectively utilize the benefits of contemporary asthma medications, we observe substantial knowledge-related problems in the asthma management of children in Saudi Arabia.

Cited by 32 publications

References 33 publications

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

Knowledge, attitudes and quality of life of caregivers towards asthma in their children: a Nigerian perspective

Parent’s perceptions and concerns about inhaled asthma therapy

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