Child and Parental Perception of Asthma Control

Carlton, B. Gwen; Thompson, Carol L.; Wan, Jim Y.; Conboy-Ellis, Kathleen; Coates, Loretta

doi:10.1177/2150129709358430

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Lack of parental and child awareness of asthma warning signs has also been identified as a barrier to asthma management, preventing the opportunity for intervention before an asthma exacerbation occurs in school settings. Parents and children described asthma as well controlled despite symptoms indicating uncontrolled asthma (Carlton, Thompson, Wan, Conboy-Ellis, & Coates, 2010; Erickson et al, 2006).…”

Section: Literature Reviewmentioning

confidence: 99%

Using the Health Belief Model to Understand School Nurse Asthma Management

Quaranta

Spencer

2015

The Journal of School Nursing

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Ten million children in the United States have asthma. Since children are in school about 6 hr a day, school nurses are positioned to intervene and influence asthma outcomes. A descriptive correlational study was designed to investigate performance of school nurses' asthma management behaviors in relationship to asthma knowledge, asthma attitude, asthma self-efficacy, and rating of importance of asthma management behaviors. Results indicated that asthma attitude, asthma self-efficacy, and rating of importance of asthma management behaviors were associated with performance of asthma management behaviors. The higher the rating of importance of asthma management behaviors, the more likely school nurses were to perform the behaviors (p < .05). Higher levels of asthma self-efficacy were associated with performance of asthma management behaviors, indicating the importance of strengthening school nurses' asthma self-efficacy in asthma management. By understanding factors influencing performance of asthma management behaviors by school nurses, interventions can be implemented to increase asthma management behaviors, leading to improved outcomes for students with asthma.

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Section: Literature Reviewmentioning

confidence: 99%

Using the Health Belief Model to Understand School Nurse Asthma Management

Quaranta

Spencer

2015

The Journal of School Nursing

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“…Forty-two percent of the children surveyed had parents whose report of symptoms did not match their assessment of control. Carlton and colleagues 11 found that when comparing parent and child scores on the Childhood Asthma Control Test, children perceived their asthma to be less well controlled than their parents or adult caregivers.…”

Section: Adverse Asthma Outcomesmentioning

confidence: 99%

Using Nursing Students as Open Airways Facilitators Through a Community Partnership to Influence Asthma Outcomes

Quaranta

Brown

Logvis

et al. 2011

Journal of Asthma & Allergy Educators

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In conjunction with a community partnership with the American Lung Association, the Broome County Health Department, the Asthma Coalition of the Southern Tier, and the Decker School of Nursing, the American Lung Association's Open Airways for Schools program was integrated into a nursing curriculum and implemented by nursing students in several local elementary schools. Analysis of pretest/posttest data demonstrated a statistically significant improvement in asthma self-management for the students enrolled in the program. Improvements included knowing when to take medicine, ability to determine when they might start to wheeze or cough, ability to identify asthma triggers at home or at school, ability to remember the steps to take when having asthma symptoms, ability to stay calm during an asthma episode, ability to talk with their teacher about asthma and classroom triggers, ability to determine when to go to school with asthma symptoms, and ability to know when to contact the doctor or go to the emergency room (P < .05). Feelings about having asthma also demonstrated improvement (P < .05). No significant findings were found for knowing how much asthma medicine to take or being able to tell an adult that they are having asthma symptoms. Results of this study suggest that a collaborative partnership with a school of nursing has the potential to affect the health status of the community and provide sustainability for those activities that created the positive change. Integrating Open Airways into a nursing curriculum addresses a well-documented need for increased asthma management education for the student with asthma. P ediatric asthma is a major public health concern. Asthma prevalence is higher in the 5-to 17-year-old age group than any other age group, and asthma attack rates are highest in children less than 18 years old. 1 Asthma that is not well managed results in school days missed for the child and work days lost for the parent, emergency room visits and hospitalizations, and decreased school performance. [2][3][4] Enhancing the self-management skills of the child with asthma and their parents can result in a decrease in many of these adverse outcomes associated with asthma. Open Airways is an American Lung Association program that teaches asthma selfmanagement skills to school-aged children in the school setting. While school nurses are in the optimal position to teach this content, many barriers exist that prevent them from providing this program. A collaborative effort between the Decker School of Nursing (DSON), Binghamton University, the Asthma Coalition of the Southern Tier (ACOST), and the American Lung Association (ALA) led to the integration of asthma education into the nursing curriculum and training of nursing students as Open Airways facilitators. The purpose of this study was to evaluate the effectiveness of nursing students teaching the Open Airways curriculum in increasing self-management skills for the school-aged child with asthma.

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Difference in the Perceptions of Asthma Control Between Children With Asthma and Their Parents

Bousema,

van Zwet,

Ossendrijver

et al. 2024

Pediatric Pulmonology

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IntroductionAsthma is the most prevalent chronic condition in children in primary care. Asthma control can be quantified using the Childhood Asthma Control Test (C‐ACT), which includes questions for both children and their parents. However, there can be discrepancies between children and parents in their perceptions of asthma control.ObjectiveThis longitudinal study determines the difference in the perceptions of asthma control between children in primary care and their parents using the C‐ACT, measured at five points in time.MethodChildren aged 6–12 with asthma who are being treated in primary care were eligible. Data was obtained using electronic questionnaires from the Rotterdam Asthma Trial from baseline to 18 months follow‐up. The primary outcome was a difference in C‐ACT scores between parents and their children. The data was analyzed using Spearman's correlation and intraclass correlation coefficient (ICC).ResultsWe included 90 children and their parents. The mean age of the children was 9.6 years (SD 1.7). At baseline, the children gave a median C‐ACT score of 9/12 (IQR 2.5) and the parents gave a median score of 14/15 (IQR 3.0). Children's median C‐ACT scores were significantly lower throughout the study period (p < 0.001). The Spearman test showed moderate to strong correlation (0.659–0.775, and the ICC showed good agreement (0.750–0.813).ConclusionThis study showed that parents gave significantly higher scores for the individual items of the C‐ACT than their children. Considering the child's perspective on their symptoms is crucial when deciding on additional asthma treatment measures.

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Child and Parental Perception of Asthma Control

Cited by 3 publications

References 7 publications

Using the Health Belief Model to Understand School Nurse Asthma Management

Using the Health Belief Model to Understand School Nurse Asthma Management

Using Nursing Students as Open Airways Facilitators Through a Community Partnership to Influence Asthma Outcomes

Difference in the Perceptions of Asthma Control Between Children With Asthma and Their Parents

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