Child-parent shared decision making about asthma management

Garnett, Victoria; Smith, Joanna; Ormandy, Paula

doi:10.7748/ncyp.28.4.16.s20

Cited by 11 publications

(4 citation statements)

References 205 publications

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“…Both parents and children of all ages indicated that they were not ready for children to independently self-manage their asthma medications and symptoms. Consistent with previous research, this was particularly the case during acute episodes, when parents were solely responsible for decision-making during acute episodes including whether to escalate care to a health professional 33 . However, families of older children reported that children were in the process of taking more responsibility for their asthma management, which was not reported for the younger children and is consistent with previous research 22 .…”

Section: Discussionsupporting

confidence: 81%

Child and caregiver experiences and perceptions of asthma self-management

Kelada

Molloy

Hibbert

et al. 2021

npj Prim. Care Respir. Med.

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Asthma is the most common chronic condition of childhood. Self-management is integral to good asthma control. This qualitative paper explores how children with asthma and their parents perceive asthma, their experience with asthma, and how they manage symptoms, preventions and medications within and outside the home. We undertook 15 focus groups with 41 school-aged (6–11 years) children with asthma and 38 parents. Parents and their children attended the same focus groups. We used thematic analysis to analyse the transcripts. Our findings show the impact asthma can have on children’s social and emotional wellbeing and highlight how reliant school-aged children are on their parents to effectively manage their asthma. Parents reported being unsure when their child’s symptoms warranted visiting their doctor or hospital. Schools were identified as a source of difficulty regarding asthma management; families reported that children may be self-conscious about their asthma and using their inhaler at school. School policies and teachers’ lack of asthma knowledge were reported to exacerbate children’s reluctance to use their inhaler at school. Our results have implications for the design and implementation of children’s self-management interventions for their asthma, particularly when they are at school and away from their parents.

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Section: Discussionsupporting

confidence: 81%

Child and caregiver experiences and perceptions of asthma self-management

Kelada

Molloy

Hibbert

et al. 2021

npj Prim. Care Respir. Med.

View full text Add to dashboard Cite

show abstract

“…In addition, levels of key in ammatory factors in alveolar lavage uid were signi cantly reduced. Notably, IFN-γ has been reported to play a critical role in ameliorating and modulating airway in ammation in asthma patients 39 . In addition, IFN-γ also reduces IgE levels in patients by inhibiting IL-4 expression 40 .…”

Section: Discussionmentioning

confidence: 99%

Alleviating Asthma-Induced Mitochondrial Dysfunction and Oxidative Stress: Lactobacillus rhamnosus Intervention via Notch1 Signaling Pathway

Liu,

Chen,

Jiang

et al. 2024

Preprint

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Immune system disorders play a crucial role in asthma. Probiotics can be beneficial in maintaining a healthy balance of gut bacteria and improving metabolism. Lactobacillus rhamnosus (L. rhamnosus) is a gram-positive probiotic found primarily in the intestines of humans and animals. However, the mechanism by which L. rhamnosus treats asthma is unknown. Here, we confirmed that L. rhamnosus had a protective effect on the lung tissues of asthmatic mice. In addition, L. rhamnosus significantly modulated the balance of T cell subpopulations and promoted the expression of Treg cells, increasing the proportion of inhibited Th17 and restoring immune function. Mechanistically, L. rhamnosus inhibited the activation of NOD-like receptor heat protein domain-related protein 3 (NLRP3) inflammatory vesicles caused by asthma-induced oxidative stress and mitochondrial dysfunction. In conclusion, L. rhamnosus ameliorated asthma by mediating Notch1 signaling pathway-induced NLRP3 inflammasome activation and Dynamin-related protein 1 (Drp1) translational activation. In words, our study provides a theoretical basis for the use of probiotics, represented by L. rhamnosus, as effective agents for the prevention and treatment of asthma.

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“…The association between parent confidence and self-carry is logical, as parents are well-described as key decision-makers in their children's medical care. (31,32) Children cannot self-carry without parental involvement; (33) if parents are not confident in their child's skills, they may not provide the supplies and documentation necessary for self-carry In contrast, nurses may play an ancillary role in self-carry, particularly in Illinois where nurses are not present full-time in schools and self-carry does not require nurses approval. (9,34) Notably, no association was seen between self-carry and parent familiarity with school policies or asthma-related documentation on file, suggesting policy awareness and documentation are necessary but insufficient for self-carry.…”

Section: Discussionmentioning

confidence: 99%

A Mixed-methods Study Examining Inhaler Carry and Use among Children at School

et al. 2019

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Objective-Asthma self-management depends partly on access to inhalers; for children, this includes independent inhaler carry and use at school ("self-carry"). Although laws and policies support self-carry, little is known about practices within schools. This study aimed to identify factors associated with inhaler self-carry among children and examine barriers and facilitators to self-carry.Methods-This mixed-methods observational study included child-parent dyads and nurses from four Chicago schools. Children and parents answered questions about asthma care and morbidity, confidence in self-carry skills, and facilitators and barriers to self-carry. Nurses reported asthma documentation on file and their confidence in children's self-carry skills. Analysis utilized logistic regression. Thematic analysis was performed for open-ended questions.

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Child-parent shared decision making about asthma management

Cited by 11 publications

References 205 publications

Child and caregiver experiences and perceptions of asthma self-management

Child and caregiver experiences and perceptions of asthma self-management

Alleviating Asthma-Induced Mitochondrial Dysfunction and Oxidative Stress: Lactobacillus rhamnosus Intervention via Notch1 Signaling Pathway

A Mixed-methods Study Examining Inhaler Carry and Use among Children at School

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