Children with Asthma and Nebulizer Use: Parental Asthma Self-Care Practices and Beliefs

Butz, Arlene; Eggleston, Peyton A.; Huss, Karen; Kolodner, Ken; Vargas, Perla A.; Rańd, Cynthia S.

doi:10.1081/jas-100107121

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Emergency Department (ED) visits and number of hospitalizations were measured with items previously used (51) that assessed the number of emergency room visits or hospitalizations during lifetime, last 30 days and last 6 months.…”

Section: Methodsmentioning

confidence: 99%

The Role of Caregivers' Depressive Symptoms and Asthma Beliefs on Asthma Outcomes Among Low-income Puerto Rican Children

et al. 2009

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OBJECTIVE-To examine the relationship between depressive symptoms and asthma beliefs (self efficacy and empowerment), child asthma outcomes, and caregiver's quality of life among Puerto Rican caregivers of children with asthma. METHODS-The caregivers of 221 children with persistent bronchial asthma were stratified into those with no/low or high levels of depressive symptoms. Differences between the groups in caregiver self-efficacy, family empowerment, child asthma outcomes and quality of life were examined.RESULTS-Caregivers with more depressive symptoms reported lower self-efficacy, less empowerment, less symptom free days and nights for their children and a lower quality of life compared to caregivers with no or fewer depressive symptoms.CONCLUSIONS-Depressive symptoms among Puerto Rican caregivers were associated with asthma beliefs, children's asthma symptoms and caregiver quality of life. Our findings reinforce the importance of physician screening skills in recognizing caregiver depression in parents of asthma patients.

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Section: Methodsmentioning

confidence: 99%

The Role of Caregivers' Depressive Symptoms and Asthma Beliefs on Asthma Outcomes Among Low-income Puerto Rican Children

et al. 2009

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“…15 There have been provider-targeted interventions, [16][17][18][19][20][21] but most interventions have been patient-focused. [22][23][24][25] There is no consensus on the most effective provider-targeted interventions to improve adherence to guidelines.…”

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confidence: 99%

Interventions to Modify Health Care Provider Adherence to Asthma Guidelines: A Systematic Review

Butz²,

et al. 2013

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BACKGROUND AND OBJECTIVE: Health care provider adherence to asthma guidelines is poor. The objective of this study was to assess the effect of interventions to improve health care providers' adherence to asthma guidelines on health care process and clinical outcomes. RESULTS: Sixty-eight eligible studies were classified by intervention: decision support, organizational change, feedback and audit, clinical pharmacy support, education only, quality improvement/pay-forperformance, multicomponent, and information only. Half were randomized trials (n = 35). There was moderate evidence for increased prescriptions of controller medications for decision support, feedback and audit, and clinical pharmacy support and low-grade evidence for organizational change and multicomponent interventions. Moderate evidence supports the use of decision support and clinical pharmacy interventions to increase provision of patient self-education/asthma action plans. Moderate evidence supports use of decision support tools to reduce emergency department visits, and low-grade evidence suggests there is no benefit for this outcome with organizational change, education only, and quality improvement/pay-for-performance. METHODS:CONCLUSIONS: Decision support tools, feedback and audit, and clinical pharmacy support were most likely to improve provider adherence to asthma guidelines, as measured through health care process outcomes. There is a need to evaluate health care provider-targeted interventions with standardized outcomes. Pediatrics 2013;132:517-534

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“…Few have examined reasons for poor adherence among inner-city families (19,26,29). One study found an association between use of anti-inflammatory medications and belief that children should use daily medications regardless of symptoms (30).…”

Section: Discussionmentioning

confidence: 99%

Understanding Pediatric Inner‐City Asthma: An Explanatory Model Approach

et al. 2004

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Explanatory models (EMs) for asthma among inner-city school-age children and their families were examined as a means of better understanding health behaviors. Children and parents were interviewed about their concepts of asthma etiology, asthma medications, and alternative therapies. Drawings were elicited from children to understand their beliefs about asthma. Nineteen children with 17 mothers from a variety of cultural backgrounds were interviewed. Among children, contagion was the primary EM for asthma etiology (53%). Twenty-five percent of children reported fear of dying from asthma, while fear of their child dying from asthma was reported by 76% of mothers. Mothers reported a variety of EMs, some culturally specific, but the majority reported biomedical concepts of etiology, pathophysiology, and triggers. Although 76% of mothers knew the names of more than one of their children's medications, 47% thought their child's medications all had similar functions. Thirty-five percent of families used herbal treatments and 35% incorporated religion into asthma treatment. Seventy-one percent of families had discontinued medications and 23% reported currently not giving anti-inflammatory medication. Reasons for discontinuing daily medications included fears of unknown side effects (53%), addiction (18%), tachyphylaxis (18%), and feeling that their child was being given too much medicine (23%). The traditional focus of asthma education is not sufficient to ensure adherence. Asthma education for children should address their views of etiology and fears about dying from asthma. Conversations with parents about their EMs and beliefs about medications and alternative therapies could assist in understanding and responding to parental concerns and choices about medications and help achieve better adherence.

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Children with Asthma and Nebulizer Use: Parental Asthma Self-Care Practices and Beliefs

Cited by 7 publications

References 26 publications

The Role of Caregivers' Depressive Symptoms and Asthma Beliefs on Asthma Outcomes Among Low-income Puerto Rican Children

The Role of Caregivers' Depressive Symptoms and Asthma Beliefs on Asthma Outcomes Among Low-income Puerto Rican Children

Interventions to Modify Health Care Provider Adherence to Asthma Guidelines: A Systematic Review

Understanding Pediatric Inner‐City Asthma: An Explanatory Model Approach

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