Culture-specific programs for children and adults from minority groups who have asthma

McCallum, Gabrielle B.; Morris, Peter S.; Brown, Ngiare; Chang, Anne B.

doi:10.1002/14651858.cd006580.pub5

Cited by 69 publications

(34 citation statements)

References 89 publications

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“…Therefore, we developed one to meet the different needs in our study population. 12 In our study, KAP of asthma patients was assessed using a modified form of validated KAP questionnaire which is reliable and culture fair to our geographic area. This study shows that patients with asthma still lack adequate knowledge about the disease and have many misconceptions regarding the illness and its treatment, which needs to be rectified.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge, Attitude, Practice Towards Asthma and the Impact of Patient Counselling on Inhalation Techniques in Asthmatics

Padmavathy¹,

Geethu²,

S³

et al. 2019

Int Res J Pharm

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Purpose: Asthma is a chronic disease characterized by recurrent attacks of breathlessness and wheezing, which vary in severity and frequency from person to person. There is a lack of patient awareness with respect to complete knowledge about the disease, attitude towards disease management, medication adherence behavior and treatment outcomes. Various advances have been made in the management of asthma but despite this, the morbidity and mortality rates are not declining. Material and methods: A prospective interventional study was conducted among 50 clinical and spirometry confirmed cases of asthma in Respiratory Medicine department of a Tertiary care hospital in Thiruvananthapuram, Kerala, India. Result: A total of 50 patients were included in the study. The mean age of the patients in the study was 58.66 years (±15.73), with a slight female preponderance (54%). An average score of knowledge assessment was 3.55±1.39 and attitude assessment was 4.57±0.85. 89 % of the study population was already on inhalers but had improper inhalation technique. A post counselling value of 9.74±2.8 showed a positive impact of patient counseling on correct inhalation technique. Conclusion: Despite wide prevalence, there is ignorance and misconception regarding asthma. Sincere efforts are required to provide health education to the patients so as to help them in understanding the disease and its management and thus reduce the disease burden.

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Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge, Attitude, Practice Towards Asthma and the Impact of Patient Counselling on Inhalation Techniques in Asthmatics

Padmavathy¹,

Geethu²,

S³

et al. 2019

Int Res J Pharm

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“…However, cultural competency was helpful at the individual level and in specific racial and ethnic groups (Baily et al, 2009;Hawthorne, Robles, Cannings-John, & Edwards, 2008;McCallum, Morris, Brown, & Chang, 2017). Studies grounded in cultural competence demonstrated positive results in nurse practitioner training (Debiasi & Selleck, 2017).…”

Section: Previous Frameworkmentioning

confidence: 99%

A pedagogy of social justice for resilient/vulnerable populations: Structural competency and bio‐power

Woolsey

Narruhn

2018

Public Health Nursing

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Background Nursing schools frequently assert the importance of social justice curriculum, but little information is available about specifics for such a class. Purpose The purpose of this article is to describe a class that builds a foundation for the understanding of social justice and the pedagogical frameworks on which it rests. Methods The authors develop a class grounded in bio‐power and structural competency. Discussion Described are topics presented to students, the rationale for their selection along with class activities and implementation challenges. Highlighted is the use of praxis as students incorporate the components of structural competency and bio‐power. The focus is on the potential for public health and advanced practice registered nurses to recognize and evaluate structural factors in patient and population‐based care. Conclusion Faculty meet substantive challenges in teaching social justice, including lack of recognition of societal forces which affect student's ability to provide care. Focused effort incorporating newer structural and philosophical frameworks in a social justice class may improve the provision of health services. The frameworks of structural competency and bio‐power provide a critical paradigm salient in social justice pedagogy.

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“…There are multiple explanations to the underuse of controller medications in disadvantaged asthma patients including limited access to care, cultural beliefs, inadequate health literacy, and disparities in prescribing patterns leading to suboptimal quality of care [75]. Despite these barriers, using a culturally sensitive approach through asthma education programs targeting disadvantaged asthma patients, multiple pediatric programs have successfully improved adherence to preventive therapies and improved asthma outcomes [84]. Identifying reasons for suboptimal adherence, such as fear of adverse effects, fear of addiction, cost, inconvenience or complexity of treatment regimens can lead to an individualized conversation, education and medication regimen changes that can improve adherence in the disadvantaged asthma patient [85].…”

Section: Management Strategy Summary For the Disadvantaged Asthma Phementioning

confidence: 99%

Asthma in the Disadvantaged: A Phenotype in Need of a Personalized, Multidisciplinary Approach to Therapy

Harris¹,

Welch²,

Soper³

et al. 2018

Asthma Diagnosis and Management - Approach Based on Phenotype and Endotype

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Most patients with asthma can be managed with standardized, traditional therapies; however, 5-10% of patients suffer from disease that is difficult to control. Uncontrolled asthma disproportionally affects low income and racial minority patients. The disadvantaged asthma phenotype is defined by the presence of overlapping social, economic and environmental factors. These factors, such as environmental exposures in substandard housing or suboptimal adherence to controller therapy due to impaired health literacy are challenging to address in the clinic or inpatient setting. Personalized management of the disadvantaged asthma phenotype must target these interconnected factors through a multidisciplinary approach that includes longitudinal collaboration with communitybased organizations, social workers and legal aid.

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Culture-specific programs for children and adults from minority groups who have asthma

Cited by 69 publications

References 89 publications

Assessment of Knowledge, Attitude, Practice Towards Asthma and the Impact of Patient Counselling on Inhalation Techniques in Asthmatics

Assessment of Knowledge, Attitude, Practice Towards Asthma and the Impact of Patient Counselling on Inhalation Techniques in Asthmatics

A pedagogy of social justice for resilient/vulnerable populations: Structural competency and bio‐power

Asthma in the Disadvantaged: A Phenotype in Need of a Personalized, Multidisciplinary Approach to Therapy

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