Current Asthma Management Practices by Primary School Teaching Staff: A Systematic Review

Caruana, Maria; West, Lorna Marie; Cordina, Maria

doi:10.1111/josh.12992

Cited by 8 publications

(8 citation statements)

References 39 publications

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“…Children's lack of access to their inhalers while at school has commonly been identified as a barrier to appropriate use of their inhaler [46][47][48][49] . Parents also reported that teachers were not always knowledgeable about asthma and their child's asthma management plan, in agreement with previous research 45,46,51 Building on existing literature 22 , [51][52][53][54] , future research may seek to more fully assess the perspectives of key stakeholders such as governing councils, school nurses and teachers. This research is needed to design and test solutions, particularly regarding access to children's inhalers.…”

Section: Discussionsupporting

confidence: 80%

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: 80%

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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show abstract

“…According to some testimonials from teachers, communication is flawed, resulting in teachers not knowing about the child’s asthma diagnosis, increasing fear and insecurity in the face of the disease’s worsening condition. Similar results were found in studies that made up a systematic review on the subject, with the conclusions reinforcing the importance of effective communication between school, family, and health professionals ( 9 ) .…”

Section: Discussionsupporting

confidence: 80%

“…The low rate of correct answers to open questions regarding medications was also identified in a recent systematic review on the subject. Of the 13 studies analyzed, six indicated low knowledge of teachers about medications for treating asthma exacerbations ( 9 ) . A possible hypothesis to explain this finding is that open questions present a higher degree of difficulty when compared to multiple-choice questions, which can be answered randomly and, consequently, with a greater possibility of correct answers.…”

Section: Discussionmentioning

confidence: 99%

“…In this context, where the constant presence of a health professional in schools is not routine, teachers begin to play an important role in providing the first aid to children and referring them to the health service, when necessary. However, teachers do not feel prepared to adequately help the child in crisis, including reports of difficulties in identifying the symptoms of asthma exacerbation ( 9 ) .…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and experience of Primary Education teachers regarding childhood asthma: mixed study

Brosso

Zonta

Levada

et al. 2023

Rev. esc. enferm. USP

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Objective: To analyze the knowledge of Primary Education teachers regarding asthma and learn about their experiences with the exacerbation of symptoms at school. Method: Sequential explanatory mixed study. In the quantitative stage, the Newcastle Asthma Knowledge Questionnaire and the characterization instrument were applied. Data analyzed by descriptive and inferential statistics. The production of qualitative data occurred from written statements analyzed using the deductive content analysis method. Results: Two hundred and seven teachers, mostly women (92%) and working in public schools (82%). As for knowledge, 132 (63.8%) had unsatisfactory performance. The questions with the lowest rates of correct answers were about medications used regularly and during the attacks. Teachers with higher scores had less time in the occupation (p = 0.017) and had been diagnosed with asthma (p = 0.006). In the qualitative stage, 35 teachers participated and the statements corroborated the quantitative findings, especially in relation to the knowledge gap and feeling of greater safety among asthmatic teachers. Conclusion: Teachers showed insufficient knowledge and reported fear and unpreparedness in the face of the situation.

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“…This finding is in keeping with the previous studies. [9,14,18,19,30] The triggers, especially the common ones such as smoke, strong odor, and dust, are easier to understand by teachers compared to the aspect related to etiology, pathogenesis or management. Good knowledge of the various triggers of asthma, especially those poorly known, such as cockroaches, feathers, and fur, is crucial, so the teacher is proactive in preventing asthma attacks by identifying likely triggers in the school environment.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the awareness and experiences of the primary and secondary school teachers on asthma: A cross-sectional study in Ilorin, Nigeria

Ibraheem

Hamzah

Ameen

et al. 2022

JPATS

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Objectives: Children spend the daytime participating in classes and sports. Hence, as the general caregiver of children during school hours, the teacher has a role in managing those with asthma. The present study aims to identify teachers’ knowledge, attitude, and experiences about childhood asthma in primary and secondary schools in Ilorin, Nigeria. Materials and Methods: A cross-sectional study was conducted among 1532 teachers from 64 schools (24 primary and 40 secondaries) selected through multistage sampling. A 40-item Asthma Knowledge Questionnaire was used to assess teachers’ knowledge about childhood asthma. A score of <22 out of 40 was considered suboptimal knowledge of childhood asthma. Results: The response rate was 92.8%. Two-thirds of respondents were female. The overall mean age was 33.8 ± 8.1 years. The median (interquartile range [IQR]) teaching duration was 6 (3–11) years. The teachers had the highest median score (60.0%) in the triggers domain and the lowest median score (33.3%) in the symptoms domain. The overall median (IQR) knowledge score of the primary school teachers was 50.0 (30.0–65.0%), and for the secondary school teachers was 52.5 (30.0–65.0%), P = 0.689. Two hundred and ninety-one (55.1%) primary teachers and 479 (53.6%) secondary teachers had suboptimal knowledge. Teachers with an asthmatic relative, an asthmatic child in the class, or who previously witnessed a child with an asthmatic attack had – significantly better asthma knowledge, with each P < 0.05. Conclusion: About half of the teachers surveyed had suboptimal knowledge of asthma. Strategies to improve teachers’ knowledge are crucial for improved childhood asthma management in Ilorin schools.

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Current Asthma Management Practices by Primary School Teaching Staff: A Systematic Review

Cited by 8 publications

References 39 publications

Child and caregiver experiences and perceptions of asthma self-management

Child and caregiver experiences and perceptions of asthma self-management

Knowledge and experience of Primary Education teachers regarding childhood asthma: mixed study

Evaluation of the awareness and experiences of the primary and secondary school teachers on asthma: A cross-sectional study in Ilorin, Nigeria

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