Disparities in Risk Communication: A Pilot Study of Asthmatic Children, Their Parents, and Home Environments

Biksey, Thomas M.; Zickmund, Susan; Wu, Felicia

doi:10.1016/s0027-9684(15)30334-5

Cited by 8 publications

(14 citation statements)

References 21 publications

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“…The finding of misperceptions impeding health restoration is consistent with other studies (Biksey, Zickmund, & Wu, ), and suggests the urgent need for healthcare workers in urban settings to engage in better patient education. Emergency department nurses may be required to engage in more thorough teaching strategies, a nursing role more commonly attributed to nurses working in outpatient or community settings.…”

Section: Discussionsupporting

confidence: 88%

“…Distributing asthma‐related health information in the school systems or with teachers may also be a useful way to follow up with accurate care of the child with asthma. Other researchers have also stressed the need for better health provider–patient communication in order to ameliorate asthma‐related care (Biksey et al., ; Silvers & Lang, ). In addition, an improvement in following prescribed medical regimens has been shown to reduce visits to the emergency departments as well as reduce the use of emergency departments for nonemergency‐related disorders.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions of pediatric asthma in African American underserved families using metaphorical analysis

McClelland

Wenz

Sood

et al. 2013

Specialist Pediatric Nursing

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Perceptions of pediatric asthma in African American underserved families using metaphorical analysis

McClelland

Wenz

Sood

et al. 2013

Specialist Pediatric Nursing

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“…Participants were able to identify some potential indoor environmental triggers across the majority of included studies. 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 A mixed methods study reported that 77% of 200 parents of 5–12‐year‐olds with asthma, avoided some indoor environmental triggers suggesting recognition, although most identified ETS and dust. 52 Parents and CYP with asthma were asked to rank triggers by impact in an American study with socioeconomically disadvantaged families; ETS, dust and cockroaches were believed to have the highest impact, followed by pets, mould and dry heat.…”

Section: Resultsmentioning

confidence: 99%

Influences on indoor environmental trigger remediation uptake for children and young people with asthma: A scoping review

Lewis

Milnes

Adams

et al. 2022

Health Expectations

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Introduction: Children and young people (CYP) with asthma can benefit from reduced exposure to indoor environmental allergens and triggers but may not consistently have avoidance strategies implemented. To inform future interventions to increase trigger and allergen avoidance and enhance asthma control, a greater understanding of the influences on avoidance behaviours is necessary.Methods: A systematic scoping review was selected to summarize evidence on what influences family uptake of indoor environmental asthma trigger avoidance strategies for CYP with asthma and identify research gaps. Primary studies of any design, including CYP (≤18 years) with asthma, and/or parent-carers, available in English and conducted since 1993, were eligible. Searches included nine databases, hand-searching reference lists and citation searching.Findings: Thirty-three articles were included and are summarized narratively due to heterogeneity. Influences appear complex and multifactorial and include barriers to strategy uptake, health beliefs and personal motivation. Research specifically related to family understanding of allergic sensitisation status and exposure risks, and how these may inform avoidance implementation is required. Patient and public involvement (PPI) was not reported in included articles, although two studies used participatory methods. Conclusion: There is limited research on family asthma trigger management, particularly what influences current management behaviours. Variation in families' ability to identify important triggers, understand exposure risk and consistently reduce exposures warrants further exploratory research to explain how families reach avoidance decisions, and what future interventions should aim to address.Further PPI-informed research to address such gaps, could enable theory-based, person-centred interventions to improve the uptake of asthma trigger remediation.

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“…Previous studies (Miles et al, 2017;Moudgil & Honeybourne, 1998) suggest that South Asians may find it difficult to understand information on asthma treatment/medication and preventative care. A study of African Americans reached similar conclusions about the recall of information on medication, asthma triggers, and medical advice (Biksey, 2011). It may be that beliefs (important for, say, medication adherence) may need to be framed by how information is learnt in a cultural group, for example, information geared towards beliefs may be easier to understand if it aligns with cultural values or norms (Castro, Barrera, & Holleran, 2010;Resnicow et al, 1999;Triandis, 2018).…”

Section: Interpretation Of Findingsmentioning

confidence: 91%

Developing theory‐based asthma self‐management interventions for South Asians and African Americans: A systematic review

Ahmed

Pinnock

Steed

2021

British J Health Psychol

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Purpose. Intervention development guidelines suggest that behavioural interventions benefit from being theory-based. Minority populations typically benefit less from asthma self-management interventions, and the extent to which appropriate theory has been used for culturally tailored interventions has not been addressed. We aimed to determine theory use and theoretical domains targeted in asthma self-management interventions for South Asian and Black populations.Methods. We systematically searched electronic databases, research registers, manually searched relevant journals and reference lists of reviews for randomised controlled trials of asthma self-management for South Asian and Black populations, and extracted data using the Theory Coding Scheme to inform if/how theory was used and explore its associations with asthma outcomes, and the Theoretical Domains Framework was used to identify targeted theoretical domains and its relationship to effectiveness of asthma outcomes.Results. 20 papers (19 trials) were identified; theory was not extensively used in interventions. It was unclear whether theory use or theoretical domains targeted in interventions improved asthma outcomes. South Asian interventions included 'behavioural regulation', while 'reinforcement' was mostly used in African American interventions. 'Knowledge' was central for all populations, though there were differences related to 'environmental context and resources' e.g., language adaptations for South Asians; asthma resources provided for African Americans. Author descriptions of interventions targeting providers were limited.Conclusions. There was little evidence of theory-based approaches used in cultural interventions for asthma self-management. Demystifying theoretical concepts (and cultural interpretations of constructs) may provide clarity for 'non-experts', enabling mainstream use of theory-driven approaches in intervention development.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Disparities in Risk Communication: A Pilot Study of Asthmatic Children, Their Parents, and Home Environments

Cited by 8 publications

References 21 publications

Perceptions of pediatric asthma in African American underserved families using metaphorical analysis

Perceptions of pediatric asthma in African American underserved families using metaphorical analysis

Influences on indoor environmental trigger remediation uptake for children and young people with asthma: A scoping review

Developing theory‐based asthma self‐management interventions for South Asians and African Americans: A systematic review

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