“…Self‐management or rather self‐taught education arises from experiential learning from “flare ups” of asthma symptoms and reflection on symptomatic events and often features in identifying the knowledge deficit of their medication regimes.A month ago, I was really sick and coughed at night. I made a schedule for when to use the inhaler device, and then it worked better (Jonsson et al, 2017, p. 26)…”
Section: Resultsmentioning
confidence: 99%
“… A month ago, I was really sick and coughed at night. I made a schedule for when to use the inhaler device, and then it worked better (Jonsson et al, 2017 , p. 26) …”
Aims:To identify and synthesize the available evidence of youths with asthma and their experience of self-management education.Design: Systematic literature review of qualitative studies with meta-synthesis of findings.
Data sources:We searched five databases, CINAHL Complete, Embase, MEDLINE (EBSCO) PsycINFO, ASSIA and the Global Index Medicus (formerly the WHOLIS).
“…Self‐management or rather self‐taught education arises from experiential learning from “flare ups” of asthma symptoms and reflection on symptomatic events and often features in identifying the knowledge deficit of their medication regimes.A month ago, I was really sick and coughed at night. I made a schedule for when to use the inhaler device, and then it worked better (Jonsson et al, 2017, p. 26)…”
Section: Resultsmentioning
confidence: 99%
“… A month ago, I was really sick and coughed at night. I made a schedule for when to use the inhaler device, and then it worked better (Jonsson et al, 2017 , p. 26) …”
Aims:To identify and synthesize the available evidence of youths with asthma and their experience of self-management education.Design: Systematic literature review of qualitative studies with meta-synthesis of findings.
Data sources:We searched five databases, CINAHL Complete, Embase, MEDLINE (EBSCO) PsycINFO, ASSIA and the Global Index Medicus (formerly the WHOLIS).
“…In our survey, physicians noticed that family problems and also socio-economics difficulties were leading to difficulties in the treatment adherence. Indeed, families of adolescents with severe asthma are reported to have higher rates of psychological impact [ 11 ]. Healthcare providers should also evaluate how physical and psychological dimensions interact in adolescents with asthma.…”
Background
Worldwide prevalence of asthma seems to be increasing in adolescents, but limited data is available regarding the management of asthma in this age group.
Objective
Therefore, we conducted an international survey focused on physicians who manage asthma in order to understand how Asthma Management in ADOlescents (AMADO) is currently performed.
Methods
The AMADO survey is a web-based global survey of physician’s attitudes towards the management of asthma in adolescents, circulated for 17 weeks. The survey had an anonymous and voluntary standard. The questionnaire consisted in 27 questions covering the training background of respondents, difficulties in diagnosis, and in management of asthma in adolescents.
Results
Two hundred forty-four responses were received from 46 countries, from all continents. Most (65%) of participants indicated allergy as being their main specialty. The majority of participants (62%) had more than 5 years of clinical practice, but 62% have no formal training in management of adolescents with asthma. Most of participants (96%) indicated having at least one case of asthma in adolescents per month. 60% of respondents mentioned that the asthmatic adolescents only had the consultation due to the family imposition. All respondents mentioned having difficulties in the management of asthma in adolescents due to patient poor adherence. Overall, 44% of participants have no specific health care resources for adolescents in their departments. Main suggestions from the participants were: optimization of time and personalized communication to these cohort, and standardization of multidisciplinary actions to improve adherence to asthma control treatment.
Conclusion
Management of asthma in adolescents is still a challenge in clinical practice. The results from this survey helped us to identify the key issues to improve clinical outcomes in the future. This survey is the first step of the international AMADO initiative, which intends to optimize diagnosis and control of asthma and prevent avoidable deaths.
“…Youth with asthma may have difficulty adapting socially (Jonsson et al, 2017). Research indicates they may lack social support and experience difficulties interacting with peers (Loerbroks et al, 2018).…”
Introduction:The current study fills a gap in the literature by examining relations among physical health and resilience factors, family functioning, emergency visits, and mental health problems for youth with asthma. The study purpose was to assess associations among four predictors-asthma severity, body mass index (BMI), having an adult mentor, and ability to make and keep friends-and 3 three outcomes-family resilience, emotional, behavioral and developmental concerns, and emergency room (ER) visits among youth with asthma. Method: The sample included 2,589 youth with asthma between 10 and 17 years old from the 2017-2018 National Survey of Children's Health. Multivariable logistic regressions examined associations between asthma severity, BMI, having an adult mentor, ability to make and keep friends and two outcomes: family resilience, and emotional behavioral and developmental concerns. A multinomial logistic regression examined the relationship between predictor variables and number of ER visits. Results: Findings indicated having a mentor, being able to make/keep friends, and being underweight, average, or overweight compared to being obese were related to having family resilience. Making/keeping friends was a protective factor for emotional behavioral and developmental concerns. Having a mentor was related to higher levels of emotional behavioral and developmental concerns than not having a mentor. Youth who had mentors and friendship skills were less likely to have ER visits than youth with no mentors and difficulty with friendships. Youth with mild asthma severity and who were not obese had lower levels of ER visits than those with moderate/severe asthma or obesity. Discussion: Child level protective factors were related to higher levels of family resilience and fewer ER visits for children with asthma. Further research to identify risk and protective factors is needed to develop interventions for youth with asthma.
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