Higher parental education was associated with better asthma control

Célind, Frida Strömberg; Wennergren, Göran; Vasileiadou, Styliana; Alm, Bernt; Åberg, Nils; Goksör, Emma

doi:10.1111/apa.14610

Cited by 18 publications

(13 citation statements)

References 26 publications

(45 reference statements)

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“…Approximately, a third of our study participants indicated controlled asthma. The higher level of parental education was significantly associated with better asthma control, which is consistent with a recent study in Sweden among pediatric asthma patients 33 . Asthma control for children mainly relies on parental ability to monitor symptoms, use medication, and follow an asthma action plan at home 32 .…”

Section: Discussionsupporting

confidence: 88%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

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Background Improper use of asthma inhalers is one of the potential factors of poor asthma control among children. This study aimed to assess the proper handling of asthma inhalers and asthma control in addition to factors influencing them among pediatric patients who self‐administer their inhalers. Methods A cross‐sectional study was conducted in Jordan from February 2019 to February 2020. All eligible pediatric patients with asthma attending outpatient settings were approached. The inhalation technique was assessed according to a standard checklist, and asthma control was assessed using the Asthma Control Test. Results A total of 150 patients were included in this study. A metered dose inhaler (MDI) was the most commonly used inhaler device (89.4%) which was used appropriately by only 13.4% of participants. Whereas, appropriate use of Turbohaler and Diskus was reported by 38.5% and 28.9%, respectively. The higher level of parental knowledge was associated with higher number of correct MDI steps (OR = 1.066; 95% CI = 1.010–1.125; p = .020) and less reported errors in critical steps (OR = 0.949; 95% CI = 0.900–0.999; p = .047). Higher level of both parental education and pediatric average stigma score (less stigmatized) were associated with better asthma control ([OR = 5.181; 95% CI = 1.238–21.677; p = .024], [OR = 2.825; 95% CI = 1.420–5.619; p = .003], respectively). Conclusion Continuous education on appropriate inhaler self‐administration for asthmatic children is highly recommended. Clinical pharmacists play a major role toward improving the administration of inhalers through patient training and counseling.

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Section: Discussionsupporting

confidence: 88%

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Almomani

Al-Qawasmeh

Al-Shatnawi

et al. 2021

Pediatric Pulmonology

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“… 33 Conversely, a higher education in parents has been found to be associated with better asthma control in children. 48 Several comorbidities and conditions, such as allergic rhinitis, obesity, gastroesophageal reflux disease, psychological disturbances, and obstructive sleep apnea, are frequently observed in patients with asthma and may impact the clinical manifestation and severity of asthma. 49 , 50 Of note, the prevalence of psychiatric comorbidities, such as anxiety and depression, is high in patients with asthma.…”

Section: Introductionmentioning

confidence: 99%

Essential Role of Pharmacists in Asthma Care and Management

Bridgeman

Wilken

2020

Journal of Pharmacy Practice

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Asthma, a chronic respiratory disease characterized by chronic airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, poses a substantial economic burden on patients and caregivers alike. Moreover, the heterogeneous nature of the disease and the presence of various phenotypes make the treatment of asthma challenging and nuanced. Despite the availability of several approved pharmacological treatments, approximately half of patients with asthma in the United States experienced exacerbations in 2016, highlighting the need for effective add-on treatments. Furthermore, asthma control remains suboptimal due to low adherence to medications, poor inhaler technique, and several patient-related factors. Importantly, the primary care setting, in which pharmacists play an integral role, represents a critical environment for providing long-term follow-up care for the effective management of chronic diseases, such as asthma. Pharmacists are uniquely positioned to ensure optimal clinical outcomes in patients with asthma since they have the clinical expertise to educate patients on their disease state and the role of asthma medications, provide training on inhalation technique, address patients’ concerns about potential side effects of medications, and improve adherence to therapy. Therefore, in this review article, we discuss the overall role of pharmacists in effective asthma care and management.

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“…19,36,37 Maternal education of more than 12 years was protective against admissions in infants with recurrent asthma-like symptoms, which agrees with other studies in older children, showing that higher parental education is related to better asthma control. 38 It is worth mentioning that although we found the highest income (household income of ≥US$ 3,000 per month) was a significant protective factor for admissions, it would be misleading because it represented just the 4.5% of infants with asthma-like symptoms studied.…”

Section: Discussionmentioning

confidence: 64%

Hospital admission for symptoms exacerbation in 2,075 infants suffering from recurrent asthma-like symptoms (EISL-3 South America)

Mallol

Solé

Aranda

et al. 2021

aei

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Background: Contrary to what happens in children and adults, the prevalence and the factors related to hospitalisation for asthma/wheezing in infants with recurrent asthma-like symptoms are poorly known.Methods: This study is part of the International Study of Wheezing in infants Phase 3; 2,079 infants (aged 12–18 months) with recurrent asthma-like symptoms, from 11 South American centres, were studied to determine the prevalence and the associated factors for wheezing exacerbation admission. Descriptive statistics and multivariate logistic regression were employed for analysis.Results: The prevalence of admission for wheezing was 29.7% (95% CI 27.7–31.6) and was significantly associated to severe wheezing episodes (OR: 3.89; 95% CI: 2.93–5.18, p < 0.001), physician-diagnosed asthma (OR: 1.79; 95% CI: 1.33–2.41, p < 0.0001), use of inhaled corticosteroids (OR: 1.78; 95%CI: 1.38–2.29, p < 0.0001), maternal tobacco smoking during pregnancy (OR:1.69; 95% CI: 1.19–2.39, p = 0.003) and onset of wheezing in the first trimester of life (OR: 1.30; 95% CI: 1.02–1.66, p = 0.038). Breast feeding ≥4 months (OR: 0.72; 95% CI: 0.54–0.96, p = 0.004), maternal high educational level (>12 years) (OR: 0.66; 95% CI: 0.51–0.85, p = 0.001) and total monthly household income ≥US$ 3,000 (OR: 0.34; 95% CI: 0.18–0.67, p = 0.002), were protective factors.Conclusions: Infants with recurrent asthma-like symptoms have a high rate of admissions. Tobacco smoking in pregnancy, viral respiratory illness in the first trimester of life and severe progression were risks for admissions. Improving medical management to prevent severe exacerbations, prolonging the postnatal period at home longer than 3 months, favouring breastfeeding and avoiding smoking during pregnancy may have a preventive role for admissions in infants with recurrent asthma-like symptoms.

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Higher parental education was associated with better asthma control

Cited by 18 publications

References 26 publications

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Predictors of proper inhaler technique and asthma control in pediatric patients with asthma

Essential Role of Pharmacists in Asthma Care and Management

Hospital admission for symptoms exacerbation in 2,075 infants suffering from recurrent asthma-like symptoms (EISL-3 South America)

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