A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study
Asthma symptoms can be controlled through proper self-management, medication adherence, and avoidance of triggers, thus avoiding high costs for multiple hospitalizations, emergency or outpatient visits. This article seeks to develop a conceptual framework of the factors that influence asthma self-m...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ludomedia
2023-08-01
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| Series: | New Trends in Qualitative Research |
| Subjects: | |
| Online Access: | https://www.publi.ludomedia.org/index.php/ntqr/article/view/795 |
| _version_ | 1797521696836550656 |
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| author | Cristina Ochoa-Avilés María Jose Peñaherrera Diana Morillo Susana Andrade Katherine Peralta Nelly Lazo Signe Vargas Denisse Vasquez Claudia Rodas Silvana Donoso Angélica Ochoa-Avilés |
| author_facet | Cristina Ochoa-Avilés María Jose Peñaherrera Diana Morillo Susana Andrade Katherine Peralta Nelly Lazo Signe Vargas Denisse Vasquez Claudia Rodas Silvana Donoso Angélica Ochoa-Avilés |
| author_sort | Cristina Ochoa-Avilés |
| collection | DOAJ |
| description |
Asthma symptoms can be controlled through proper self-management, medication adherence, and avoidance of triggers, thus avoiding high costs for multiple hospitalizations, emergency or outpatient visits. This article seeks to develop a conceptual framework of the factors that influence asthma self-management in a pediatric population living in the Andean urban area of Cuenca-Ecuador. A phenomenological study was carried out (February-April 2021) in 10 children and adolescents from 7 to 17 years old with asthma attending public and private hospitals. In-depth interviews were applied using open questions created after reviewing the literature. Factors influencing asthma self-management include individual (attitudes, self-education, seeking medical attention, managing crisis triggers) and environmental (health system, school/family support). The interviews were audio-recorded, transcribed, and analyzed by two independent researchers. Our results show that the pediatric population identifies individual and environmental influences that affect asthma self-management, with age and socioeconomic status moderating the influential factors. The participants described the beliefs, attitudes, practices, perceptions, and specific experiences in the family, school, and health system contexts as relevant to comply with asthma self-management. In addition, problems or barriers that hinder the self-management of the disease, mainly related to adherence to treatment, were identified. In conclusion, our analysis highlights the need to empower the pediatric population in asthma self-management. When delivering patient-centered education for effective asthma management, future interventions must consider children´s age and socioeconomic status influences in individual and environmental factors.
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| first_indexed | 2024-03-10T08:16:53Z |
| format | Article |
| id | doaj.art-018a52db497c4f99849365fee954a489 |
| institution | Directory Open Access Journal |
| issn | 2184-7770 |
| language | English |
| last_indexed | 2024-03-10T08:16:53Z |
| publishDate | 2023-08-01 |
| publisher | Ludomedia |
| record_format | Article |
| series | New Trends in Qualitative Research |
| spelling | doaj.art-018a52db497c4f99849365fee954a4892023-11-22T10:15:18ZengLudomediaNew Trends in Qualitative Research2184-77702023-08-011610.36367/ntqr.16.2023.e795 A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative studyCristina Ochoa-Avilés0María Jose Peñaherrera1Diana Morillo2Susana Andrade3Katherine Peralta4Nelly Lazo5Signe Vargas6Denisse Vasquez7Claudia Rodas8Silvana Donoso9Angélica Ochoa-Avilés10Universidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, EcuadorUniversidad del Azuay, EcuadorUniversidad de Cuenca, EcuadorUniversidad de Cuenca, Ecuador Asthma symptoms can be controlled through proper self-management, medication adherence, and avoidance of triggers, thus avoiding high costs for multiple hospitalizations, emergency or outpatient visits. This article seeks to develop a conceptual framework of the factors that influence asthma self-management in a pediatric population living in the Andean urban area of Cuenca-Ecuador. A phenomenological study was carried out (February-April 2021) in 10 children and adolescents from 7 to 17 years old with asthma attending public and private hospitals. In-depth interviews were applied using open questions created after reviewing the literature. Factors influencing asthma self-management include individual (attitudes, self-education, seeking medical attention, managing crisis triggers) and environmental (health system, school/family support). The interviews were audio-recorded, transcribed, and analyzed by two independent researchers. Our results show that the pediatric population identifies individual and environmental influences that affect asthma self-management, with age and socioeconomic status moderating the influential factors. The participants described the beliefs, attitudes, practices, perceptions, and specific experiences in the family, school, and health system contexts as relevant to comply with asthma self-management. In addition, problems or barriers that hinder the self-management of the disease, mainly related to adherence to treatment, were identified. In conclusion, our analysis highlights the need to empower the pediatric population in asthma self-management. When delivering patient-centered education for effective asthma management, future interventions must consider children´s age and socioeconomic status influences in individual and environmental factors. https://www.publi.ludomedia.org/index.php/ntqr/article/view/795AsthmaSelf-managementChildrenAttackTriggers |
| spellingShingle | Cristina Ochoa-Avilés María Jose Peñaherrera Diana Morillo Susana Andrade Katherine Peralta Nelly Lazo Signe Vargas Denisse Vasquez Claudia Rodas Silvana Donoso Angélica Ochoa-Avilés A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study New Trends in Qualitative Research Asthma Self-management Children Attack Triggers |
| title | A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study |
| title_full | A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study |
| title_fullStr | A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study |
| title_full_unstemmed | A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study |
| title_short | A conceptual framework for asthma self-management in Ecuadorian children and adolescents: A qualitative study |
| title_sort | conceptual framework for asthma self management in ecuadorian children and adolescents a qualitative study |
| topic | Asthma Self-management Children Attack Triggers |
| url | https://www.publi.ludomedia.org/index.php/ntqr/article/view/795 |
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