Child and caregiver experiences and perceptions of asthma self-management

Abstract 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 w...

Full description

Bibliographic Details
Main Authors: Lauren Kelada, Charlotte J. Molloy, Peter Hibbert, Louise K. Wiles, Claire Gardner, Emily Klineberg, Jeffrey Braithwaite, Adam Jaffe
Format: Article
Language:English
Published: Nature Portfolio 2021-09-01
Series:npj Primary Care Respiratory Medicine
Online Access:https://doi.org/10.1038/s41533-021-00253-9
_version_ 1831638610918506496
author Lauren Kelada
Charlotte J. Molloy
Peter Hibbert
Louise K. Wiles
Claire Gardner
Emily Klineberg
Jeffrey Braithwaite
Adam Jaffe
author_facet Lauren Kelada
Charlotte J. Molloy
Peter Hibbert
Louise K. Wiles
Claire Gardner
Emily Klineberg
Jeffrey Braithwaite
Adam Jaffe
author_sort Lauren Kelada
collection DOAJ
description Abstract 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.
first_indexed 2024-12-19T07:13:58Z
format Article
id doaj.art-b62b93b64678482691e8cae3a474855e
institution Directory Open Access Journal
issn 2055-1010
language English
last_indexed 2024-12-19T07:13:58Z
publishDate 2021-09-01
publisher Nature Portfolio
record_format Article
series npj Primary Care Respiratory Medicine
spelling doaj.art-b62b93b64678482691e8cae3a474855e2022-12-21T20:31:07ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102021-09-013111710.1038/s41533-021-00253-9Child and caregiver experiences and perceptions of asthma self-managementLauren Kelada0Charlotte J. Molloy1Peter Hibbert2Louise K. Wiles3Claire Gardner4Emily Klineberg5Jeffrey Braithwaite6Adam Jaffe7School of Women’s and Children’s Health, Faculty of Medicine and Health, UNSW SydneyAustralian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAustralian Centre for Precision Health, Cancer Research Institute, School of Health Sciences, University of South AustraliaMinistry of Health, NSW HealthAustralian Institute of Health Innovation, Macquarie UniversitySchool of Women’s and Children’s Health, Faculty of Medicine and Health, UNSW SydneyAbstract 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.https://doi.org/10.1038/s41533-021-00253-9
spellingShingle Lauren Kelada
Charlotte J. Molloy
Peter Hibbert
Louise K. Wiles
Claire Gardner
Emily Klineberg
Jeffrey Braithwaite
Adam Jaffe
Child and caregiver experiences and perceptions of asthma self-management
npj Primary Care Respiratory Medicine
title Child and caregiver experiences and perceptions of asthma self-management
title_full Child and caregiver experiences and perceptions of asthma self-management
title_fullStr Child and caregiver experiences and perceptions of asthma self-management
title_full_unstemmed Child and caregiver experiences and perceptions of asthma self-management
title_short Child and caregiver experiences and perceptions of asthma self-management
title_sort child and caregiver experiences and perceptions of asthma self management
url https://doi.org/10.1038/s41533-021-00253-9
work_keys_str_mv AT laurenkelada childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT charlottejmolloy childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT peterhibbert childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT louisekwiles childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT clairegardner childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT emilyklineberg childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT jeffreybraithwaite childandcaregiverexperiencesandperceptionsofasthmaselfmanagement
AT adamjaffe childandcaregiverexperiencesandperceptionsofasthmaselfmanagement