Parental Asthma-Related Knowledge and Asthma Control in their Children in Accra, Ghana

Download Article

DOI: 10.21522/TIJPH.2013.12.03.Art003

Authors : WUTOR Victor Collins

Abstract:

Asthma ranks among the top 20 chronic conditions for the global ranking of disability-adjusted life years in children and is the most prevalent chronic condition in children. In the mid-childhood ages of 5–14 years, it is among the top 10 causes. Parental asthma knowledge is a crucial influencer of management practices and disease control. To achieve guided self-management, education is one of the six essential features. Assessing parents' asthma-related knowledge (ARK) is a significant requirement for improving childhood asthma management. The primary objective of this study was to document the ARK of parents of children (0-18 years) with asthma and identify how their knowledge impacts the control of the medical condition in their children in Accra, Ghana. A short questionnaire was designed and implemented to gather relevant information for the study. We also determined the number of children using an asthma action plan. A total of 200 questionnaires were administered. The median age of the children in the study was 10.7 years, with a mean age of 10.0 years. Seventy-one per cent of the children were males. This variation is based on the standard population, where asthma in boys is nearly twice as significant as in girls before age 14. Asthma educators should pay attention to the level of education of the parents of asthmatic children. The result indicates a higher level of asthma control in children whose parents have a higher level of education. However, it is concerning that only 17.2% of children had an asthma action plan, highlighting the urgent need for action in this area.

References:

[1].   Nour, A., Alsayed, A. R., Basheti, I., 2023, Prevalence of Asthma Amongst Schoolchildren in Jordan and Staff Readiness to Help. Healthcare (Switzerland). 11(2):1–9. doi:10.3390/healthcare11020183

[2].   Asthma Most Recent National Asthma Data. US Department of Health and Human Services, CDC. 2023. Available at https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm (Assessed on May 20, 2024)

[3].   Subbarao, P., Becker, A., Brook, J. R., et al.; 2009, CHILD Study Investigators. Epidemiology of Asthma: Risk Factors for Development. Expert Rev Clin Immunol 5:77–95.

[4].   Licari, A., Brambilla, I., Marseglia, A., De Filippo, M., Paganelli, V., Marseglia, G. L., 2018. Difficult vs. Severe Asthma. Definition and Limits of Asthma Control in the Pediatric Population. Front. Pediatrics 6, 170.

[5].   Al-Zalabani, A. H., Almotairy, M. M., 2020. Asthma Control and its Association with Knowledge of Caregivers Among Children with Asthma. A Cross-Sectional Study. Saudi Med. J.41, 733–739.

[6].   Asthma Care Cure. https://www.carecureacupuncture.com/asthma) assessed on May 20, 2024.

[7].   Divecha, C. A., Tullu, M. S., Jadhav, D. U., 2020. Parental Knowledge and Attitudes Regarding Asthma in their Children: Impact of an Educational Intervention in an Indian Population. Pediatric Pulmonol. 55, 607–615.

[8].   Levivien, C., Kendrick, J., Carr, R., 2021. Development and Validation of the Pediatric Asthma Knowledge and Management (PANDA) Questionnaires. J. Asthma, 1–12.

[9].   The Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) Administered and Coordinated the National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC). Cloutier., M. M., Baptist, A. P., Blake, K. V., Brooks, E. G., Bryant-Stephens, T., DiMango, E., Dixon, A. E., Elward, K. S., Hartert, T., Krishnan, J. A., Lemanske, R. F., Ouellette, D. R., Pace, W. D., Schatz, M., Skolnik, N. S., Stout, J. W., Teach, S. J., Umscheid, C. A., Walsh, C. G,. 2020, Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. J Allergy Clin Immunol. Dec;146(6):1217-1270.

[10].  Manuck, T. A., 2017, Racial and Ethnic Differences in Preterm Birth: A Complex, Multifactorial Problem Seminars in Perinatology 41 (8) 511-518.

[11].  Childhood Asthma Allergy, Asthma, and Sinus Center of Long Island. https://allergyasthma.center/childhood-asthma (Assessed on May 20, 2024)

[12].  Symptoms of Childhood Asthma - Discover Wisconsin. https://discoverwisconsin.com/blog/childhood-asthma (Assessed on May 20, 2024).

[13].  McDonald, V. M., Fingleton, J., Agusti, A., Hiles, S. A., Clark, V. L., Holland, A. E., Marks, G. B., Bardin, P. P., Beasley, R., Pavord, L. D., et al. 2019. Treatable Traits: A New Paradigm For 21st Century Management of Chronic Airway Diseases: Treatable Traits Down Under International Workshop report. Eur. Respir. J, 53:1802058.

[14].  Mayo Clinic. Treating Asthma in Children under 5. Asthma in Children under 5: Understand Symptoms, Medications, and Treatment Plans. Available online:https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044376 (Accessed on 12 March 2024)

[15].  San, Ko, F. W., Fleming, L., 2023, Advancement of Asthma Management in the Past Decade. Lancet Respir. Med.11:15–17.

[16].  Buckey, T. M., Morales, K. H., Apter, A. J., 2022, Understanding Autonomy in Patients with Moderate to Severe Asthma. J. Clin. Immunol. 10:525–533.

[17].  Simba, J., Marete, I., Waihenya, R., Kombe, Y., Mwangi, A., Mburugu, P., Ogaro, F., 2018, Knowledge and Perceptions of Childhood Asthma Among Caretakers of Children with Asthma at a National Referral Hospital in Western Kenya: A descriptive study. Afr. Health Sci. 18, 965–971.

[18].  Zhao, J., Shen, K., Xiang, L., Zhang, G., Xie, M., Bai, J., Chen, Q., 2013, The Knowledge, Attitudes, and Practices of Parents of Children with Asthma in 29 Cities of China: A Multicenter Study. BMC Pediatr.13, 20.

[19].  Aggarwal B., Mulgirigama A., Berend N. 2018. Exercise-Induced Bronchoconstriction: Prevalence, Pathophysiology, Patient Impact, Diagnosis and Management. NPJ Prim. Care Respir. Med. 28:31.

[20].  Parnes, J. R., Molfino, N. A., Colice, G., Martin, U., Corren, J., Menzies-Gow, A., 2022, Targeting TSLP in Asthma. J Asthma Allergy. 15:749-765.

[21].  McDonald, V. M., Hiles, S. A., Godbout, K., Harvey, E. S., Marks, G. B., Hew, M., Peters, M., Bardin, P. G., Reynolds, P. N., Upham, J. W., et al. 2019. Treatable Traits can be Identified in a Severe Asthma Registry and Predict Future Exacerbations. Respirology. 24:37–47.

[22].  Caruana, M., West, L. M., Cordina, M., 2021, Current Asthma Management Practices by Primary School Teaching Staff: A Systematic Review. J Sch Health. 91(3):227–38.

[23].  Kligler, S. K., Vargas-Torres, C., Abbott, E. E., Lin, M., 2023, Inhaled Corticosteroids Rarely Prescribed at Emergency Department Discharge Despite Low Rates of Follow-Up Care. J. Emerg. Med. 64:555–563.

[24].  Pedersen, S. E., Hurd, S. S., Lemanske, R. F Jr., Becker, A., Zar, H. J., Sly, P. D., Soto-Quiroz, M., Wong, G., Bateman, E. D., 2011, Global Initiative for Asthma. Global Strategy for Diagnosing and Managing Asthma in Children Five Years and Younger. Pediatric Pulmonology 46 (1):1–17.

[25].  Asher, M. I., Rutter, C. E., Bissell, K., Chiang, C Y., El Sony, A., Ellwood, E., Ellwood, P., Garcia-Marcos, L., Marks, G. B., Morales, E., et al., 2021, Worldwide Trends in the Burden of Asthma Symptoms in School-Aged Children: Global Asthma Network Phase I cross-sectional study. Lancet 398(10311):1569–1580.

[26].  Jordan, K., Coffman, M., Young, J. R., Steelman, S., Yee, L., 2022, Identification of Caregiver’s Knowledge and Perceptions of Pediatric Asthma Management: A Quality Improvement Initiative. J. Pediatr. Nurs. 65, 16–21.

[27].  Freitas, P. D., Xavier, R. F., McDonald, V. M., Gibson, P. G., Cordova-Rivera, L., Furlanetto, K.C., de Oliveira, J. M., Carvalho-Pinto, R. M., Cukier, A., Stelmach, R., et al. 2021. Identification of Asthma Phenotypes Based on Extrapulmonary Treatable Traits. Eur. Respir. J. 57:2000240.

[28].  The Global Initiative for Asthma. Pocket Guide for Asthma Management and Prevention, 2023, Global Initiative for Asthma (GINA).

[29].  Sancakli, O., Aslan, A. A., 2021. The Effects of Maternal Anxiety and Attitudes on the Adherence to Inhaled Corticosteroids in Children With Asthma. Allergol. Immunopathol. 49:138–145.

[30].  Sastre, J., Crespo, A., Fernandez-Sanchez, A., Rial, M., Plaza, V., 2018. Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment. J. Allergy Clin. Immunol. Pract. 6:1953–1959.

[31].  Alreshidi, F. M., Alrashidi, A. S., Alshammari, F. N. M., et al., 2017, Knowledge, Attitude and Practice About Allergic Rhinitis in Saudi Arabia, 2017. Egypt J Hosp Med. 69:2199–203.

[32].  Franken, M. M. A., Veenstra–Van Schie, M. T. M., Ahmad, Y. I., et al. 2018, The Presentation of a Short Adapted Questionnaire to Measure Asthma Knowledge of Parents. BMC Pediatr 18, 14.

[33].  Cronbach, L. J., 1951, Coefficient Alpha and the Internal Structure of Tests. Psychometrika. 16 (3):297–334.

[34].  Zanobetti, A., Ryan, P. H., Coull, B., Brokamp, C., Datta, S., Blossom, J., Lothrop, N., Miller, R. L., Beamer, P. I., Visness, C. M., et al., 2022, Childhood Asthma Incidence, Early and Persistent Wheeze, and Neighbourhood Socioeconomic Factors in the Echo/Crew consortium. JAMA Pediatr 176(8):759–767.

[35].  Wang, Z., Li, Y., Gao, Y., Fu, Y., Lin, J., Lei, X., Zheng, J., Jiang, M., 2023, Global, Regional, and National Burden of Asthma and its Attributable Risk Factors From 1990 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019. Respir. Res. 24, 169.

[36].  Asher, I., Wong, G., Xing, YH., Foliaki, S., Aho, G., 2022, Asthma in the Western Pacific Region. Int J Tuberc Lung Dis 26:65–69.

[37].  Shin, Y. H., Hwang, J., Kwon, R., Lee, S. W., Kim, M. S., G. B. D., 2019, Allergic Disorders Collaborators; Shin, J. I.; Yon, D. K. Global, Regional, and National Burden of Allergic Disorders and their Risk Factors in 204 Countries and Territories, from 1990 to 2019, 2023, A Systematic Analysis for the Global Burden of Disease Study. Allergy 78, 2232–2254.

[38].  Brosso, L., Zonta, J. B., Levada, A. F., Barbosa, N. G., Lima, R. A. G., Okido, A. C. C., 2023, Knowledge and Experience of Primary Education Teachers Regarding Childhood Asthma: Mixed Study. Rev Esc Enferm USP, 2023, 57 doi.org/10.1590/1980-220X-REEUSP-2022-0329en

[39].  Gare, M. B., Godana, G. H., Zewdu, B., 2020, Knowledge, Attitude, and Practice Assessment of Adult Asthmatic Patients Towards Pharmacotherapy of Asthma at Jimma University Specialized Hospital. EC Pul. Res. Med. 9:1–10.

[40].  Rutter, C., Silverwood, R., Pérez Fernández, V., Pearce, N., Strachan, D., Mortimer, K., Lesosky, M., Asher, I., Ellwood, P., Chiang, C. Y., et al, 2022, The Global Asthma Report. Int. J. Tuberc. Lung Dis. 26, 20–23.

[41].  Rhee, H., Love, T., Mammen J., 2019, Comparing Asthma Control Questionnaire (ACQ) and National Asthma Education and Prevention Program (NAEPP) Asthma Control Criteria. Allergy Asthma Immunol. 122:58–64. doi: 10.1016/j.anai.2018.09.448

[42].  Fasola, S., Fasola, S., Malizia, V., Ferrante, G., Licari, A., Montalbano, L., & Cilluffo, G., 2022, Asthma-Related Knowledge and Practices among Mothers of Asthmatic Children: A Latent Class Analysis. International Journal of Environmental Research and Public Health, 19(5), 2539.

[43].  Deis, J. N., Spiro, D. M., Jenkins, C. A., Buckles, T. L., Arnold, D. H., 2012, Parental Knowledge and use of Preventive Asthma Care Measures in Two Pediatric Emergency Departments. J Asthma. 47 (5): 551-556. 10.3109/02770900903560225

[44].  Alhammad, A. M., Alajmi, G., Alenizi, A., Alrashidi, E., Alghannam, G., Alaki, E., Alsaadi, M. M., Mayet, A. Y. 2020. Parental Attitude and Knowledge Towards Asthma Care Measures for their Children in Saudi Arabia. Pediatric Pulmonol.55, 2901–2907.

[45].  García-Marcos, L., Asher, M. I., Pearce, N., Ellwood, E., Bissell, K., Chiang, C. -Y., Sony, A. E., Ellwood, P., Marks, G. B., Mortimer, K., et al., 2022, The Burden of Asthma, Hay Fever and Eczema in Children in 25 Countries: GAN Phase I Study. Eur. Respir. J. 60, (3) 2102866 10.1183/13993003.02865-2021