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