Parental Perception about use of Inhaler Therapies in Childhood Asthma

Nouman Khan; Muhammad Hussain; Muhammad Ibrahim; Shaista Khan; UbaidUllah; Ain Ud Din; Amin Ullah Kakar

doi:10.70749/ijbr.v2i02.360

Authors

Nouman Khan Department of Pediatric, Gulab Devi Teaching Hospital, Lahore, Punjab, Pakistan.
Muhammad Hussain Department of Pediatric, Sandeman Provincial Hospital, Quetta, Balochistan, Pakistan.
Muhammad Ibrahim Department of Pediatric, Sandeman Provincial Hospital, Quetta, Balochistan, Pakistan.
Shaista Khan Department of Pediatrics, Baluchistan Institute of Child Health Services, Quetta, Balochistan, Pakistan.
UbaidUllah Department of Pediatrics, Bolan Medical Complex Hospital (BMCH), Quetta, Pakistan.
Ain Ud Din University of Balochistan.
Amin Ullah Kakar Department of Psychiatry, Balochistan Institute of Psychiatry and Behioural Sciences BIPBS Quetta, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v2i02.360

Keywords:

Childhood Asthma, Concern, Inhaled Therapy, Perception

Abstract

Background: Parental attitudes towards the use of inhaled therapy in children with chronic asthma influence treatment adherence and outcome. In the present study, we evaluated the perceptions and concerns of parents of children with chronic asthma towards inhaled therapy. Objectives: The primary objective of this study is to understand how parents perceive inhaler therapies for managing childhood asthma, focusing on factors such as effectiveness, accessibility, and potential side effects. It also seeks to explore the influence of socio-cultural factors on parental acceptance and adherence to prescribed inhaler treatments. Methods: A qualitative approach was used, involving in-depth interviews with 200 parents or caregivers of children aged 5 to 12 years diagnosed with asthma. Participants were selected from Bolan Medical Complex, Quetta, through purposive sampling. The study gathered data through semi-structured interviews that focused on participants' experiences, attitudes, and knowledge regarding inhaler therapies. Results: The findings revealed that the majority of parents were aware of asthma and inhaler therapies, with a significant proportion viewing inhalers as an effective treatment option. However, concerns about side effects and the long-term use of inhalers were common. Cultural beliefs also influenced parents' willingness to embrace inhaler therapy, with some preferring alternative treatments. Conclusion: The study highlights the importance of addressing parental concerns and misconceptions about inhaler therapies. Educational interventions, clear communication from healthcare providers, and culturally sensitive approaches are crucial in improving parental acceptance and adherence to inhaler treatments, ultimately enhancing asthma management in children.

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References

Abrams, E. M., Shaker, M., Greenhawt, M., Fernandes, R. M., & Sinha, I. (2021). Treatment of mild-to-moderate asthma in childhood and adolescence in 2021. The Lancet Respiratory Medicine, 9(5), 443–445. https://doi.org/10.1016/s2213-2600(21)00135-1

Bereda, G. (2022). Bronchial asthma: etiology, pathophysiology, diagnosis and management. Austin J. Pulm. Respir. Med, 9(1), 1085. https://doi.org/10.26420/austinjpulmrespirmed.2022.1085

Funaguchi, N., Ogasawara, M., Kiryu, T., Terashima, T., Gon, Y., Shimizu, T., ... & Sawai, H. (2024). Respiratory/Infection Symptoms. In Internal Medicine for Dental Treatments: Patients with Medical Diseases (pp. 3-11). Singapore: Springer Nature Singapore.

Zeitouni, M. O., Al-Moamary, M. S., Coussa, M. L., Riachy, M., Mahboub, B., AlHuraish, F., Zidan, M. H., Metwally, M. M., Aksu, K., Yavuz, E., Kalla, I. S., Chakaya, J., Abdelmadjid, S., & Ghedira, H. (2022). Challenges and recommendations for the management of asthma in the Middle East and Africa. Annals of Thoracic Medicine, 17(2), 71-80. https://doi.org/10.4103/atm.atm_469_21

Hernandez‐Pacheco, N., Kere, M., & Melén, E. (2022). Gene‐environment interactions in childhood asthma revisited; expanding the interaction concept. Pediatric Allergy and Immunology, 33(5). https://doi.org/10.1111/pai.13780

Pijnenburg, M. W., Frey, U., De Jongste, J. C., & Saglani, S. (2021). Childhood asthma: Pathogenesis and phenotypes. European Respiratory Journal, 59(6), 2100731. https://doi.org/10.1183/13993003.00731-2021

Diaconu, I. D., Gheorman, V., Grigorie, G. A., Gheonea, C., Tenea-Cojan, T., Mahler, B., Voropanov, I. A., Firoiu, M. C., Pîrvu, A. S., Popescu, A. B., & Văruț, R. (2024). A comprehensive look at the development of asthma in children. Children, 11(5), 581. https://doi.org/10.3390/children11050581

Cunico, D., Giannì, G., Scavone, S., Buono, E. V., & Caffarelli, C. (2024). The relationship between asthma and food allergies in children. Children, 11(11), 1295. https://doi.org/10.3390/children11111295

Crossingham, I., Turner, S., Ramakrishnan, S., Hynes, G., Gowell, M., Yasmin, F., Fries, A., Chaudhry, A., & Hinks, T. S. (2020). Combination fixed-dose beta agonist and steroid inhaler as required for adults or children with mild asthma. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd013518

Kapri, A., Pant, S., Gupta, N., Paliwal, S., & Nain, S. (2022). Asthma history, current situation, an overview of its control history, challenges, and ongoing management programs: An updated review. Proceedings of the National Academy of Sciences, India Section B: Biological Sciences, 93(3), 539-551. https://doi.org/10.1007/s40011-022-01428-1

Zanobetti, A., Ryan, P. H., Coull, B., Brokamp, C., Datta, S., Blossom, J., Lothrop, N., Miller, R. L., Beamer, P. I., Visness, C. M., Andrews, H., Bacharier, L. B., Hartert, T., Johnson, C. C., Ownby, D., Khurana Hershey, G. K., Joseph, C., Yiqiang, S., Mendoza, E., & Jackson, D. J. (2022). Childhood Asthma Incidence, Early and Persistent Wheeze, and Neighborhood Socioeconomic Factors in the ECHO/CREW Consortium. JAMA Pediatrics, 176(8). https://doi.org/10.1001/jamapediatrics.2022.1446

Lovinsky-Desir, S., Riley, I. L., Bryant-Stephens, T., De Keyser, H., Forno, E., Kozik, A. J., Louisias, M., Matsui, E. C., Sheares, B. J., Thakur, N., Apter, A. J., Beck, A. F., Bentley-Edwards, K. L., Berkowitz, C., Braxton, C., Dean, J., Jones, C. P., Koinis-Mitchell, D., Okelo, S. O., … Federico, M. J. (2024). undefined. Annals of the American Thoracic Society, 21(10), 1349-1364. https://doi.org/10.1513/annalsats.202407-767st

Aldirawi, A., Al Rawwad, T., Al-Qudimat, A. R., Jin, Y., Brooks, A., & Eldeirawi, K. (2024). The lived experiences of mother’s caring for children with uncontrolled asthma: A qualitative study. SAGE Open Medicine, 12. https://doi.org/10.1177/20503121241290864

Mazi, A., Madani, F., Alsulami, E., Almutari, A., Alamri, R., Jahhaf, J., & Alsulaimani, S. (2023). Uncontrolled asthma among children and its association with parents’ asthma knowledge and other socioeconomic and environmental factors. Cureus. https://doi.org/10.7759/cureus.35240

Mathur, S., & Singh, P. (2024). Chronic obstructive pulmonary disease: Lifestyle impact. International Journal of Preventive Medicine, 15. https://doi.org/10.4103/ijpvm.ijpvm_297_23

Brustad, N., & Chawes, B. (2024). Vitamin D primary prevention of respiratory infections and asthma in early childhood: Evidence and mechanisms. The Journal of Allergy and Clinical Immunology: In Practice, 12(7), 1707-1714. https://doi.org/10.1016/j.jaip.2024.02.005

Martin, J., Townshend, J., & Brodlie, M. (2022). Diagnosis and management of asthma in children. BMJ Paediatrics Open, 6(1), e001277. https://doi.org/10.1136/bmjpo-2021-001277

Alfaqih, I. I., & Awad, A. M. (2024). Common childhood illnesses: Diagnosis and treatment of asthma, allergies, and ear infections. Scholars Academic Journal of Biosciences, 12(04), 99-103. https://doi.org/10.36347/sajb.2024.v12i04.007

Menzies-Gow, A., Jackson, D. J., Al-Ahmad, M., Bleecker, E. R., Cosio Piqueras, F. D., Brunton, S., Canonica, G. W., Chan, C. K., Haughney, J., Holmes, S., Kocks, J., & Winders, T. (2022). A renewed charter: Key principles to improve patient care in severe asthma. Advances in Therapy, 39(12), 5307-5326. https://doi.org/10.1007/s12325-022-02340-w

Dierick, B. J., Eikholt, A. A., Van de Hei, S. J., Muris, J. W., Kerstjens, H. A., & Van Boven, J. F. (2024). Reshaping respiratory care: Potential advances in inhaled pharmacotherapy in asthma. Expert Opinion on Pharmacotherapy, 25(11), 1507-1516. https://doi.org/10.1080/14656566.2024.2389258

Wong, C., & Morton, R. W. (2021). Monitoring adherence in children with asthma. Paediatrics and Child Health, 31(7), 284-289. https://doi.org/10.1016/j.paed.2021.04.004

Yi, M., Jia, Y., Zhao, B., & Chen, O. (2024). The barriers to shared decision-making in exercise prescription for children with asthma: A qualitative study from parents’ perspective. Journal of Pediatric Health Care, 38(5), 666-676. https://doi.org/10.1016/j.pedhc.2024.01.001

Duncan, D. (2023). Inhaler devices: Optimising use in children. British Journal of Child Health, 4(3), 117-120. https://doi.org/10.12968/chhe.2023.4.3.117

Roivas, I., Piiroinen, J., & Juvonen, P. (2024). Administration of inhaled asthma medication for children aged 1-3 years old: an educational video for nursing students.

Burbank, A. J., Hernandez, M. L., Jefferson, A., Perry, T. T., Phipatanakul, W., Poole, J., & Matsui, E. C. (2023). Environmental justice and allergic disease: A work group report of the AAAAI environmental exposure and respiratory health committee and the diversity, equity and inclusion committee. Journal of Allergy and Clinical Immunology, 151(3), 656-670. https://doi.org/10.1016/j.jaci.2022.11.025

O'Connor, A., Tai, A., Brinn, M., Hoang, A. N., Cataldi, D., & Carson-Chahhoud, K. (2023). Co-design of an augmented reality asthma inhaler educational intervention for children: Development and usability study. JMIR Pediatrics and Parenting, 6, e40219. https://doi.org/10.2196/40219

Jullien, S., Carai, S., & Weber, M. W. (2024). Addressing the growing burden of obesity, diabetes and asthma in children and adolescents: The role of primary health care and the WHO pocket book in Europe for a healthy future. Global Pediatrics, 9, 100186. https://doi.org/10.1016/j.gpeds.2024.100186

Alharkan, H. F., Alotaibi, K. M., Almohanna, H. A., Alzahrani, A. Y., Alhaiz, A. N., Alotaibi, S. D., ... & Alsunbul, S. A. (2024). Asthma Control Strategies: A Review of Evidence-Based Techniques and Treatment Plans. Journal of International Crisis and Risk Communication Research, 104-119. https://jicrcr.com/index.php/jicrcr/article/view/1302

Mackle, R., Chan, M., Lay, M., Purcell, M., Campbell, N., Jaffe, A., Owens, L., Gray, M., & Homaira, N. (2024). Parental perceptions and knowledge toward asthma action plans. Journal of Asthma, 1-10. https://doi.org/10.1080/02770903.2024.2408758

Duvnjak, J. P., Ursic, A., Matana, A., & Mikic, I. M. (2024). Parents’ beliefs about medicines and their influence on inhaled corticosteroid adherence in children with asthma. Children, 11(2), 167. https://doi.org/10.3390/children11020167