Adolescent versus parent reports on asthma and asthma symptoms

Romano-Zelekha, Orly; Graif, Yael; Sultan, Serine; Livne, Irit; Shohat, Tamy

doi:10.1002/ppul.23515

Cited by 5 publications

(4 citation statements)

References 16 publications

(31 reference statements)

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“…Adolescents seemed ambivalent about parents’ presence during the appointment, which was perceived necessary to ensure sharing critical information with the providers and simultaneously as a major barrier to adolescents’ direct or effective communication with the providers. Given poor parent-adolescent agreement in asthma symptom reports with adolescents reporting more symptoms [ 50 , 51 ], however, relying on symptom information communicated by parents for their teens could potentially result in undertreatment of the disease.…”

Section: Discussionmentioning

confidence: 99%

Are Mid to Late Adolescents with Asthma Ready for Transition of Care? A Qualitative Study

et al. 2022

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This qualitative descriptive study explores experiences and perspectives of mid-to-late adolescents about growing up with asthma, and the roles of parents and providers as they transition. Purposeful sampling was used to recruit and enroll adolescents aged 16–20 years with asthma. Forty-one adolescents participated in a focus group or individual interview, and content analysis was conducted to analyze the data. The mean age of participants was 17.7 years, the majority (56%) of whom were Black. Themes that emerged included concerns about becoming an adult with asthma and its self-management, parental involvement, and communication with providers. Adolescents felt burdened by asthma, few considered becoming adults with asthma, and their future outlook was pessimistic with concerns related to worsening symptoms, inadequacy in symptom self-management and limitations on career choices due to asthma. Deficiencies in self-management were noted, parents still played major roles in adolescents’ asthma care, and transition of care was seldom discussed with the providers. Mid-to-late adolescents with asthma are inadequately prepared for transition of care, and parents and providers insufficiently engage adolescents in the preparation. Parent, provider, and adolescent partnership is critical to achieve adolescent readiness for independence in asthma management and to ensure proper asthma care continuity post transition.

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Section: Discussionmentioning

confidence: 99%

Are Mid to Late Adolescents with Asthma Ready for Transition of Care? A Qualitative Study

et al. 2022

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“…Other studies found similarly weak agreement rates with kappa estimates for parent–child agreement in the range of 0.18–0.61 for current wheeze and 0.21–0.44 for exertional wheeze (Table 2 ). 21 , 30 , 31 , 32 , 34 A reason could be that the understanding of the term wheeze by parents and children is limited. 16 , 35 Definitions of wheeze from parents attending respiratory clinics often differ from definitions given in surveys.…”

Section: Discussionmentioning

confidence: 99%

Agreement of parent‐ and child‐reported wheeze and its association with measurable asthma traits

Mozún

Ardura‐Garcia

Pedersen

et al. 2021

Pediatric Pulmonology

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Objectives: In epidemiological studies, childhood asthma is usually assessed with questionnaires directed at parents or children, and these may give different answers. We studied how well parents and children agreed when asked to report symptoms of wheeze and investigated whose answers were closer to measurable traits of asthma.Methods: LuftiBus in the school is a cross-sectional survey of respiratory health among Swiss schoolchildren aged 6-17 years. We applied questionnaires to parents and children asking about wheeze and exertional wheeze in the past year. We assessed agreement between parent-child answers with Cohen's kappa (k), and associations of answers from children and parents with fractional exhaled nitric oxide (FeNO) and forced expiratory volume in 1 s over forced vital capacity (FEV 1 /FVC), using quantile regression.Results: We received questionnaires from 3079 children and their parents. Agreement was poor for reported wheeze (k = 0.37) and exertional wheeze (k = 0.36). Median FeNO varied when wheeze was reported by children (19 ppb, interquartile range [IQR]: 9-44),

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“…Self-report may over-or underdiagnose asthma symptoms. [39] However, the ISAAC self-report methodology has been widely used globally and validated against physician assessments. [14,40] Furthermore, the use of identical methodology at all three time points makes a valid comparison over time possible.…”

Section: Discussionmentioning

confidence: 99%

Asthma in South African adolescents: a time trend and risk factor analysis over two decades

et al. 2020

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BackgroundSouth Africa has undergone major economic and health system changes impacting the epidemiology of childhood asthma. This study aimed to investigate prevalence time-trends of asthma in South African adolescents over 2 decades and to identify associated risk-factors.MethodsA cross-sectional survey was conducted in 2017, in a randomised sample of 13–14 year-old Cape Town adolescents, using the standardised Global Asthma Network written, video, and environmental questionnaires. Using time-trend analysis, the prevalence and severity of asthma were compared with data from the 2002 ISAAC phase III study. Environmental and social risk-factors were analysed.Results3979 adolescents were included. Prevalence of lifetime and current asthma were 34.5% and 21.3%, respectively, on the self-report written questionnaire, similar to 2002 results. The prevalence of severe asthma in the last 12 months increased, measured by wheeze limiting speech (7.8% to 11.8%), ≥4 attacks of wheezing (5.0% to 5.8%) or ≥1 night·week−1 waking from wheezing (5.0% to 6.9%). The video questionnaire revealed increases in lifetime (16.9% to 22.5%), current (11.2% to 18.7%), or severe asthma (12.1% to 14.8%). Multivariate analysis showed associations between current asthma and smoking, female sex, pet exposure or higher socioeconomic status. Severe asthma was associated with smoking, pet exposure, outdoor pollution exposure or informal housing. 33% of those with severe or current asthma had been diagnosed.ConclusionThe prevalence of asthma is high, with increasing rates of severe asthma in adolescents. Underdiagnosis is a major concern and reduction in exposure to environmental factors, particularly smoking, and improved socioeconomic development are needed.

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Adolescent versus parent reports on asthma and asthma symptoms

Cited by 5 publications

References 16 publications

Are Mid to Late Adolescents with Asthma Ready for Transition of Care? A Qualitative Study

Are Mid to Late Adolescents with Asthma Ready for Transition of Care? A Qualitative Study

Agreement of parent‐ and child‐reported wheeze and its association with measurable asthma traits

Asthma in South African adolescents: a time trend and risk factor analysis over two decades

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