Barriers in the management of asthma and attitudes towards complementary medicine

Singh, Virendra; Sinha, Himanshu; Gupta, Rajeev

doi:10.1053/rmed.2002.1368

Cited by 24 publications

(33 citation statements)

References 13 publications

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“…Among adults with asthma, prevalence rates of CAM use range from 6 to 79% in adults (17)(18)(19)(20) and 13-89% in children and adolescents with asthma (21)(22)(23)(24). Adolescents with asthma have been reported to use CAM for a variety of reasons including improved symptom management, concerns about and/or dissatisfaction with conventional therapies, and a belief in "more natural," alternative methods (8,25).…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine Behaviors and Beliefs in Urban Adolescents with Asthma

Cotton

Luberto

et al. 2011

Journal of Asthma

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Many urban adolescents used and would consider using CAM, specifically relaxation and prayer, for asthma symptom management. African-Americans, older adolescents, and those with more frequent symptoms were more likely to use and/or consider using CAM. Providers caring for urban adolescents with asthma should discuss CAM with patients, particularly those identified as likely to use CAM. Future studies should examine relationships between CAM use and health outcomes.

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Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine Behaviors and Beliefs in Urban Adolescents with Asthma

Cotton

Luberto

et al. 2011

Journal of Asthma

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“…One may be inaccurate symptom assessment or underestimation of asthma severity. In an India-based questionnaire survey of Indians, the majority of patients were unable to assess their symptom severity with only 11.9% able to perceive warning signs of an acute attack [25]. A similar study undertaken in India compared the accuracy of parents and their children in recognising asthma severity symptoms and noted 62% and 60% accuracy respectively [26].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of explanatory factors of barriers and facilitators to improving asthma management in South Asian children

Lakhanpaul¹,

Bird

Manikam³

et al. 2014

BMC Public Health

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BackgroundSouth Asian children with asthma are less likely to receive prescriptions and more likely to suffer uncontrolled symptoms and acute asthma admissions compared with White British children. Understanding barriers are therefore vital in addressing health inequalities. We undertook a systematic review identifying explanatory factors for barriers and facilitators to asthma management in South Asian children. South Asians were defined as individuals of Indian, Pakistani or Bangladeshi descent.MethodsData Sources - Medline, HMIC, EMBASE, ASSIA, Web of Science, BNI, CINAHL, PsycINFO, OpenSIGLE, CRD, Scopus, NHS Evidence, Cochrane Library, Campbell Collaboration, RCPCH, ATS, ERS, Asthma UK, Google Scholar & Asthma Guidelines (BTS, GINA, ATS, Monash, NAEPP, Singapore & New Zealand) to August 2013.Inclusion Criteria – Qualitative, quantitative or mixed methods research with primary focus on identifying explanations for barriers and/or facilitators to asthma management in South Asian children aged 0–18 years with diagnosed/suspected asthma and/or carers and/or healthcare professionals.Data Extraction – Three authors independently reviewed, selected & extracted eligible articles with disagreements resolved by research team discussion.Results15 studies encompassing 25,755 children, 18,483 parents/carers and 239 healthcare professionals were included. Barriers and explanatory factors identified were:1. Lack of asthma knowledge in families and healthcare professionals.2. Under-use of preventer medications.3. Non-acceptance/denial of asthma.4. Over-reliance on Emergency Department management.5. Communication problems.6. Non-adherence to medication.7. Use of complementary therapies.Little facilitators regarding asthma management were identified.ConclusionsSeveral key issues were identified as likely to be ethnic-specific to South Asian families, rather than a reflection of minority status: impact of parental and professional knowledge and beliefs, health service utilisation pattern explanations and the impact of prejudice and stigmatisation. Other explanations such as language barriers are not strictly ethnic specific but instead reflect a minority position.Further research is required to identify why barriers exist, the mechanisms by which they impact on asthma management and how they can be overcome. Furthermore, understanding the difference between barriers and explanations that are ethnic-specific and those that are related to being a minority will enable the application of generic system-wide interventions where ethnicity is not the issue and ethnically-tailored interventions where needed.

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“…Several randomized controlled trials done with patients with allergies or asthma have shown benefits from yoga postures and breathing. [11][12][13] Nevertheless, it is difficult to establish controls for all subjects following the same practice so that inconsistent effects are oftentimes observed.…”

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confidence: 99%

The Experience of Persons With Allergic Respiratory Symptoms

Chukumnerd

Hatthakit

Chuaprapaisilp

2011

Holistic Nursing Practice

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The purpose of this study was to describe the experience of persons with allergic respiratory symptoms who practice yoga as a self-healing modality. Fifteen participants were interviewed. Using the content analysis method, 5 themes emerged from the data: perceived positive effects, powerful and harmonious inner energy, mindfulness and self-awareness, understanding self and others, and promoting and achieving a state of balance and harmony. These findings foster the value of knowing the experience of persons who practice yoga as an intervention in holistic nursing.

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Barriers in the management of asthma and attitudes towards complementary medicine

Abstract: Patients with asthma have many barriers in the way of optimal treatment. These include a failure to recognize warning symptoms, belief in a permanent cure; not continuing treatment for as long as needed; and, an inclination to seek complimentary medicines.

Cited by 24 publications

References 13 publications

Complementary and Alternative Medicine Behaviors and Beliefs in Urban Adolescents with Asthma

Complementary and Alternative Medicine Behaviors and Beliefs in Urban Adolescents with Asthma

A systematic review of explanatory factors of barriers and facilitators to improving asthma management in South Asian children

The Experience of Persons With Allergic Respiratory Symptoms

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