Contrast of Pediatric Asthma Management Approaches in a Multicultural and Collectivistic Population

Tse, Alice M.; Palakiko, Donna-Marie; Texeira, Ronnie

doi:10.1080/02770900500263764

Cited by 4 publications

(9 citation statements)

References 17 publications

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“…10(p168), 16 Respectful, dialogical approaches are needed wherein educators seek to learn about learners' perspectives and realities in order to provide relevant and targeted information about asthma management. 3,9,10,20,23,42,46 This need for dialogical educational approaches is supported by this study's finding that participants viewed asthma as uncontrollable even though they understood symptoms and triggers and knew strategies for managing both. Their beliefs were based on their experience and also reflect the realities of health care in urban settings.…”

Section: Discussionmentioning

confidence: 65%

“…Thus, an effective educational approach would involve identifying and then negotiating these beliefs. 3,10,21,23 In summary, the data provided compelling evidence that the participants who entered the study already knew about triggers and overt asthma symptoms. In many ways, this was to be expected.…”

Section: View Of How To Sustain Healthmentioning

confidence: 86%

“…As many researchers have noted, patients and providers' perspectives are often quite different. 19,21,23 Asthma educators can help bridge this divide by incorporating teaching approaches that provide important medical information as well as engage and negotiate with students' understandings and beliefs about asthma.…”

Section: Discussionmentioning

confidence: 99%

“…beliefs about health maintenance that conflict with medical recommendations. [6][7][8]10,13,21,23,24 To be effective, asthma education needs to address the realities of families' lives and help them develop a deeper understanding of asthma's complexity.…”

mentioning

confidence: 99%

“…9,10 Specifically, the use of interviews and ongoing focus groups allowed extensive access to participants' beliefs and theories about asthma and asthma management. 3,8,10,21,[23][24][25][26][27][28] Through ongoing focus groups with urban adolescents as well as individual participant interviews, descriptive trends in participants' knowledge of asthma triggers and symptoms and their perspectives on asthma management emerged. Also evident was a collective view that asthma is a condition that cannot be controlled, a view grounded in participants' experiences as well as their knowledge of asthma basics.…”

mentioning

confidence: 99%

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Urban Youth’s Perspectives on Asthma and Asthma Management

Simon

2013

Journal of Asthma & Allergy Educators

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Background. Education is widely recognized as a valuable contribution to asthma management. Asthma's high incidence in urban areas and the documented challenges that poor urban families face in managing asthma make effective education particularly important. However, its potential is undercut when the educational content is not relevant to learners' experiences with, and beliefs about, asthma. This article focuses on urban adolescents' understandings of asthma with the goal of identifying directions for more effective and relevant asthma education. Method. This qualitative study employed a culturally relevant stance with the goal of accessing participants' beliefs and theories about asthma and asthma management. Ongoing focus group meetings with urban adolescents were used as well as semistructured one-on-one interviews. Findings. Data demonstrated that participants understood asthma triggers and symptoms. Data trends also identified participants' belief that asthma is a condition that cannot be controlled, a view that conflicts with asthma therapy goals. Discussions. Because participants' understandings were grounded in their experiential knowledge, top-down, information-focused education is unlikely to be effective in changing participants' beliefs. These findings highlight the necessity for educational approaches that assess what learners already know about asthma, their experiences with the condition, and the understandings they have formulated about asthma. Educators can then build on learners' knowledge in ways that effectively teach important information about this complex condition.

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