The Impact of Asthma Health Education for Parents of Children Attending Head Start Centers

Carrillo, Genny; Kirk, Sara F. L.; Mier, Nelda; Garza, Norma; Lucio, Rose L.; Zúñiga, Miguel Ángel

doi:10.1007/s10900-012-9571-y

Cited by 26 publications

(13 citation statements)

References 10 publications

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“… 27 In a local study conducted in Riyadh, Saudi Arabia, it was found that the prevalence of uncontrolled asthma is three times higher among the children of caregivers who agree with the statement “It is not advisable for children to use an inhaler for too long.” 14 In another study conducted in the USA, 115 parents of children received education about asthma, and a follow-up survey 6 months later found significant improvement in their knowledge and behavior regarding asthma management at home, which is expected to result in better control of asthma in their children. 29 …”

Section: Discussionmentioning

confidence: 99%

Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia

AlOtaibi¹,

AlAteeq²

2018

RMHP

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BackgroundFamily management of asthmatic children is affected by several factors, primarily the parent’s knowledge and attitude toward asthma.ObjectiveThe aim of this study was to explore the knowledge and practice of parents and guardians about asthma in their children.MethodsTwo hundred and thirty-one self-administered questionnaires were distributed to parents and guardians attending, with their children, general pediatric and pediatric pulmonology outpatient clinics at King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia, during the period from August 2016 to March 2017.ResultsMost of the participants (79.6%) have moderate knowledge. The mean of total knowledge was found to be higher among mothers compared with other groups (p=0.019). Most participants (88.3%) reported providing asthma treatment regularly and 61.9% visited the clinic regularly. Almost half of the participants have misconceptions about asthma medications. During acute asthma attacks, more than half of the participants (54.5%) massaged their child’s chest or back, and 52.4% provided the child homemade or herbal remedies.ConclusionThis study revealed a moderate level of knowledge about asthma among the parents and guardians of asthmatic children, but poor knowledge about asthma medications. For better control of asthma, more effort is needed to educate caregivers and to enhance their awareness about asthma and highlight the misconceptions about asthma medications at both hospital level and community level.

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Section: Discussionmentioning

confidence: 99%

Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia

AlOtaibi¹,

AlAteeq²

2018

RMHP

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“…In one study, 115 parents of children in Head Start Centers received asthma-related education. The results showed that the provision of education improved asthma and healthy home-knowledge, and that 98.4% of the parents made changes in their households [26]. …”

Section: Discussionmentioning

confidence: 99%

The knowledge, attitudes and practices of parents of children with asthma in 29 cities of China: a multi-center study

Zhao

Shen

et al. 2013

BMC Pediatr

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BackgroundAsthma is becoming increasingly prevalent among children in China. Poor parent knowledge and attitudes often contribute to inappropriate management practices, leading to deficiencies in the care process. We aimed to document the knowledge, attitudes and practices (KAP) of parents of children with asthma and analyze how knowledge and attitudes relate to practices. Our secondary objective was to identify the factors associated with parent KAP scores.MethodsA KAP questionnaire was distributed to parents caring for 2960 children (0–14 years) diagnosed with asthma for at least 3 months from China’s 29 provinces. A 50-item questionnaire was devised for this cross-sectional survey based on a comprehensive review of the subject. Questionnaires were scored on 30 items regarding parent asthma-related KAP, with one point for every correct response and a possible range of 0–13 for knowledge, 0–7 for attitudes and 0–10 for practices. Higher scores indicated better KAP. Chi-squared tests and logistic regression were used to identify factors associated with practices and combined KAP scores.ResultsThe response rate was 83.95% (2485/2960). Only 18.31% (455/2485) of parents correctly answered ≥ 60% of the knowledge questions (mean = 5.69). Most (89.85%; 2226/2485) gave positive responses to ≥ 60% of the attitude questions (mean = 5.23) while 67.89% (1687/2485) correctly answered ≥ 60% of the practices questions (mean = 6.19). Knowledge and attitudes were positively associated with pulmonary function testing, regular physician visits, monitoring with a peak flow meter and the Children’s Asthma Control Test questionnaire, avoidance of asthma triggers, using an inhaled β2 receptor agonist and adherence to medication regimen (p ≤ 0.05). Attitudes were also associated with allergen testing. In logistic regression analysis, high KAP scores (dichotomized by a cut-off score of 18) were positively associated with food allergy, rhinitis, physician visits, frequency of visits and parent education (p < 0.05, OR > 1).ConclusionsGenerally, the parents’ KAP were poor. A gap between recommended and actual practice was observed, which may be related to inadequate knowledge about and poor attitudes toward childhood asthma. Improving knowledge and attitudes may encourage better practices among parents of children with asthma.

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“…The intervention aimed to teach families how to more effectively manage their child’s asthma, and create a healthier home environment. It included the following components: asthma signs and symptoms, asthma management, identifying common asthma triggers, correct use of asthma medications, emergency actions in case of asthma attacks, and fundamental components of an asthma action plan [23]. The curriculum also included content from the Seven Principles of Healthy Homes, a program developed by the National Healthy Homes Training Center and Network to reduce hazardous exposure in the household and learn how to keep the home dry, clean, ventilated, safe, pest-free, and contaminant-free [24].…”

Section: Methodsmentioning

confidence: 99%

Effects of the home-based educational intervention on health outcomes among primarily Hispanic children with asthma: a quasi-experimental study

Baek

Conner²,

Tapangan

et al. 2019

BMC Public Health

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Background Childhood asthma is a significant health issue with 8.3% prevalence in the U.S. Its prevalence is particularly higher among low-income communities in the Texas-Mexico border region, as they often lack access to clinical care and health insurance. This study examines the impact of a home-based education led by Community Health Workers (CHWs) on health outcomes for asthmatic, predominantly Hispanic children in these communities. Methods The study was a quasi-experimental design to learn the effectiveness of the asthma home-based education by comparing changes of health outcomes between baseline and follow-up of intervention and control groups. This study enrolled 290 participants, consisting of 130 in the intervention group and 160 in the control group. The educational intervention led by the CHWs referenced the Asthma and Healthy Homes curriculum and contents of the Seven Principles of Healthy Homes. The multiple linear regression analysis was conducted to estimate the associations between the intervention and each health outcome. Results When comparing the intervention group with the control group, the intervention group showed a significantly greater decrease in asthma attacks than the control group ( p = 0.049). Although all of the five Children’s Health Survey for Asthma (CHSA) scores showed significant improvements between baseline and follow-up in both groups, we found that increases of CHSA scores in the intervention group were higher than the control group except for emotional health of children (EC) score. The multiple linear regression models demonstrated that the mean changes in asthma attacks ( p = 0.036) and emotional health of families (EF) score ( p = 0.038) were significantly better in the intervention group than the control group, adjusting for children’s age of diagnosis, household income, use of steroids, family history of allergy, and type of insurance. Conclusions This study concluded that the home-based education by CHWs effectively improve health outcomes among children in communities lacking access to medical resources. The findings suggest the importance of the home-based education program in promoting emotional and medical care for children and their families in low-income communities like those in the Texas-Mexico border region.

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The Impact of Asthma Health Education for Parents of Children Attending Head Start Centers

Cited by 26 publications

References 10 publications

Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia

Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia

The knowledge, attitudes and practices of parents of children with asthma in 29 cities of China: a multi-center study

Effects of the home-based educational intervention on health outcomes among primarily Hispanic children with asthma: a quasi-experimental study

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