Knowledge, attitude and practices among parents of asthmatic children in Rajasthan: a hospital based descriptive observational study
Keywords:Bronchial asthma, Peak expiratory flow
Background: Asthma is chronic inflammatory disorder associated with variable airflow obstruction and bronchial hyper responsiveness with different phenotypes. The objective of this study was to study the knowledge, attitude and practices among parents of Asthmatic children.
Methods: It was a prospective observational study, conducted at Fortis Hospital Jaipur, from April 2016 to March 2018. All Asthmatic children fulfilling inclusion were included, 120 children were studied. A detailed interview of all the children/parents was conducted by pre-validated KAP questionnaire. Subjects were labelled as Bronchial Asthma in children above 5 years of age on the basis of symptoms and measurement of Peak Expiratory Flow (PEF) both baseline and post bronchodilator by PEF meter and in children less than 5 years of age by clinical symptoms, family history and response to bronchodilator according to GINA guidelines. Statistical analysis was done by one-way ANOVA test and Chi-square test.
Results: In this study 26.4% parents were ignorant about etiology, 32% believed it to be allergy and 39.62% believed it to be hereditary. 1.9% had misconception of contagious. 68% parents know that their child have asthma while 32% parents did not know. Majority (52.1%) attributed it to cold air and rainy season followed by Dust mite and pollution in (42%).
Conclusions: Knowledge about Asthma has improved over last few decades but still needs replenishment. Knowledge gap between recommended and actual practices, lack of adherence to aerosol therapy and fear of medication side-effects still persists. Parental education is important part of management of Asthma.
Papadopoulos NG, Arakawa H, Carlsen KH, Custovic A, Gern J, Lemanske R, et al. International consensus on (ICON) pediatric asthma. Allergy. 2012 Aug;67(8):976-97.
MacDowell AL, Bacharier LB. Infectious triggers of asthma. Immunol Alle Clin. 2005 Feb 1;25(1):45-66.
Pal R, Dahal S, Pal S. Prevalence of bronchial asthma in Indian children. Ind J Commu Med: Offici Pub Ind Assoc Preven Soc Med. 2009 Oct;34(4):310.
Asher MI, Anderson HR, Stewart AW, Crane J. International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Worldwide variations in the prevalence of asthma symptoms: The International Study of Asthma and Allergies in Childhood (ISAAC). Eur Respir J. 1998;12:315-5.
Mellins RB. Patient education is key to successful clinical management of asthma. J Respir Dis Suppl. 1989:47-52.
Boulet LP, Vervloet D, Magar Y, Foster JM. Adherence: the goal to control asthma. Clin Chest Med. 2012;33(3):405-17.
Cabana MD, Slish KK, Evans D, Mellins RB, Brown RW, Lin X, et al. Impact of physician asthma care education on patient outcomes. Health Edu Beha. 2014 Oct;41(5):509-17.
Boulet LP, FitzGerald JM, Levy ML, Cruz AA, Pedersen S, Haahtela T, et al. A guide to the translation of the Global Initiative for Asthma (GINA) strategy into improved care. Eur Resp J. 2012 May 1;39(5):1220-9.
Sharma BS, Gupta MK, Chandel R. Prevalence of asthma in urban school children in Jaipur, Rajasthan. Ind Pediatr. 2012 Oct 1;49(10):835-6.
The Global Initiative for Asthma. Pocket Guide for Asthma Management and Prevention. 2016. Available at: http://www.ginasthma.org. Accessed 25 March 2016.
Kumar BR, Dudala SR, Rao AR. Kuppuswamy’s socio-economic status scale–a revision of economic parameter for 2012. Int J Res Dev Health. 2013 Jan;1(1):2-4.
Lal AS, Kumar L, Malhotra S. Knowledge of asthma among parents of asthmatic children. Ind Pediatr. 1995 Jun;32(6):649-55.
Shivbalan S, Balasubramanian S, Anandnathan K. What do parents of asthmatic children know about asthma? An Indian perspective. Ind J Chest Dis Allied Sci. 2005;47(2):81-7.
Bhagavatheeswarsn KS, Kasav JB, Singh AK, Mohan SK, Joshi A. Asthma-related knowledge, attitudes, practices (KAP) of parents of children with bronchial asthma: A hospital-based study. Ann Trop Med Public Health. 2016;9(1):23-30.
Ramesh N, Nisha C, Jose SK. Knowledge Regarding Childhood Asthma among Mothers of Asthmatic Children Presenting to a Selected Hospital, Bangalore, South India. Nat J Res Commu Med. 2014;3(3)224-9.
Zhao J, Shen K, Xiang L, Zhang G, Xie M, Bai J, et al. The knowledge, attitudes and practices of parents of children with asthma in 29 cities of China: a multi-center study. BMC Pediatr. 2013 Dec;13(1):20.
Mehrotra N, Ramagopal M, Dodani S. Cultural factors impacting asthma management in Asian Indian children. Ind J Alle, Asthma Immunol. 2014 Jul 1;28(2):63.