Study of the knowledge, attitudes and practices of parents of children with bronchial asthma in a tertiary care hospital in Ahmedabad


  • Kavya Menon Department of Paediatrics, GCS Medical College, Ahmedabad, Gujarat, India
  • Hetal D. Vora Department of Paediatrics, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Snehal V. Patel Department of Paediatrics, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Nirali P. Desai Department of Paediatrics, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Palak D. Pandya Department of Paediatrics, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Halak J. Vasavada Department of Paediatrics, Narendra Modi Medical College, Ahmedabad, Gujarat, India



Asthma, Knowledge, Attitude, Practice


Background: Asthma is common chronic diseases among children. The impact of asthma in children depends on complex interactions between disease severity, reaction of children towards disease, treatment efficiency, social roles, and social environment. This study aims to assess the level of knowledge, the common misconceptions and the common attitudes and practices prevalent among parents of asthmatic children, which can help paediatricians in educating parents and the public about the disease.

Methods: It was hospital based cross sectional study. Parents with bronchial asthmatic children between 3 and 12 years of age were interviewed based on predefined criteria. A proforma was used to collect data of parents and disease history of children. The 45-item questionnaire with three domains: knowledge, attitude, practice of bronchial asthma was scored. Higher scores indicated better KAP.

Results: Out of 90 respondents, 64.4% had poor knowledge and 35.6% had good knowledge. About 44.4% respondents had negative attitude and 81.1% had poor practice.

There was a poor attitude on the usage of asthma controller medication and the time of stoppage of the medicines. Overall, the attitude was on an average scale in more than 50.0% of the respondents.

Conclusions: Around 2/3rd parents had poor knowledge and negative attitude and ⅘ had poor practice. There was a significant association for the severity and duration of the disease with the knowledge and practice There was a significant conversion of good knowledge to practice.


Forero R, Bauman A, Young L, Larkin P. Asthma prevalence and management in Australian adolescents: results from three community surveys. J Adolesc Health. 1992;13(8):707-12.

The Global Asthma Report 2018. Available at: https://www.The Global Asthma Report Accessed on 20 November 2023.

Pearce N, Aït-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, et al. ISAAC Phase Three Study Group. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2007;62(9):758-66.

Vishwanathan R, Prasad M, Thakur AK, Sinha SP, Prakash N, Mody RK, et al. Epidemiology of asthma in an urban population: A random morbidity survey. J Indian Med Assoc. 1966;46:480-3.

The International Study of Bronchial Asthma and Allergies in Childhood (ISAAC) Steering Committee. Worldwide variation in prevalence of symptoms of Bronchial Asthma, allergic rhino conjunctivitis, and atopic eczema: ISAAC. Lancet 1998;351:1225-32.

Chhabra SK, Gupta CK, Chhabra P, Rajpal S. Prevalence of bronchial asthma in school children in Delhi. J Asthma. 1998;35:291-6.

Chhabra SK, Gupta CK, Chhabra P, Rajpal S. Risk factors for development of bronchial asthma in children in Delhi. Ann Allergy Asthma Immunol. 1999;83:385-90.

Gupta D, Aggarwal AN, Kumar R, Jindal SK. Prevalence of bronchial Asthma and association with environmental tobacco smoke exposure in adolescent school children in Chandigarh, North India. J Asthma. 2001;38:501-7.

Singh D, Sobti PC, Arora V, Soni RK. Epidemiologicalal study of asthma in rural children. Indian J Community Med. 2002;27:167-70.

Suarez-Varela MM, Garcia de Andoin N, Batlles-Garrido J. Geographic variance in the prevalence of asthma symptoms in Spanish children and adolescents.International study of Asthma and Allergies in Childhood (ISSAC) Phase 3, Spain. Arch Bronchoneumol. 2005;41(12):659-66.

Global Strategy for Asthma Management and Prevention, 2021. Available at: gina-reports/. Accessed on 20 November 2023.

Shivbalan S, Balasubramanian S, Anandnathan K. What do parents of asthmatic children know about asthma?: An Indian perspective. Indian J Chest Dis Allied Sci. 2005;47(2):81-7.

Lal A, Kumar L, Malhotra S. Knowledge of asthma among parents of asthmatic children. Indian Pediatr. 1995;32(6):649-55.

Zhao J, He Q, Zhang G, Chen Q, Bai J, Huang Y, et al. Status of asthma control in children and the effect of parents’ knowledge, attitude, and practice (KAP) in China: A multicenter study. Ann Allergy Asthma Immunol. 2012;109(3):190-4.

Alotaibi E, Alateeq M. Knowledge and practice of parents and guardians about childhood asthma at king abdulaziz medical city for National Guard, Riyadh, Saudi Arabia. Risk Manag Healthc Policy. 2018;11: 67-75.

Gajanan G, Padbidri VS, Chaudhury A. Assessment of Knowledge and Attitude of Parents towards the Allergy and Bronchial Asthma in Their Children. Int J Med Public Heal. 2016;6(3):121-5.

Abu-Shaheen AK, Nofal A, Heena H. Parental Perceptions and Practices toward Childhood Asthma. Biomed Res Int. 2016;2016:6364194.

Laster N, Holsey CN, Shendell DG, McCarty FA, Celano M. Barriers to asthma management among urban families: Caregiver and child perspectives. J Asthma. 2009;46:731-9.

Zaraket R, Al-Tannir MA, Bin Abdulhak AA, Shatila A, Lababidi H. Parental perceptions and beliefs about childhood asthma: a cross-sectional study. Croat Med J. 2011;52(5):637-43.

Banga S, Tali SH, Yousuf S. A Survey of Knowledge, Attitude and Practices of mothers of asthmatic children; an Indian Experience. IJSR. 2017;6(5):183-6.

Koshapor F, Rostami S, Alijani Renani H, Cheraghian B. Assessing Knowledge, Attitude, and Practices of Parents Towards Physical Activity of Children with Asthma Referring to Ahvaz Teaching Hospitals, Jundishapur. J Chronic Dis Care. 2018;7(1):e65450.

Noureddin AA, Shaaban KM, Mohamed SOO, Abdalla AA, Mahmoud AAA, Salman MST. The knowledge attitude and practice (KAP) of mothers of asthmatic children toward asthma in Khartoum asthma clinics. Sci Rep. 2019;9(1):1-5.






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