scholarly journals Parental Perceptions and Practices toward Childhood Asthma

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Amani K. Abu-Shaheen ◽  
Abdullah Nofal ◽  
Humariya Heena
Keyword(s):  
Parental Education ◽  
Inhaled Corticosteroids ◽  
Pediatric Emergency ◽  
Hereditary Disease ◽  
Parental Perceptions ◽  
Cross Sectional Survey ◽  
Recurrent Wheezing ◽  
Cross Sectional ◽  
Asthma Attack ◽  
Study Interval

Introduction. Parental perceptions and practices are important for improving the asthma outcomes in children; indeed, evidence shows that parents of asthmatic children harbor considerable misperceptions of the disease.Objective.To investigate the perceptions and practices of parents toward asthma and its management in Saudi children.Methods. Using a self-administered questionnaire, a two-stage cross-sectional survey of parents of children aged between 3 and 15 years, was conducted from schools located in Riyadh province in central Saudi Arabia.Results. During the study interval, 2000 parents were asked to participate in the study; 1450 parents responded, of whom 600 (41.4%) reported that their children had asthma, dyspnea, or chest allergy (recurrent wheezing or coughing), while 478 (32.9%) of the parents reported that their children were diagnosed earlier with asthma by a physician. Therefore, the final statistical analyses were performed with 600 participants. Furthermore, 321 (53.5%) respondents believed that asthma is solely a hereditary disease. Interestingly, 361 (60.3%) were concerned about side effects of inhaled corticosteroids and 192 (32%) about the development of dependency on asthma medications. Almost 76% of parents had previously visited a pediatric emergency department during an asthma attack.Conclusions. Parents had misperceptions regarding asthma and exhibited ineffective practices in its management. Therefore, improving asthma care and compliance requires added parental education.

scholarly journals A cross sectional survey in paediatricians pertaining to management of functional gastrointestinal disorders in infants: Indian perspectives

2020 ◽  
Vol 7 (10) ◽  
pp. 2015
Author(s):  
Shrish Bhatnagar ◽  
Roshan R. Mane ◽  
Irfan A. Shaikh ◽  
Ganesh Kadhe
Keyword(s):  
Quality Of Life ◽  
Parental Education ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Cross Sectional Survey ◽  
Management Options ◽  
Cross Sectional ◽  
Breastfed Infants ◽  
Best Management

Background: Functional gastrointestinal disorders (FGIDs) in infants and toddlers possess extensive burden to the parents and healthcare professionals. Guidelines addressing the practices in diagnosis and management of FGIDs in infants in Indian subcontinent is unavailable. Hence this study assessed current knowledge, attitude and practice of pediatricians in diagnosis and treatment of FGIDs.Methods: A cross-sectional survey based on a structured questionnaire assessed pediatrician’s knowledge about prevalence and profile of most common GI disorders in pediatric age groups (birth to 12 months), association of FGIDs with different feeding practices, impact of FGID on quality of life, various management options and physician preferred method of treatment.Results: Colic was rated as the most common GI disorder, followed by gassiness/fussiness, regurgitation and constipation. About 59% pediatricians come across FGIDs more in formula-fed infants compared to breastfed infants (4.2%) and 93.9% pediatricians affirm that FGIDs affect quality of life. Approximately 91% pediatricians believed reassurance and education was the best management option, which was also reported as the preferred mode of management by about 89% pediatricians, whereas pharmacological therapies were the least preferred (1.6%). For breastfed infants suffering with regurgitation, colic or constipation, majority pediatricians opted for switching to 100% whey partially hydrolysed protein formula; sequentially followed by use of pre/probiotics and switch to extensively hydrolyzed protein formula.Conclusions: Parental education and reassurance offer an ideal mode of management of FGIDs. Partially hydrolysed protein formula may be considered one of the best management options irrespective of the FGID condition in infants who are breastfeed.

scholarly journals A cross sectional survey to estimate prevalence of asthma in Reunion Island, Indian Ocean

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J L S Solet ◽  
C R S Raherison-Semjen ◽  
E M Mariotti ◽  
Y L S Le Strat ◽  
A G Gallay ◽  
...  
Keyword(s):  
Adult Population ◽  
Study Groups ◽  
Reunion Island ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Home Heating ◽  
Asthma Attack ◽  
Preventive Actions ◽  
Validated Questionnaire ◽  
Réunion Island

Abstract Background Previous studies on asthma mortality and hospitalizations in Reunion Island indicate that this French territory is particularly affected by this pathology. However, no estimates are provided on the prevalence of asthma among adults. In 2016, a cross-sectional survey was conducted to estimate the prevalence of asthma and to identify its associated factors in the adult population of Reunion Island. Methods A random sample of 2,419 individuals, aged 18-44 years, was interviewed by telephone using a standardized, nationally validated questionnaire. Information was collected on the respiratory symptoms, description of asthma attacks and triggering factors for declared asthmatics, as well as data on the indoor and outdoor home environment. “Current asthma” was defined as an individual declaring, at the time of the survey, having already suffered from asthma at some point during his/her life, whose asthma was confirmed by a doctor, and who had experienced an asthma attack in the last 12 months or had been treated for asthma in the last 12 months. “Current suspected asthma” was defined as an individual presenting, in the 12 months preceding the study, groups of symptoms suggestive of asthma consistent with the literature. Results The estimated prevalence of asthma was 5.4% [4.3-6.5]. After adjustment, women, obesity, a family member with asthma, tenure in current residence and presence of indoor home heating were associated with asthma. The prevalence of symptoms suggestive of asthma was 12.0% [10.2-13.8]. After adjustment, marital status, passive smoking, use of insecticide sprays, presence of mold in the home and external sources of atmospheric nuisance were associated with the prevalence of suspected asthma. Conclusions Preventive actions including asthma diagnosis, promotion of individual measures to reduce risk exposure as well as the development of study to improve knowledge on indoor air allergens are recommended. Key messages Individuals with suspected asthma who have not been medically diagnosed have been identified. Consequently, the development of a strategy to improve the diagnosis of asthma on Reunion is recommended. Aerating homes to reduce indoor moisture and mould growth, maintaining hygiene standards through cleaning, limiting the use of spray insecticides and household cleaning sprays at home.

scholarly journals Essential Medicines at the National Level: The Global Asthma Network’s Essential Asthma Medicines Survey 2014

2019 ◽  
Vol 16 (4) ◽  
pp. 605 ◽  
Author(s):  
Karen Bissell ◽  
Philippa Ellwood ◽  
Eamon Ellwood ◽  
Chen-Yuan Chiang ◽  
Guy Marks ◽  
...  
Keyword(s):  
Inhaled Corticosteroids ◽  
Communicable Disease ◽  
Action Plan ◽  
National Level ◽  
Essential Medicines ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Poor Access

Patients with asthma need uninterrupted supplies of affordable, quality-assured essential medicines. However, access in many low- and middle-income countries (LMICs) is limited. The World Health Organization (WHO) Non-Communicable Disease (NCD) Global Action Plan 2013–2020 sets an 80% target for essential NCD medicines’ availability. Poor access is partly due to medicines not being included on the national Essential Medicines Lists (EML) and/or National Reimbursement Lists (NRL) which guide the provision of free/subsidised medicines. We aimed to determine how many countries have essential asthma medicines on their EML and NRL, which essential asthma medicines, and whether surveys might monitor progress. A cross-sectional survey in 2013–2015 of Global Asthma Network principal investigators generated 111/120 (93%) responses—41 high-income countries and territories (HICs); 70 LMICs. Patients in HICs with NRL are best served (91% HICs included ICS (inhaled corticosteroids) and salbutamol). Patients in the 24 (34%) LMICs with no NRL and the 14 (30%) LMICs with an NRL, however no ICS are likely to have very poor access to affordable, quality-assured ICS. Many LMICs do not have essential asthma medicines on their EML or NRL. Technical guidance and advocacy for policy change is required. Improving access to these medicines will improve the health system’s capacity to address NCDs.

scholarly journals P078: Handover education in Canadian adult and pediatric emergency medicine residencies: a national survey and needs assessment

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S104-S105
Author(s):  
P. Lee ◽  
I. Rigby ◽  
S.J. McPherson
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Patient Care ◽  
Pediatric Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Risk Period ◽  
Hand Off ◽  
Pediatric Inpatient ◽  
Didactic Lecture

Introduction: Emergency department handover is a high-risk period for patient safety. A recent study showed a decreased rate of preventable adverse events and errors after implementation of a resident hand-off bundle on pediatric inpatient wards. In a 2013 survey by the Canadian Associations of Internes and Residents, only 11% of residents in any discipline stated they received a formal teaching session on handover. Recently, the CanMEDS 2015 Physician Competency Framework has added safe and skillful transfer of patient care as a new proficiency within the collaborator role. We hypothesize that significant variation exists in the current delivery and evaluation of handover education in Canadian EM residencies. Methods: We conducted a descriptive, cross-sectional survey of Canadian residents enrolled in the three main training streams of Emergency Medicine (FRCP CCFP-EM, PEM). The primary outcome was to determine which educational modalities are used to teach and assess handover proficiency. Secondarily, we described current sign-over practices and perceived competency at patient handover. Results: 130 residents completed the survey (73% FRCP, 19% CCFP-EM, 8% PEM). 6% of residents were aware of handover proficiency objectives within their curriculum, while 15% acknowledged formal evaluation in this area. 98% of respondents were taught handover by observation of staff or residents on shift, while 55% had direct teaching on the job. Less than 10% of respondents received formal sessions in didactic lecture, small group or simulation formats. Evaluation of handover skills occurred primarily by on shift observation (100% of respondents), while 3% of residents had received assessment through simulation. Local centre handover practices were variable; less than half of residents used mnemonic tools, written or electronic adjuncts. Conclusion: Canadian EM residents receive variable and sparse formal training and assessment on emergency department handover. The majority of training occurs by on shift observation and few trainees receive instruction on objective tools or explicit patient care standards. There exists potential for further development of standardized objectives, utilization of other educational modalities and formal assessments to better prepare residents to conduct safer patient handoffs.

scholarly journals Recurrent wheezing is associated with intestinal protozoan infections in Warao Amerindian children in Venezuela: a cross-sectional survey

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marcella MA Overeem ◽  
Lilly M Verhagen ◽  
Peter WM Hermans ◽  
Berenice del Nogal ◽  
Adriana Márquez Sánchez ◽  
...  
Keyword(s):  
Cross Sectional Survey ◽  
Intestinal Protozoan ◽  
Recurrent Wheezing ◽  
Cross Sectional ◽  
Protozoan Infections

scholarly journals Understanding of and Barriers to Electronic Health Record Patient Portal Access in a Culturally Diverse Pediatric Population (Preprint)

2018 ◽  
Author(s):  
Daniel J Miklin ◽  
Sameera S Vangara ◽  
Alan M Delamater ◽  
Kenneth W Goodman
Keyword(s):  
Culturally Diverse ◽  
Parental Education ◽  
Pediatric Population ◽  
Patient Portal ◽  
Cross Sectional Survey ◽  
Adult Care ◽  
Cross Sectional ◽  
Parental Education Level ◽  
Doctor Patient Communication ◽  
Electronic Health

BACKGROUND Electronic health records (EHRs) have become a standard in the health care setting. In an effort to improve health literacy, foster doctor-patient communication, and ease the transition from adolescent to adult care, our institution created a policy that allows patients aged between 13 and 17 years to have EHR portal access. A literature review revealed predictable differences in portal registration among different ethnicities and socioeconomic statuses. Consequently, a cross-sectional survey was developed to investigate barriers to EHR portal access in a sample of culturally diverse adolescents. OBJECTIVE The aim of this study was to assess for barriers to EHR portal access in a culturally diverse adolescent population. METHODS A 42-item anonymous survey was completed by 97 adolescents aged between 13 and 18 years, attending general pediatrics clinics. The results were analyzed using descriptive statistics and t tests. RESULTS The average participant age was 15.5 (SD 1.5) years with 60% (58/97) male and 40% (39/97) female. Participants were 44% (43/97) black, 41% (40/97) Hispanic, 9% (9/97) Caucasian, 3% (3/97) Asian, and 2% (2/97) others. There were statistically significant differences in perceptions of confidentiality in age (13 to 15 years vs 16 to 18 years; P=.001) and insurance status (government vs private; P=.012) but not in gender, ethnicity, or parental education level. Younger adolescents with governmental insurance were more confident in the level of confidentiality with their physician. A total of 94% of participants had heard of the term EHR, but only 55% were familiar with its function. Furthermore, 77% of patients primarily accessed the internet through phones, and 50% of participants knew that patients aged under 18 years could obtain care for mental health, substance abuse, sexual health, and pregnancy. CONCLUSIONS This research has identified gaps in EHR technology with regard to the pediatric patient population. The results of our survey show that adolescents may have misconceptions regarding the doctor-patient relationship, their ability to obtain care, and the modalities present in an EHR. As technology progresses, it is essential to have a deeper understanding of adolescents’ perceptions of confidentiality, technology, and available resources to design an EHR system that encourages patient education and communication while limiting barriers to care.

scholarly journals Prevalence and Predictors of Adverse Childhood Experiences among Youths in Rural communities of Oyo State, South-west, Nigeria

2020 ◽  
Vol 32 (2) ◽  
pp. 27-41
Author(s):  
M.M. Salawu ◽  
E.T. Owoaje
Keyword(s):  
Rural Communities ◽  
Adverse Childhood Experiences ◽  
Parental Education ◽  
Health Concern ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
South West ◽  
Adverse Childhood ◽  
Physical Neglect

Background: Adverse Childhood Experiences (ACEs) are traumatic events a child is exposed to early in life. It is a global problem that constitutes a public health concern. However, few studies have been conducted on ACEs in low- and middle-income countries (LMICs) like Nigeria. This study assessed the prevalence and predictors of ACEs among youths in rural communities in Oyo State, South-west, Nigeria.Methods: A cross-sectional survey was conducted among 575 youths selected by multistage sampling technique. A structured interviewer-administered questionnaire was used to obtain information on exposure to ACEs; abuse, neglect and household dysfunctions among respondents. Data were analyzed with SPSS version 21.0. Associations were explored with chi-square test and logistics regression analysis. Level of significance was set at 5%.Results: The mean age (SD) of respondents was 26.3 (4.9) years. Three hundred and forty-two (59.5%) respondents were males, 252 (43.8%) had secondary education and 276 (24.5%) were classified into the lowest wealth quintiles. Most respondents 529 (92%) reported they had experienced ACEs. Most prevalent ACEs were psychological neglect 247 (42.9%), physical neglect 236 (41.0%), psychological abuse 231 (40.2%) and household substance abuse 223 (38.8%). The predictors of experiencing ACEs were having a mother with primary education and below (AOR=2.61; CI=1.383.51) and being in the lowest wealth quintile (AOR=1.53 CI=1.24-2.87).Conclusion: Poor education and poverty contributed to the high occurrence of ACEs among youths in rural south-west. Strategic interventions by government/organizations to improve parental education and ameliorate poverty may be beneficial in reducing ACEs and ensure optimal child development. Keywords: Adverse childhood experiences; Predictors; Youths; Rural; Nigeria

scholarly journals Food and drink intake during television viewing in adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

2011 ◽  
Vol 14 (9) ◽  
pp. 1563-1569 ◽  
Author(s):  
Juan Pablo Rey-López ◽  
German Vicente-Rodríguez ◽  
Judith Répásy ◽  
Maria Isabel Mesana ◽  
Jonatan R Ruiz ◽  
...  
Keyword(s):  
Parental Education ◽  
Healthy Lifestyle ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Tv Viewing ◽  
Cross Sectional Survey ◽  
Parental Occupation ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Watching Tv

AbstractObjectiveTo compare food consumption during television (TV) viewing among adolescents who watched >2 h/d v. ≤2 h/d; and to examine the association between sociodemographic variables (age, gender and socio-economic status (SES)) and the consumption of energy-dense foods and drinks during TV viewing.DesignThe data are part of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) cross-sectional survey. Data on time watching TV, types of foods and drinks consuming during TV viewing and parental SES (parental education, parental occupation and family affluence) were measured by questionnaires completed by adolescents. Binary logistic regression tested the association between energy-dense foods and drinks and (i) sociodemographic variables and (ii) TV time.SettingGhent (Belgium), Heraklion (Greece), Pecs (Hungary) and Zaragoza (Spain).SubjectsGirls (n 699) and boys (n 637) aged 12·5–17·5 years.ResultsBoys reported more frequent consumption of beer and soft drinks whereas girls selected more fruit juice, water, herbal infusions and sweets (all P ≤ 0·05). Watching TV for >2 h/d was associated with the consumption of energy-dense foods and drinks. Girls whose mothers achieved the lowest education level had an adjusted OR of 3·22 (95 % CI 1·81, 5·72) for the consumption of energy-dense drinks during TV viewing v. those whose mothers had the highest educational level.ConclusionsExcessive TV watching may favour concurrent consumption of energy-dense snacks and beverages. Adolescents from low-SES families are more likely to consume unhealthy drinks while watching TV.

scholarly journals The knowledge needs for Canadian paediatric emergency physicians in the diagnosis and management of tropical diseases: A national physician survey

2020 ◽  
Author(s):  
Melissa Mengyan Wan ◽  
Quynh Doan ◽  
Niranjan Kissoon
Keyword(s):  
Pediatric Emergency ◽  
Comfort Level ◽  
Survey Study ◽  
Tropical Diseases ◽  
Discharge Instructions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Specific Content ◽  
Paediatric Emergency ◽  
Better Than

Abstract Objectives To assess the knowledge gaps and need for continuing medical education (CME) resources for Canadian paediatric emergency department (PED) physician management of common tropical diseases. Methods A cross-sectional survey study of Canadian PED was performed from May to July 2017 using the Pediatric Emergency Research Canada (PERC) database. Results The response rate was 56.4% (133/236). The mean performance on the case-based vignettes identifying clinical presentation of tropical illnesses ranged from 59.9% to 76.0%, with only 15.8% (n=21) to 31.1% (n=42) of participants scoring maximum points. Those who ‘always’ asked about fever performed better than those who only ‘sometimes’ asked (40.4% versus 23.8%). For management cases, the majority of the participants (59.4% to 89.5%) were able to interpret investigations; however, many were unsure of subsequent actions relating to initial treatment, discharge instructions, and reporting requirements. Many would consult infectious diseases (87.8% to 99.3%). Fifty-three per cent of the participants reported a low comfort level in diagnosing or managing these patients. They rated the importance of CME materials with a median of 50/100, via various modalities such as case studies (71.9%), emphasizing a need for PED-specific content. Conclusion This study identified a knowledge gap in the recognition and management of pediatric tropical diseases by Canadian PED physicians. There is a need for formal CME materials to supplement physician practice.

Sign in / Sign up

Export Citation Format

Share Document