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Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

The presentation of a short adapted questionnaire to measure asthma knowledge of parents

Authors: Maaike M. A. Franken, Monique T. M. Veenstra–van Schie, Yasmine I. Ahmad, Hendrik M. Koopman, Florens G. A. Versteegh

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

The aim of this study is to establish asthma knowledge of parents of children (0–18 years) with asthma at the outpatient clinic.

Methods

A translated and adapted a 21 item Likert type 5 point scale questionnaire (Cronbach’s α-coefficient 0.73) was completed by 291 parents of children with asthma. Total asthma knowledge scores were associated with demographic and psychosocial variables.

Results

Factor analysis resulted in a new reduced 10 item questionnaire (Cronbach’s α-coefficient 0.72). Higher educational level of parents was associated with better asthma knowledge (p < 0.008 and p < 0.003). Parents showed more knowledge (p < 0.001) on non-medication questions. Asthma knowledge of the parent did not correlate with child age, gender, duration of airway problems, time since diagnosis or severity of asthma.

Conclusions

Education of parents concerning the working mechanism, indications and use of asthma medications are an essential part of asthma education. Asthma education should be repeated frequently to parents of children with long-term airway problems or diagnosed asthma. Special attention must be paid to parents with only high school education or less.
Literature
2.
go back to reference Pedersen SE, Hurd SS, Lemanske RF Jr, Becker A, Zar HJ, Sly PD, Soto-Quiroz M, Wong G, Bateman ED, Global Initiative for Asthma. Global strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatr Pulmonol. 2011 Jan;46(1):1–17.CrossRefPubMed Pedersen SE, Hurd SS, Lemanske RF Jr, Becker A, Zar HJ, Sly PD, Soto-Quiroz M, Wong G, Bateman ED, Global Initiative for Asthma. Global strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatr Pulmonol. 2011 Jan;46(1):1–17.CrossRefPubMed
3.
go back to reference Pijnenburg MW, Baraldi E, Brand PLP, Carlsen KH, Eber E, Frischer T, Hedlin G, Kulkarni N, Lex C, Mäkelä MJ, Mantzouranis E, Moeller A, Pavord I, Piacentini G, Price D, Rottier BL, Saglani S, Sly PD, Szefler SJ, Tonia T, Turner S, Wooler E, Lødrup Carlsen KC. Monitoring asthma in children. Eur Respir J. 2015;45(4):906–25.CrossRefPubMed Pijnenburg MW, Baraldi E, Brand PLP, Carlsen KH, Eber E, Frischer T, Hedlin G, Kulkarni N, Lex C, Mäkelä MJ, Mantzouranis E, Moeller A, Pavord I, Piacentini G, Price D, Rottier BL, Saglani S, Sly PD, Szefler SJ, Tonia T, Turner S, Wooler E, Lødrup Carlsen KC. Monitoring asthma in children. Eur Respir J. 2015;45(4):906–25.CrossRefPubMed
4.
go back to reference Liu C, Feekery C. Can asthma education improve clinical outcomes? An evaluation of a pediatric asthma education program. J Asthma. 2001;38(3):269–78.CrossRefPubMed Liu C, Feekery C. Can asthma education improve clinical outcomes? An evaluation of a pediatric asthma education program. J Asthma. 2001;38(3):269–78.CrossRefPubMed
5.
go back to reference Tapp S, Lasserson TJ, Rowe BH: Education interventions for adults who attend the emergency room for acute asthma. Cochrane Database Syst Rev. 2007;(3):CD003000. Tapp S, Lasserson TJ, Rowe BH: Education interventions for adults who attend the emergency room for acute asthma. Cochrane Database Syst Rev. 2007;(3):CD003000.
7.
go back to reference Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ. 2003;326(7402):1308–9.CrossRefPubMedPubMedCentral Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ. 2003;326(7402):1308–9.CrossRefPubMedPubMedCentral
8.
go back to reference Bryant-Stephens T, Li Y. Community asthma education program for parents of urban asthmatic children. J Natl Med Assoc. 2004;96(7):954–60.PubMedPubMedCentral Bryant-Stephens T, Li Y. Community asthma education program for parents of urban asthmatic children. J Natl Med Assoc. 2004;96(7):954–60.PubMedPubMedCentral
9.
go back to reference Fitzclarence CAB, Henry RL. Validation of an asthma knowledge questionnaire. J Paediatr Child Health. 1990;26(4):200–4.CrossRefPubMed Fitzclarence CAB, Henry RL. Validation of an asthma knowledge questionnaire. J Paediatr Child Health. 1990;26(4):200–4.CrossRefPubMed
10.
go back to reference Baez Saldana AR, Mendoza RC, Kiengelher LH, Siordia RO, Hernández JS. Development of a questionnaire to measure asthmatic patients’ knowledge of their disease. Arch Bronconeumol. 2007;43(5):248–55.PubMed Baez Saldana AR, Mendoza RC, Kiengelher LH, Siordia RO, Hernández JS. Development of a questionnaire to measure asthmatic patients’ knowledge of their disease. Arch Bronconeumol. 2007;43(5):248–55.PubMed
11.
go back to reference Kritikos V, Krass I, Chan HS, Bosnic-Anticevich SZ. The validity and reliability of two asthma knowledge questionnaires. J Asthma. 2005;42(9):795–801.CrossRefPubMed Kritikos V, Krass I, Chan HS, Bosnic-Anticevich SZ. The validity and reliability of two asthma knowledge questionnaires. J Asthma. 2005;42(9):795–801.CrossRefPubMed
12.
go back to reference Trebuchon F, Duracinsky M, Chassany O, Delaire C, Eydoux E, Longin J, Demoly P. Validation of a questionnaire for assessment of asthma patient knowledge and behaviour. Allergy. 2009;64(1):62–71.CrossRefPubMed Trebuchon F, Duracinsky M, Chassany O, Delaire C, Eydoux E, Longin J, Demoly P. Validation of a questionnaire for assessment of asthma patient knowledge and behaviour. Allergy. 2009;64(1):62–71.CrossRefPubMed
13.
go back to reference Al-Motlaq M, Sellick K. Development and validation of an asthma knowledge test for children 8-10 years of age. Child Care Health Dev. 2010;37(1):123–8.CrossRef Al-Motlaq M, Sellick K. Development and validation of an asthma knowledge test for children 8-10 years of age. Child Care Health Dev. 2010;37(1):123–8.CrossRef
14.
go back to reference Rodriguez-Martinez CE, Sossa MP. Validation of an asthma knowledge questionnaire for use in parents or guardians of children with asthma. Arch Bronconeumol. 2005;41(8):419–24.CrossRefPubMed Rodriguez-Martinez CE, Sossa MP. Validation of an asthma knowledge questionnaire for use in parents or guardians of children with asthma. Arch Bronconeumol. 2005;41(8):419–24.CrossRefPubMed
15.
go back to reference Ho J, Bender BG, Gavin LS, O'Connor SL, WAmboldt MZ, Wamboldt FS. Relations among asthma knowledge, treatment adherence, and outcome. J Allergy Clin Immunol. 2003;111(3):498–502.CrossRefPubMed Ho J, Bender BG, Gavin LS, O'Connor SL, WAmboldt MZ, Wamboldt FS. Relations among asthma knowledge, treatment adherence, and outcome. J Allergy Clin Immunol. 2003;111(3):498–502.CrossRefPubMed
16.
go back to reference Klein JJ, van der Palen J, Seydel ER, Kerkhoff AHM. Medicijnkennis van volwassenen met astma onvoldoende voor zelfbehandeling. Ned Tijdschr Geneeskd. 1998;142(13):711–5.PubMed Klein JJ, van der Palen J, Seydel ER, Kerkhoff AHM. Medicijnkennis van volwassenen met astma onvoldoende voor zelfbehandeling. Ned Tijdschr Geneeskd. 1998;142(13):711–5.PubMed
17.
go back to reference Mesters I, Meertens R, Crebolder H, Parcel G. Development of a health education program for parents of preschool children with asthma. Health Educ Res. 1993;8(1):53–68.CrossRefPubMed Mesters I, Meertens R, Crebolder H, Parcel G. Development of a health education program for parents of preschool children with asthma. Health Educ Res. 1993;8(1):53–68.CrossRefPubMed
18.
go back to reference Butz A, Pham L, Lewis L, Lewis C, Hill K, Walker J, Winkelstein M. Rural children with asthma: impact of a parent and child asthma education program. J Asthma. 2005;42(10):813–21.CrossRefPubMedPubMedCentral Butz A, Pham L, Lewis L, Lewis C, Hill K, Walker J, Winkelstein M. Rural children with asthma: impact of a parent and child asthma education program. J Asthma. 2005;42(10):813–21.CrossRefPubMedPubMedCentral
19.
go back to reference Franquet M, Husson M, Dubus JC, Rimet Y. Évaluation des connaissances et du vécu des parents d’enfants asthmatiques âgés de 2 à 15 ans consultant en service d’accueil des urgences pédiatriques. Arch Pédiatr. 2015;22:840–7.CrossRefPubMed Franquet M, Husson M, Dubus JC, Rimet Y. Évaluation des connaissances et du vécu des parents d’enfants asthmatiques âgés de 2 à 15 ans consultant en service d’accueil des urgences pédiatriques. Arch Pédiatr. 2015;22:840–7.CrossRefPubMed
20.
go back to reference Klok T, Kaptein AA, Brand PLP. Non-adherence in children with asthma reviewed: the need for improvement of asthma care and medical education. Pediatr Allergy Immunol. 2015;26:197–205.CrossRefPubMed Klok T, Kaptein AA, Brand PLP. Non-adherence in children with asthma reviewed: the need for improvement of asthma care and medical education. Pediatr Allergy Immunol. 2015;26:197–205.CrossRefPubMed
21.
go back to reference Pink J, Pink K, Elwyn G. Measuring patient knowledge of asthma: a systematic review of outcome measures. J Asthma. 2009;46(10):980–7.CrossRefPubMed Pink J, Pink K, Elwyn G. Measuring patient knowledge of asthma: a systematic review of outcome measures. J Asthma. 2009;46(10):980–7.CrossRefPubMed
22.
go back to reference Koller M, Aaronson NK, Blazeby J, Bottomley A, Dewolf L, Fayers P, Johnson C, Ramage J, Scott N, West K. EORTC quality of life group: translation procedures for standardised quality of life questionnaires: the European Organisation for Research and Treatment of Cancer (EORTC) approach. Eur J Cancer. 2007;43(12):1810–20.CrossRefPubMed Koller M, Aaronson NK, Blazeby J, Bottomley A, Dewolf L, Fayers P, Johnson C, Ramage J, Scott N, West K. EORTC quality of life group: translation procedures for standardised quality of life questionnaires: the European Organisation for Research and Treatment of Cancer (EORTC) approach. Eur J Cancer. 2007;43(12):1810–20.CrossRefPubMed
23.
go back to reference Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef
24.
go back to reference Martin MA, Mosnaim GS, Rojas D, Hernandez O, Sadowski LS. Evaluation of an asthma medication training program for immigrant Mexican community health workers. Prog Community Health Partnersh. 2011;5(1):95–103.CrossRefPubMed Martin MA, Mosnaim GS, Rojas D, Hernandez O, Sadowski LS. Evaluation of an asthma medication training program for immigrant Mexican community health workers. Prog Community Health Partnersh. 2011;5(1):95–103.CrossRefPubMed
25.
go back to reference Koster ES, Wijda AH, Koppelman GH, Postma DS, Brunekreef B, De Jongste JC, Smit HA, Hoekstra MO, Raaijmakers JAM, Maitland-van der Zee AH. Uncontrolled asthma at age 8: the importance of parental perception towards medication. Pediatr Allergy Immunol. 2011;22(5):462–8.CrossRefPubMed Koster ES, Wijda AH, Koppelman GH, Postma DS, Brunekreef B, De Jongste JC, Smit HA, Hoekstra MO, Raaijmakers JAM, Maitland-van der Zee AH. Uncontrolled asthma at age 8: the importance of parental perception towards medication. Pediatr Allergy Immunol. 2011;22(5):462–8.CrossRefPubMed
26.
go back to reference Deis JN, Sprio DM, Jenkins CA, Buckles TL, Arnold DH. Parental knowledge and use of preventive asthma care measures in two pediatric emergency departments. J Asthma. 2010;47(5):551–6.CrossRefPubMed Deis JN, Sprio DM, Jenkins CA, Buckles TL, Arnold DH. Parental knowledge and use of preventive asthma care measures in two pediatric emergency departments. J Asthma. 2010;47(5):551–6.CrossRefPubMed
27.
go back to reference Rodriguez-Martinez CE, Sossa MP, Castro-Rodriguez JA. Factors associated to recurrent visits to the emergency department for asthma exacerbations in children: implications for a health education programme. Allergol Immunopathol (Madr). 2008;36(2):72–8.CrossRef Rodriguez-Martinez CE, Sossa MP, Castro-Rodriguez JA. Factors associated to recurrent visits to the emergency department for asthma exacerbations in children: implications for a health education programme. Allergol Immunopathol (Madr). 2008;36(2):72–8.CrossRef
28.
go back to reference Veenstra-van Schie MTM, Coenen K, Koopman HM, Versteegh FGA. Higher perceived HRQoL in Moroccan children with asthma and their parents. Pan Afr Med J. 2015;21:18.PubMed Veenstra-van Schie MTM, Coenen K, Koopman HM, Versteegh FGA. Higher perceived HRQoL in Moroccan children with asthma and their parents. Pan Afr Med J. 2015;21:18.PubMed
29.
go back to reference Baars RM, Atherton CI, Koopman HM, Bullinger M, Power M, DISABKIDS group. The European DISABKIDS project: development of seven condition-specific modules to measure health related quality of life in children and adolescents. Health Qual Life Outcomes. 2005;3:70. Baars RM, Atherton CI, Koopman HM, Bullinger M, Power M, DISABKIDS group. The European DISABKIDS project: development of seven condition-specific modules to measure health related quality of life in children and adolescents. Health Qual Life Outcomes. 2005;3:70.
30.
go back to reference Versteegh HP, Bakia A, Kraaij V, Koopman HM, Versteegh FGA. Evaluation of HIV and AIDS knowledge in rural Cameroon men with the use of a questionnaire. Pan Afr Med J. 2013;16:141.CrossRefPubMedPubMedCentral Versteegh HP, Bakia A, Kraaij V, Koopman HM, Versteegh FGA. Evaluation of HIV and AIDS knowledge in rural Cameroon men with the use of a questionnaire. Pan Afr Med J. 2013;16:141.CrossRefPubMedPubMedCentral
Metadata
Title
The presentation of a short adapted questionnaire to measure asthma knowledge of parents
Authors
Maaike M. A. Franken
Monique T. M. Veenstra–van Schie
Yasmine I. Ahmad
Hendrik M. Koopman
Florens G. A. Versteegh
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-0991-4

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