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A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families. / Lakhanpaul, Monica; Culley, Lorraine; Robertson, Noelle; Bird, Deborah; Hudson, Nicky; Johal, Narynder; McFeeters, Melanie; Angell, Emma; Hamlyn-Williams, Charlotte; Abbas, Nadine; Manikam, Logan; Johnson, Mark.

In: BMC pulmonary medicine, Vol. 17, No. 1, 126, 20.09.2017.

Research output: Contribution to journalArticle

Harvard

Lakhanpaul, M, Culley, L, Robertson, N, Bird, D, Hudson, N, Johal, N, McFeeters, M, Angell, E, Hamlyn-Williams, C, Abbas, N, Manikam, L & Johnson, M 2017, 'A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families', BMC pulmonary medicine, vol. 17, no. 1, 126. https://doi.org/10.1186/s12890-017-0464-9

APA

Lakhanpaul, M., Culley, L., Robertson, N., Bird, D., Hudson, N., Johal, N., McFeeters, M., Angell, E., Hamlyn-Williams, C., Abbas, N., Manikam, L., & Johnson, M. (2017). A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families. BMC pulmonary medicine, 17(1), [126]. https://doi.org/10.1186/s12890-017-0464-9

Vancouver

Author

Lakhanpaul, Monica ; Culley, Lorraine ; Robertson, Noelle ; Bird, Deborah ; Hudson, Nicky ; Johal, Narynder ; McFeeters, Melanie ; Angell, Emma ; Hamlyn-Williams, Charlotte ; Abbas, Nadine ; Manikam, Logan ; Johnson, Mark. / A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families. In: BMC pulmonary medicine. 2017 ; Vol. 17, No. 1.

Bibtex

@article{ed400c188c2f401a869429c8b733afd1,
title = "A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families",
abstract = "BACKGROUND: Over one million children receive treatment for asthma in the UK. South Asian children experience excess morbidity and higher rates of hospitalization than the White population. This study aimed to explore perceptions and experiences of asthma and asthma management in British South Asian and White British families, to identify barriers to optimal management and to inform culturally appropriate interventions to improve management.METHODS: A qualitative methodology, using semi-structured interviews was adopted. Members of 30 families from six major South Asian ethnic-religious groups were purposively sampled (n = 49). For comparison, 17 White British parents were interviewed. Topics included understandings of asthma; day-to-day management; interactions with health care providers and the perceived quality of healthcare services. Data were analyzed using interpretive thematic analysis, facilitated by NVivo. Similarities and differences between South Asian and White families were analysed across key themes.RESULTS: Many of the problems facing families of a child with asthma were common to South Asian and White British families. Both had limited understanding of asthma causes and triggers and expressed confusion about the use of medications. Both groups reported delays in receiving a clear diagnosis and many experienced what was perceived as uncoordinated care and inconsistent advice from health professionals. No family had received an asthma plan. South Asian families had more difficulty in recognising severity of symptoms and those with limited English faced additional barriers to receiving adequate information and advice about management due to poor communication support systems. South Asian parents reported higher levels of involvement of wider family and higher levels of stigma. Attendance at the emergency department was related to previous experience, difficulties in accessing primary care, lack of knowledge of alternatives and difficulties in assessing severity.CONCLUSIONS: Barriers to optimal asthma management exist at the individual family, community and healthcare systems levels. Culturally sensitive, holistic and collaboratively designed interventions are needed. Improved communication support for families with lower proficiency in English is required. Healthcare professionals need to ensure that families receive an asthma plan and make greater efforts to check families' understandings of asthma triggers, use of medications, assessment of asthma severity and accessing help.",
keywords = "Anti-Asthmatic Agents/adverse effects, Asian Continental Ancestry Group/psychology, Asthma/therapy, Child, Child, Preschool, Disease Management, European Continental Ancestry Group/psychology, Female, Health Knowledge, Attitudes, Practice, Humans, Interviews as Topic, Male, Parents/psychology, Qualitative Research, United Kingdom",
author = "Monica Lakhanpaul and Lorraine Culley and Noelle Robertson and Deborah Bird and Nicky Hudson and Narynder Johal and Melanie McFeeters and Emma Angell and Charlotte Hamlyn-Williams and Nadine Abbas and Logan Manikam and Mark Johnson",
note = "{\textcopyright} The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.",
year = "2017",
month = sep,
day = "20",
doi = "10.1186/s12890-017-0464-9",
language = "English",
volume = "17",
journal = "BMC pulmonary medicine",
issn = "1471-2466",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - A qualitative study to identify parents' perceptions of and barriers to asthma management in children from South Asian and White British families

AU - Lakhanpaul, Monica

AU - Culley, Lorraine

AU - Robertson, Noelle

AU - Bird, Deborah

AU - Hudson, Nicky

AU - Johal, Narynder

AU - McFeeters, Melanie

AU - Angell, Emma

AU - Hamlyn-Williams, Charlotte

AU - Abbas, Nadine

AU - Manikam, Logan

AU - Johnson, Mark

N1 - © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PY - 2017/9/20

Y1 - 2017/9/20

N2 - BACKGROUND: Over one million children receive treatment for asthma in the UK. South Asian children experience excess morbidity and higher rates of hospitalization than the White population. This study aimed to explore perceptions and experiences of asthma and asthma management in British South Asian and White British families, to identify barriers to optimal management and to inform culturally appropriate interventions to improve management.METHODS: A qualitative methodology, using semi-structured interviews was adopted. Members of 30 families from six major South Asian ethnic-religious groups were purposively sampled (n = 49). For comparison, 17 White British parents were interviewed. Topics included understandings of asthma; day-to-day management; interactions with health care providers and the perceived quality of healthcare services. Data were analyzed using interpretive thematic analysis, facilitated by NVivo. Similarities and differences between South Asian and White families were analysed across key themes.RESULTS: Many of the problems facing families of a child with asthma were common to South Asian and White British families. Both had limited understanding of asthma causes and triggers and expressed confusion about the use of medications. Both groups reported delays in receiving a clear diagnosis and many experienced what was perceived as uncoordinated care and inconsistent advice from health professionals. No family had received an asthma plan. South Asian families had more difficulty in recognising severity of symptoms and those with limited English faced additional barriers to receiving adequate information and advice about management due to poor communication support systems. South Asian parents reported higher levels of involvement of wider family and higher levels of stigma. Attendance at the emergency department was related to previous experience, difficulties in accessing primary care, lack of knowledge of alternatives and difficulties in assessing severity.CONCLUSIONS: Barriers to optimal asthma management exist at the individual family, community and healthcare systems levels. Culturally sensitive, holistic and collaboratively designed interventions are needed. Improved communication support for families with lower proficiency in English is required. Healthcare professionals need to ensure that families receive an asthma plan and make greater efforts to check families' understandings of asthma triggers, use of medications, assessment of asthma severity and accessing help.

AB - BACKGROUND: Over one million children receive treatment for asthma in the UK. South Asian children experience excess morbidity and higher rates of hospitalization than the White population. This study aimed to explore perceptions and experiences of asthma and asthma management in British South Asian and White British families, to identify barriers to optimal management and to inform culturally appropriate interventions to improve management.METHODS: A qualitative methodology, using semi-structured interviews was adopted. Members of 30 families from six major South Asian ethnic-religious groups were purposively sampled (n = 49). For comparison, 17 White British parents were interviewed. Topics included understandings of asthma; day-to-day management; interactions with health care providers and the perceived quality of healthcare services. Data were analyzed using interpretive thematic analysis, facilitated by NVivo. Similarities and differences between South Asian and White families were analysed across key themes.RESULTS: Many of the problems facing families of a child with asthma were common to South Asian and White British families. Both had limited understanding of asthma causes and triggers and expressed confusion about the use of medications. Both groups reported delays in receiving a clear diagnosis and many experienced what was perceived as uncoordinated care and inconsistent advice from health professionals. No family had received an asthma plan. South Asian families had more difficulty in recognising severity of symptoms and those with limited English faced additional barriers to receiving adequate information and advice about management due to poor communication support systems. South Asian parents reported higher levels of involvement of wider family and higher levels of stigma. Attendance at the emergency department was related to previous experience, difficulties in accessing primary care, lack of knowledge of alternatives and difficulties in assessing severity.CONCLUSIONS: Barriers to optimal asthma management exist at the individual family, community and healthcare systems levels. Culturally sensitive, holistic and collaboratively designed interventions are needed. Improved communication support for families with lower proficiency in English is required. Healthcare professionals need to ensure that families receive an asthma plan and make greater efforts to check families' understandings of asthma triggers, use of medications, assessment of asthma severity and accessing help.

KW - Anti-Asthmatic Agents/adverse effects

KW - Asian Continental Ancestry Group/psychology

KW - Asthma/therapy

KW - Child

KW - Child, Preschool

KW - Disease Management

KW - European Continental Ancestry Group/psychology

KW - Female

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Interviews as Topic

KW - Male

KW - Parents/psychology

KW - Qualitative Research

KW - United Kingdom

U2 - 10.1186/s12890-017-0464-9

DO - 10.1186/s12890-017-0464-9

M3 - Article

C2 - 28931381

VL - 17

JO - BMC pulmonary medicine

JF - BMC pulmonary medicine

SN - 1471-2466

IS - 1

M1 - 126

ER -