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Identification of caregiver's knowledge and perceptions of pediatric asthma management: A quality improvement initiative

Published:April 06, 2022DOI:https://doi.org/10.1016/j.pedn.2022.03.006

      Highlights

      • Caregivers had suboptimal understanding of the disease process and home management.
      • All caregivers reported that they would benefit from additional asthma education.
      • 27% of caregivers reported that they had a written asthma control plan.
      • 13% caregivers reported the correct mechanism of action and use of inhaled steroids.
      • Caregivers reported that they frequently felt stressed about caring for their child.

      Abstract

      Introduction

      Asthma is the most prevalent chronic disease of childhood. Caregiver knowledge is essential to optimize patient quality and safety. Asthma education is an opportunity that can lead to decreased morbidity and mortality, reduced admission rates, lower cost, and improved outcomes for a child with chronic asthma.

      Objective

      The purpose of this quality improvement study was to obtain information from caregivers of children with asthma to gain insight into their knowledge gaps and needs as a critical first step towards the provision of patient centered effective and efficient care.

      Methods

      This was a descriptive educational knowledge assessment conducted using questionnaires via a hand-held electronic device (iPad).

      Results

      All caregivers in this study reported that they desired more education. Specific knowledge deficits were identified and included: understanding the pathophysiology of asthma, mechanism of action of use of medications including both rescue and maintenance agents, and initial actions to implement during an acute asthma exacerbation.

      Conclusion

      Caregivers in this sample population had a suboptimal understanding of the asthma disease process and home management strategies.

      Practice implications

      To maximize education strategies and achieve symptom control and risk reduction in the care of children with asthma, it is imperative that caregivers clearly understand asthma home management and actively participate in all aspects of their child's care. The identification of specific gaps and needs in caregiver's knowledge base is a critical first step towards the provision of patient-centered effective and efficient pediatric asthma care.

      Keywords

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