How young children learn independent asthma self-management: a qualitative study in Malaysia
Objective We aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills. Design This is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and...
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2020
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my.upm.eprints.892142021-09-20T23:17:36Z http://psasir.upm.edu.my/id/eprint/89214/ How young children learn independent asthma self-management: a qualitative study in Malaysia Ramdzan, Siti Nurkamilla Ee, Ming Khoo Su, May Liew Cunningham, Steve Kendall, Marilyn Sukri, Nursyuhada Salim, Hani Suhaimi, Julia Lee, Ping Yein Cheong, Ai Theng Hussein, Norita Hanafi, Nik Sherina Haidi Mohd Ahad, Azainorsuzila Pinnock, Hilary Objective We aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills. Design This is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and conducted focus groups and interviews using a semi-structured topic guide in the participants’ preferred language. All interviews were audio-recorded, transcribed verbatim, entered into NVivo and analysed using a grounded theory approach. Settings We identified children aged 7–12 years with parent-reported, physician-diagnosed asthma from seven suburban primary schools in Malaysia. Focus groups and interviews were conducted either at schools or a health centre. Results Ninety-nine participants (46 caregivers, 53 children) contributed to 24 focus groups and 6 individual interviews. Children mirrored their parents’ management of asthma but, in parallel, learnt and gained confidence to independently self-manage asthma from their own experiences and self-experimentation. Increasing independence was more apparent in children aged 10 years and above. Cultural norms and beliefs influenced children’s independence to self-manage asthma either directly or indirectly through their social network. External influences, for example, support from school and healthcare, also played a role in the transition. Conclusion Children learnt the skills to self manage asthma as early as 7 years old with growing independence from the age of 10 years. Healthcare professionals should use child-centred approach and involve schools to facilitate asthma self-management and support a smooth transition to independent self management. BMJ Publishing Group 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89214/1/ASTHMA.pdf Ramdzan, Siti Nurkamilla and Ee, Ming Khoo and Su, May Liew and Cunningham, Steve and Kendall, Marilyn and Sukri, Nursyuhada and Salim, Hani and Suhaimi, Julia and Lee, Ping Yein and Cheong, Ai Theng and Hussein, Norita and Hanafi, Nik Sherina Haidi and Mohd Ahad, Azainorsuzila and Pinnock, Hilary (2020) How young children learn independent asthma self-management: a qualitative study in Malaysia. Archives of Disease in Childhood, 105 (9). 819 - 824. ISSN 0003-9888; ESSN: 1468-2044 https://adc.bmj.com/content/105/9/819 10.1136/archdischild-2019-318127 |
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Objective We aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills. Design This is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and conducted focus groups and interviews using a semi-structured topic guide in the
participants’ preferred language. All interviews were audio-recorded, transcribed verbatim, entered into NVivo and analysed using a grounded theory approach. Settings We identified children aged 7–12 years with parent-reported, physician-diagnosed asthma from seven suburban primary schools in Malaysia. Focus groups and interviews were conducted either at schools or a health centre. Results Ninety-nine participants (46 caregivers, 53 children) contributed to 24 focus groups and 6 individual interviews. Children mirrored their parents’ management of asthma but, in parallel, learnt and gained confidence to independently self-manage asthma from their own experiences and self-experimentation. Increasing
independence was more apparent in children aged 10 years and above. Cultural norms and beliefs influenced children’s independence to self-manage asthma either directly or indirectly through their social network. External influences, for example, support from school and healthcare, also played a role in the transition. Conclusion Children learnt the skills to self manage asthma as early as 7 years old with growing independence from the age of 10 years. Healthcare professionals should use child-centred approach and involve schools to facilitate asthma self-management
and support a smooth transition to independent self management. |
format |
Article |
author |
Ramdzan, Siti Nurkamilla Ee, Ming Khoo Su, May Liew Cunningham, Steve Kendall, Marilyn Sukri, Nursyuhada Salim, Hani Suhaimi, Julia Lee, Ping Yein Cheong, Ai Theng Hussein, Norita Hanafi, Nik Sherina Haidi Mohd Ahad, Azainorsuzila Pinnock, Hilary |
spellingShingle |
Ramdzan, Siti Nurkamilla Ee, Ming Khoo Su, May Liew Cunningham, Steve Kendall, Marilyn Sukri, Nursyuhada Salim, Hani Suhaimi, Julia Lee, Ping Yein Cheong, Ai Theng Hussein, Norita Hanafi, Nik Sherina Haidi Mohd Ahad, Azainorsuzila Pinnock, Hilary How young children learn independent asthma self-management: a qualitative study in Malaysia |
author_facet |
Ramdzan, Siti Nurkamilla Ee, Ming Khoo Su, May Liew Cunningham, Steve Kendall, Marilyn Sukri, Nursyuhada Salim, Hani Suhaimi, Julia Lee, Ping Yein Cheong, Ai Theng Hussein, Norita Hanafi, Nik Sherina Haidi Mohd Ahad, Azainorsuzila Pinnock, Hilary |
author_sort |
Ramdzan, Siti Nurkamilla |
title |
How young children learn independent asthma self-management: a qualitative study in Malaysia |
title_short |
How young children learn independent asthma self-management: a qualitative study in Malaysia |
title_full |
How young children learn independent asthma self-management: a qualitative study in Malaysia |
title_fullStr |
How young children learn independent asthma self-management: a qualitative study in Malaysia |
title_full_unstemmed |
How young children learn independent asthma self-management: a qualitative study in Malaysia |
title_sort |
how young children learn independent asthma self-management: a qualitative study in malaysia |
publisher |
BMJ Publishing Group |
publishDate |
2020 |
url |
http://psasir.upm.edu.my/id/eprint/89214/1/ASTHMA.pdf http://psasir.upm.edu.my/id/eprint/89214/ https://adc.bmj.com/content/105/9/819 |
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