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Congruence of Perception of Asthma Control Between Parents, Children & Clinicians
Sunday, November 16, 2014
Childhood asthma is a serious public health issue due to high prevalence and costs. It affects approximately 7 million children ages 0-17 years. Under perception of asthma symptoms is a risk factor for ED visits and hospitalizations in children. Perception of pulmonary function and adherence to controller medications is worse in Puerto Rican and African-American children versus Caucasian children. Accurate perception of asthma symptoms and control and medication adherence is key to improving outcomes. Purpose: This secondary analysis examined differences in parent and child perceptions of asthma control and compared these subjective perceptions with clinician ratings. Subjects: Data were collected from 514 Mexican and Puerto Rican caregivers and children ages 5-12 with persistent asthma. Families were recruited from clinics in Phoenix, AZ and Bronx, NY. Method: Structured interviews with parents and children, spirometry, and children’s medical records reviews were conducted at enrollment, and 3, 6, 9, and 12 months post-enrollment. Results: 79% (N=195) of parents rated their children as well-controlled yet 41% (N=80) were rated as poorly controlled by the clinician. The child may be at risk because medications may not be initiated or increased as required. 89% (N=221) of children viewed their asthma as poorly controlled while 51% of these children were rated as well-controlled by the clinician. Over-perception of symptoms may lead to excess medication use. Conclusions: Significant discrepancies exist between parent’s and children’s subjective perceptions of control and clinician-rated control. Interventions targeting symptom perception and medication adherence may result in decreased healthcare utilization and costs.
Chronic disease management and prevention
Diversity and culture
Public health or related nursing
Compare parents' and children's subjective perception of asthma control with objective clinician-rated asthma control.
Keyword(s): Asthma, Child Health
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I conducted all of the analyses and prepared the abstract from my mentor's (Dr. Arcoleo) dataset.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.