Navigation Links
Children's asthma affected by parental expectations

BOSTON, Mass. (October 6, 2008) Asthmatic children whose parents have high expectations for their ability to function normally are less likely to have symptoms than other children dealing with the condition, according to a new study. Children also are more likely to use asthma controller medications appropriately if they have a routine for taking medicine and if their parents clearly understand how well symptoms can be controlled.

The study, which appears in the Oct. 2008 issue of Pediatrics, was led by researchers from the Department of Ambulatory Care and Prevention at Harvard Medical School and Harvard Pilgrim Health Care and Boston University.

"Our findings suggest that parents' expectations and perceptions are key factors influencing how well their children's asthma is controlled, and how effectively they use medications," said Dr. Tracy Lieu, the study's senior author.

Asthma is one of the most common childhood chronic illnesses and the most frequent cause of children's hospitalization. Racial and ethnic minorities and families of low socioeconomic status are at increased risk of having poorly controlled asthma.

For this study, the investigators surveyed more than 700 parents of children aged 2 to 12 years with persistent asthma who received care at Neighborhood Health Plan and Harvard Vanguard Medical Associates in Boston. Parents were asked how well they believed their child's symptoms could be controlled, how asthma would or would not limit their child's activities and health, and about their child's actual asthma symptoms. In addition, parents were asked about other competing family priorities such as financial and job concerns, neighborhood safety, family relationships and their own health.

Children were more likely to have troublesome symptoms if their parents had low expectations for how well their asthma could be controlled. They were also more likely to have poorly controlled symptoms if there was no set time or routine for taking asthma medication.

Concerns about other family issues and lack of parental knowledge about asthma were also related to worse asthma control. Some parents mistakenly thought asthma is an intermittent rather than chronic condition, that two days of symptoms per week was adequate control, and that medication use was necessary only when their child had symptoms or not at all. (Daily medication use is recommended for children with persistent asthma.)

The investigators believe it is important that clinicians identify and work with parents who have low expectations about asthma control and educate them about treatments that can improve their child's condition.

"Raising parents' expectations for how well their children can be doing with asthma may be one of the keys to reducing racial/ethnic disparities in asthma outcomes," Lieu observed.

This researcher was funded by the National Institute of Child Health and Human Development. The funding and data sources for this study had no role in study design; in the collection, analysis, and interpretation of data; or in the writing of the report.


Contact: David Cameron
Harvard Medical School

Related medicine news :

1. Siegel+Gale Designs New HOPE Portal for Childrens Hospital Los Angeles
2. Childrens Hospital Los Angeles Turns Off the Tap With Green Earth Waterless Carwash
3. Nautica Malibu Triathlon Presented by Toyota Raises $718,000 for Childrens Hospital Los Angeles Pediatric Cancer Research
4. Sudden Rise in Allergies and Asthma After Hurricane Ike
5. Monitoring exhaled nitric oxide does not help manage asthma
6. More Sweat Equals Lower Risk of Exercise-Induced Asthma
7. Obese people with asthma have nearly 5 times greater risk of hospitalization for asthma
8. Innate immune system targets asthma-linked fungus for destruction
9. Asthma in boys may be just a phase, but for girls it may be there to stay
10. Six States Named to National Asthma & Allergy Honor Roll
11. People With GERD More Likely to Develop Asthma
Post Your Comments:
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of ... of excellence for the field of eating disorders, announces the opening of early ... in Orlando, Florida at the Omni Resort at ChampionsGate. , The ...
(Date:10/13/2017)... LUIS OBISPO, Calif. (PRWEB) , ... October 13, 2017 , ... ... Alzheimer’s or dementia. However, many long-term care insurance companies have a waiver for care ... is the 90-day elimination period, when the family pays for care, is often waived, ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... giving viewers the lowdown on sciatica in a new episode of "Success Files," ... on current events and innovation and investigates each subject in-depth with passion and ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... treating sleep apnea using cutting-edge Oventus O2Vent technology. As many as ... disorder characterized by frequent cessation in breathing. Oral appliances can offer significant relief ...
(Date:10/12/2017)... ... October 12, 2017 , ... Asante, a nationally recognized health ... expanded their existing home health joint venture through an agreement, effective October 1, ... joint venture home health company with Asante, delivering clinically integrated care, for the ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... West Pharmaceutical Services, Inc. (NYSE: ... drug administration, today announced that it will release third-quarter ... October 26, 2017, and will follow with a conference ... 9:00 a.m. Eastern Time. To participate on the call, ... ID is 94093362. ...
(Date:10/11/2017)... IRVING, Texas , Oct. 11, 2017  Caris ... science focused on fulfilling the promise of precision medicine, ... Institute has joined Caris, Precision Oncology Alliance™ (POA) as ... leading cancer centers, the St. Jude Crosson Cancer Institute ... to advance the use of tumor profiling, making cancer ...
(Date:10/11/2017)... 11, 2017  Hill-Rom Holdings, Inc. ("Hill-Rom") (NYSE: HRC), ... in Las Piedras, Puerto Rico , ... Following a ... sustained minor structural damage, temporary loss of power and ... been completed, manufacturing operations have resumed, and the company ...
Breaking Medicine Technology: