Children with asthma and their caregivers help improve written asthma action plans: A pilot mixed-method study

ABSTRACT

Objective: The objectives of this study were to (a) qualitatively examine caregiver and child feedback about a gold standard written asthma action plan (WAAP), and (b) determine whether having an asthma action plan was associated with child and caregiver self-efficacy in managing an exacerbation. Methods: This was a cross-sectional analysis of structured interviews with 22 children with persistent asthma that collected feedback about the WAAP as well as self-efficacy. An analysis of interviews used the constant comparative method to identify themes of child and caregiver statements. Caregivers completed a questionnaire that measured asthma management self-efficacy, barriers to managing asthma, and belief in the treatment efficacy using validated scales. Results: Approximately 36% of the caregivers reported having a WAAP for their child from their child's pediatrician. Most caregivers stated that having pictures would improve the WAAP, while most children stated that the layout needed to be improved by adding more space between the sections. Caregivers who reported knowing what the asthma action plan was had greater self-efficacy than caregivers who did not (z = −1.99, p = 0.047). Conclusions: Re-designing the current WAAP layout and including pictures of inhalers may promote patient understanding. Future research needs to examine if a re-designed WAAP improves asthma management of children with asthma and their caregivers.

KEYWORDS:

• Adolescent
• asthma
• child
• pediatric
• written asthma action plan

Acknowledgements

The authors are grateful to the pharmacy students, the public health students, and the general pediatric residents that greatly contributed to the success of this study. The authors report no conflicts of interest pertaining to this study. This study was supported by the Marshall University Faculty Research Support program.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.