Assessment of the Implementation of Global Initiative for Asthma (GINA) 2019 Guidelines for Treatment of Mild Asthma Among Pediatric Registrars: A Quasi-Interventional Study

Figures & data

Table 1 The Demographical Data and Level of Training of the Pediatric Residents Participating in This Study (N=261)

Variable		Frequency N = 261	Percentage % = 100
Age	20–30 years	141	54.0
	31–40 years	115	44.1
	> 40	5	1.9
Gender	Male	58	22.2
	Female	203	77.8
Level of training	R1	46	17.6
	R2	43	16.5
	R3	69	26.4
	R4	103	39.5

Table 2 The Residents’ Total Knowledge Scores in the Pre-Intervention and Post-Intervention Phases in Terms of Their Gender, Age and Level of Training (N=261)

Variable	Phases		Mean	Standard Deviation	P-value Mann–Whitney Test	P value Kruskal–Wallis’s Test
Gender	Pre intervention	Male	8.1724	4.35341	0.872	–
		Female	8.0846	4.06175
	Post intervention	Male	16.8276	4.93159	0.057
		Female	15.9951	5.06443
Age	Pre intervention	20–30 years	7.9500	3.92250	–	0.545
		30–40 years	8.3596	4.37840
		> 40	6.6000	3.64692
	Post intervention	20–30 years	16.4610	5.06179		0.514
		30–40 years	15.9739	4.92837
		> 40	13.0000	6.63325
Level of training of the residents	Pre intervention	R1	7.1957	2.84112	–	0.093
		R2	8.0952	3.45571
		R3	7.3382	3.76793
		R4	9.0194	4.86279
	Post intervention	R1	18.1522	4.43204		0.001
		R2	14.1628	5.29569
		R3	15.4348	5.39465
		R4	16.6408	4.58440

Table 3 The Knowledge About the Assessment of Mild Asthma Classification and Managment (Step 1 and 2) in Different Pediatric Age Groups Among the Paediatric Residents Participating in This Study (N = 261)

	Response	Age Group	Pre Intervention Phase N = 216% = 100	Post Intervention Phase N = 216% = 100	P-value
Step 1	Correct classification	5 years and younger	251 (96.2%)	257 (98.5%)	0.001
	Correct classification	6 years–11 years	135 (51.7%)	233 (89.3%)
	Correct classification	12 years and more	64 (24.5%)	229 (87.7%)
Step 2	Correct classification	5 years and younger	72 (27.6%)	204 (78.2%)	0.001
	Correct classification	6 years–11 years	80 (30.7%)	216 (82.8%)
	Correct classification	12 years and more	104 (39.8%)	222 (85.1%)

Table 4 The Knowledge About the Assessment of Moderate/Sever Asthma Classification and Management (Step 1 and 2) in Different Pediatric Age Groups Among the Paediatric Residents Participating in This Study (N = 261)

	Responses	Age Group	Pre-Intervention N = 261% = 100	Post Intervention N = 261% = 100	P- value
Moderate asthma	Correct classification	5 years and younger	169 (64.8%)	227 (87%)	0.001
	Correct classification	6−11 years “Preferred option”	127 (48.7%)	214 (82%)
	Correct classification	6 −11 years “true alternative option”	109 (41.8%)	206 (78.9%)
	Correct classification	12 years old and more	137 (52.5%)	201 (77%)
Severe asthma	Correct classification	5 years and younger	142 (54.4%)	218 (83.5%)	0.001
	Correct classification	12 years old and more	114 (43.7%)	210 (80.5%)

Table 5 The Implementation Level of Global Initiative of Asthma (GINA) Guidelines of Management Among the Paediatric Residents Participating in This Study (N = 216)

Steps	Age Groups	Management	Pre-Intervention		Post-Intervention
			n	%	n	%	P-value
Step 1	5 years and younger	Correct answer^a	148	56.7	203	77.8	0.001
	6–11 years	Correct answer^b	66	25.3	213	81.6
	12 years and more	Correct answer^c	34	13.0	198	75.9
Step 2	5 years and younger	Correct answer^d	67	25.7	182	69.7	0.001
	6–11 years	Correct answer^d	72	27.6	192	73.6
	12 years and more	Correct answer^d	65	24.9	193	73.9

Notes: ^aInhaled SABA for symptoms relief. ^bInhaled Low dose of ICS /SABA for symptoms relief. ^cLow dose of ICS/ formoterol for symptoms relief. ^dDaily low-dose ICS plus as-needed SABA.

Table 6 Assessment of Implementation of Management of Viral-Induced Wheeze and Exercise-Induced Wheeze Among the Paediatric Registrars: N=261

	Variable	Pre-Intervention		Post-Intervention
		n	%	n	%	P value
Viral induced wheeze	Correct answer^a	96	36.8	222	85.1	0.001
Exercise induced wheeze	Correct answer^b	56	21.5	183	70.1	0.001

Notes: ^aDaily BID high dose of ICS for 1 to 2 weeks with viral infections. ^bLow dose of ICS /formoterol before exercise.