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Parent and child asthma illness representations: a systematic review
Jennifer T Sonney1,2, Lynn B Gerald3, Kathleen C Insel1
1a College of Nursing, The University of Arizona , Tucson, AZ , USA .
Summary
Parental understanding of childhood asthma influences management. Parents focus on symptoms and controllability, preferring intermittent treatment over daily medication, impacting shared asthma care.
Area of Science:
- Pediatric Respiratory Medicine
- Health Psychology
- Family Health
Background:
- Parent and child asthma illness representations significantly impact shared asthma management.
- Understanding these representations is crucial for effective asthma care strategies.
Purpose of the Study:
- To synthesize current literature on parent and child asthma illness representations.
- To examine the impact of these representations on parent-child asthma shared management.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched five databases (PubMed, PsycINFO, CINAHL, Cochrane, EMBASE) for studies on asthma, illness representation, and child.
- Included 15 descriptive, cross-sectional studies published after 2000 in English.
Main Results:
- No studies described child asthma illness representations; only three detailed parental representations.
- Parental focus on symptoms and controllability influences management, favoring symptomatic/intermittent approaches.
- Parents prioritize objective symptom observation over child's reports, impacting medication adherence.
Conclusions:
- Asthma illness representations are a critical, understudied area in pediatric asthma.
- Further research is needed to elucidate these representations for improved shared management.
- Understanding parental perceptions is key to optimizing asthma care plans.
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