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Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic
PURPOSE: Although several indicators suggest that pediatric asthma control in the United States improved early in the pandemic, other indicators suggest not. Missing are reports from caregivers of the experiences of their children with asthma early in the pandemic. METHODS: Using the PP-ACT and othe...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789706/ https://www.ncbi.nlm.nih.gov/pubmed/36573182 http://dx.doi.org/10.2147/JAA.S385891 |
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author | Pogge, Gabrielle Waters, Erika A Webster, Gregory D Prabhakaran, Sreekala Hunleth, Jean M Fedele, David A Shepperd, James A |
author_facet | Pogge, Gabrielle Waters, Erika A Webster, Gregory D Prabhakaran, Sreekala Hunleth, Jean M Fedele, David A Shepperd, James A |
author_sort | Pogge, Gabrielle |
collection | PubMed |
description | PURPOSE: Although several indicators suggest that pediatric asthma control in the United States improved early in the pandemic, other indicators suggest not. Missing are reports from caregivers of the experiences of their children with asthma early in the pandemic. METHODS: Using the PP-ACT and other measures that we specifically constructed for our research, we conducted a cross-sectional national survey of US caregivers of children with asthma (N=595) to examine perceived change in their child’s asthma control and changes in reports of ED visits and use of emergency relief medicine and controller medicine pre-pandemic (January to March 2020) versus early-pandemic (June to September 2020). RESULTS: Caregivers fell into three groups: most caregivers perceived that their child’s asthma control was improved (50.3%) or unchanged (41.2%), and few reported worse control (8.5%). Surprisingly, all three groups of caregivers reported similar frequencies of early-pandemic and pre-pandemic ED visits and use of emergency relief medicine. Also surprising, caregivers who perceived their child’s asthma as more controlled (compared with the other two groups) reported more frequent ED visits and use of emergency relief medicine, yet also more use of controller medicine at both early-pandemic and pre-pandemic. CONCLUSION: The mismatch between caregivers’ perceptions of their child’s early-pandemic asthma control and their reports of ED visits and use of emergency relief medicine suggests that caregivers may rely on a gist (a global evaluation that can include nonbiomedical evidence) when estimating their child’s asthma control. Caregivers and their families could benefit from help from clinicians in understanding the discrepancy between subjective asthma control and asthma control indicators and in understanding what well-controlled asthma looks and feels like. |
format | Online Article Text |
id | pubmed-9789706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-97897062022-12-25 Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic Pogge, Gabrielle Waters, Erika A Webster, Gregory D Prabhakaran, Sreekala Hunleth, Jean M Fedele, David A Shepperd, James A J Asthma Allergy Original Research PURPOSE: Although several indicators suggest that pediatric asthma control in the United States improved early in the pandemic, other indicators suggest not. Missing are reports from caregivers of the experiences of their children with asthma early in the pandemic. METHODS: Using the PP-ACT and other measures that we specifically constructed for our research, we conducted a cross-sectional national survey of US caregivers of children with asthma (N=595) to examine perceived change in their child’s asthma control and changes in reports of ED visits and use of emergency relief medicine and controller medicine pre-pandemic (January to March 2020) versus early-pandemic (June to September 2020). RESULTS: Caregivers fell into three groups: most caregivers perceived that their child’s asthma control was improved (50.3%) or unchanged (41.2%), and few reported worse control (8.5%). Surprisingly, all three groups of caregivers reported similar frequencies of early-pandemic and pre-pandemic ED visits and use of emergency relief medicine. Also surprising, caregivers who perceived their child’s asthma as more controlled (compared with the other two groups) reported more frequent ED visits and use of emergency relief medicine, yet also more use of controller medicine at both early-pandemic and pre-pandemic. CONCLUSION: The mismatch between caregivers’ perceptions of their child’s early-pandemic asthma control and their reports of ED visits and use of emergency relief medicine suggests that caregivers may rely on a gist (a global evaluation that can include nonbiomedical evidence) when estimating their child’s asthma control. Caregivers and their families could benefit from help from clinicians in understanding the discrepancy between subjective asthma control and asthma control indicators and in understanding what well-controlled asthma looks and feels like. Dove 2022-12-20 /pmc/articles/PMC9789706/ /pubmed/36573182 http://dx.doi.org/10.2147/JAA.S385891 Text en © 2022 Pogge et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Pogge, Gabrielle Waters, Erika A Webster, Gregory D Prabhakaran, Sreekala Hunleth, Jean M Fedele, David A Shepperd, James A Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title | Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title_full | Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title_fullStr | Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title_full_unstemmed | Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title_short | Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic |
title_sort | caregiver perceptions of change in pediatric asthma control during the covid-19 pandemic |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789706/ https://www.ncbi.nlm.nih.gov/pubmed/36573182 http://dx.doi.org/10.2147/JAA.S385891 |
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