Journal of Asthma and Allergy (Dec 2022)
Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic
Abstract
Gabrielle Pogge,1 Erika A Waters,2 Gregory D Webster,1 Sreekala Prabhakaran,3 Jean M Hunleth,2 David A Fedele,4 James A Shepperd1 1University of Florida, Department of Psychology, Gainesville, FL, 32603, USA; 2Washington University School of Medicine, Department of Surgery – Public Health Sciences, Saint Louis, MO, USA; 3University of Florida, Department of Pediatrics, Gainesville, FL, 32603, USA; 4University of Florida, Department of Clinical and Health Psychology, Gainesville, FL, 32603, USACorrespondence: Gabrielle Pogge, Department of Psychology, University of Florida, PO Box 112250, Gainesville, FL, 32611-2250, USA, Tel +1757-642-0396, Email [email protected]: 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.Keywords: PP-ACT, childhood asthma, ED admissions, coronavirus 19 pandemic, asthma caregivers, United States, perceptions
