Journal of Asthma and Allergy (Aug 2022)
Parents’ Decision Making During Their Child’s Asthma Attack: Qualitative Systematic Review
Abstract
Bernadette MM Goddard,1,2 Alison Hutton,1 Michelle Guilhermino,1 Vanessa M McDonald1,3,4 1School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia; 2Paediatric Respiratory Department, John Hunter Children’s Hospital, New Lambton Heights, NSW, Australia; 3Centre of Excellence Treatable Traits, Level 2, West Wing, Hunter Medical Research Institute. Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia; 4Department of Respiratory and Sleep Medicine, John Hunter Hospital, New Lambton Heights, NSW, AustraliaCorrespondence: Vanessa M McDonald, Centre of Excellence Treatable Traits, Level 2, West Wing, Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia, Tel +61 2 40420146, Fax +61 2 40420046, Email [email protected]: To conduct a systematic review and synthesis of qualitative evidence exploring the factors that influence a parent’s decision to seek medical assistance while their child is having an asthma attack.Methods: Studies were included if they used qualitative methodologies and explored parent or carers’ experience of caring for a child (2 to 12 years) during an acute asthma attack at home or in the community. We searched MEDLINE (OVID interface, 1948 onwards), EMBASE (OVID interface, 1980 onwards) and CINAHL (EBSCO) electronic databases. Quality appraisal was assessed by the Critical Appraisal Skills Program CASP for qualitative research, and the qualitative studies in this review were analyzed by thematic synthesis.Results: From 4798 identified studies, 17 met the inclusion criteria. Synthesis revealed two distinct processes used by parents to aid their decision to seek medical intervention for their child. The first, past experiences informing future decisions and secondly facilitators that drive parents’ to actively pursue medical help.Conclusion: This review highlights the importance of providing asthma education that not only focuses on the provision of information on symptoms, triggers, medication, and device use but asthma education that targets parents’ unique experience. Using a family strength approach education can impact parents’ future behavior when deciding to seek medical assistance for their child when experiencing an asthma attack. There was not a specific funding source, which supported this review. This review was registered with PROSPERO Identification Number CRD4201912740.Keywords: childhood wheeze, caregiver, choice behavior, medical help
