PLoS ONE (Jan 2024)

Are boarding secondary schools suitable for students with asthma? An asynchronous online focus group discussion among members of an asthma awareness group.

  • Kosisochi Chinwendu Amorha,
  • Kossy Maryann Ochie,
  • Stephen Chukwuma Ogbodo,
  • Olisaemeka Zikora Akunne,
  • Ogechi Christiana Obi,
  • Nwamaka Theresa Ene,
  • Chukwudi Richard Ifeanyi,
  • Jonathan Ikokwu,
  • Chibuike Victor Eze,
  • Emmanuella Tochukwu Ogbonna,
  • Marydith Ifeoma Chukwu,
  • Chinedu Collins Okafor,
  • Chiamaka Ruth Echeta,
  • Somtochi Prosper Nwani,
  • Christabel Ogechukwu Okoye,
  • Vanessa Chinweike Okonkwo,
  • Chisom Jennifer Eneje,
  • Gerald Obinna Ozota

DOI
https://doi.org/10.1371/journal.pone.0304123
Journal volume & issue
Vol. 19, no. 9
p. e0304123

Abstract

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IntroductionChildren in boarding schools spend most of their time without their parents or caregivers, causing concerns about the suitability of such schools for children with asthma. This study assessed individuals' opinions regarding the suitability of boarding secondary schools for children with asthma.MethodsA qualitative design was adopted for this study using a focus group discussion held on a social media platform (WhatsApp®) of the Asthma Awareness and Care Group (AACG), The group comprised 150 registered members. The study was guided by a structured protocol and based on a vignette comprising three questions. Data were analysed via thematic analysis using framework principles.ResultsOut of the 150 eligible members, there were responses from only 19 participants. Majority of the respondents were aged ≤ 30 years (n = 17, 89.5%). The three main themes generated from the thematic analysis include the appropriateness of boarding schools for children with asthma; facilities necessary for boarding schools to cater to children with asthma; and outright rejection of children with asthma by boarding schools. Respondents conceptualised the appropriateness of boarding schools for students with asthma in six distinct sub-themes: asthma severity and extent of control, child's self-efficacy and assertiveness, child equipped with tools (knowledge, inhalers, and asthma control diary), school awareness, facilities, and active support, availability of a guardian, and the knowledge and perception of teachers and schoolmates about asthma. The sub-themes associated with the themes were presented, alongside exemplar quotes from respondents. The majority of the respondents (61.5%) were in support of allowing children with asthma attend boarding schools but with some caveats such as without liability to the school, if facilities are unavailable.ConclusionChildren's age, autonomy, asthma management status, and the school's readiness were identified as important considerations for the safe attendance of children with asthma at boarding schools.