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Open Access
Article
Publication date: 30 April 2020

Wipada Sangnimitchaikul, Boonjai Srisatidnarakul and Sigrid Ladores

This study explored self-management in the context of asthma experiences of school-age children and the factors that facilitate asthma self-management.

1902

Abstract

Purpose

This study explored self-management in the context of asthma experiences of school-age children and the factors that facilitate asthma self-management.

Design/methodology/approach

This is qualitative research used in-depth interviews. Purposive sampling was employed to select 15 school-age children with asthma attending the outpatient pulmonary department at university hospital in Thailand. Semistructured in-depth individual interviews were conducted. which were audiotaped and transcribed verbatim. Content analysis was used to analyze the data.

Findings

Two major themes emerged from this study: (1) perspectives on managing asthma and (2) facilitators in asthma self-management. Four subthemes emerged from the first major theme related to views on managing asthma: (1) emphasizing use of an inhaler for asthma, (2) self-monitoring for symptom, (3) difficulties with the daily regimens and (4) family support on asthma self-management. Two subthemes emerged from the second major theme related to facilitators in asthma self-management: (1) confidence in performing asthma care behaviors and (2) asthma communication.

Originality/value

This study described strategies that support asthma management of children in Thailand and provided insight into factors that influence asthma self-management. Findings will inform the development of future self-management interventions for school-age children with asthma.

Details

Journal of Health Research, vol. 35 no. 3
Type: Research Article
ISSN: 0857-4421

Keywords

Article
Publication date: 8 April 2022

Indu Sudarsan, Karen Hoare, Nicolette Sheridan and Jennifer Roberts

This article aims to explore the meanings of positionality and demonstrate how reflective memos can illustrate positionality in a constructivist grounded theory (CGT) study.

Abstract

Purpose

This article aims to explore the meanings of positionality and demonstrate how reflective memos can illustrate positionality in a constructivist grounded theory (CGT) study.

Design/methodology/approach

Acknowledging the positionality of the researcher through a reflective approach is an essential element of CGT studies. The first author (IS) used reflective memoing in her CGT study on Indian immigrant children's asthma to practice reflexivity and make her positionality explicit. Through memos, IS acknowledges her knowledge, beliefs, practices, experience and pre-existing assumptions about the research topic. This article is a compilation of the reflective memos that IS wrote during the initial phase of her research and draws on her motivations as they relate to the topic under study in the context of current literature.

Findings

The reflective accounts of a researcher's background and experience can act as a lens for understanding the research question and the choice of methodology.

Practical implications

This article may be useful to novice qualitative researchers who are struggling to define and establish their own positionality. John Dewey's and David Schon's works on reflective thinking serve as valuable tools to practice reflexivity. Philosophically underpinned reflections in the form of memos, employed from the outset and throughout the study, can enhance the study rigour by making research decisions transparent.

Originality/value

This article provides practical guidance on how to outline positionality at the outset of a CGT study.

Details

Qualitative Research Journal, vol. 22 no. 3
Type: Research Article
ISSN: 1443-9883

Keywords

Article
Publication date: 14 August 2017

Karen Newell, Chris Corrigan, Geoffrey Punshon and Alison Leary

Patients with severe asthma were choosing not to use the emergency department (ED) in extremis and were self-medicating when experiencing severe asthma, putting their lives at…

Abstract

Purpose

Patients with severe asthma were choosing not to use the emergency department (ED) in extremis and were self-medicating when experiencing severe asthma, putting their lives at risk. This local issue reflected a nationwide situation. The purpose of this paper is to better understand the reasons behind patients’ reluctance to attend ED and to consider practical solutions in a structured way.

Design/methodology/approach

Systems thinking (soft systems methodology) was used to examine the issues resulting in this reluctance to attend the ED. Once this tame (well-defined) problem was revealed, a potential solution was developed in co-production with patients.

Findings

Patients feared attending the ED and felt vulnerable while in the ED for several reasons. This appeared to be a well-defined and solvable problem. The solution proposed was an asthma patient passport (APP), which increased patient’s confidence in their ability to communicate their needs while in severe distress. The APP decreases (from 12 to 5 steps) the work patients had to do to achieve care. The APP project is currently being evaluated.

Practical implications

The APP should be offered to all people with severe asthma.

Originality/value

By revisiting systems thinking and identifying problems, a solution was identified. Although methods such as soft systems methodology have limitations when used in wicked (difficult or impossible to resolve) problems, such methods still have merit in tame problems and were applicable in this case to fully understand the issues, and to design practical solutions.

Details

International Journal of Health Care Quality Assurance, vol. 30 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

Book part
Publication date: 17 December 2016

Susan E. Bell

The purpose of this paper is to review the legacy of sociologist Irving Kenneth Zola in bringing the body into social science research and making visible and dismantling social…

Abstract

Purpose

The purpose of this paper is to review the legacy of sociologist Irving Kenneth Zola in bringing the body into social science research and making visible and dismantling social structured barriers to hearing and speaking and living as fully human.

Methodology/approach

It begins with an examination of Zola’s experience of “being sexy” in his book, Missing Pieces (1982). It considers what a visual sociological focus on “being sexy” can contribute to understanding structured barriers to living as fully human after the emergence of this field in the 1990s and 2000s.

Research implications

It provides two examples of the use of video cameras in understanding the daily experiences of adults using wheelchairs and children with asthma that continue the embodied work begun by Zola.

Social implications

Embodied sociological research can be a strategy for social and political change.

Details

Sociology Looking at Disability: What Did We Know and When Did We Know it
Type: Book
ISBN: 978-1-78635-478-5

Keywords

Article
Publication date: 1 December 2001

Rachel MacLehose, Mala Rao, Janet Dyson and Pamela Milnes

This study was designed to establish the levels of knowledge about the management of asthma among primary school teachers in South Essex. A total of 135 primary schools…

Abstract

This study was designed to establish the levels of knowledge about the management of asthma among primary school teachers in South Essex. A total of 135 primary schools participated in a questionnaire survey, with data analysis being carried out on responses from 517 teaching staff. Findings showed that 47 per cent of respondents reported concern about dealing with a child suffering from asthma. Only 16.1 per cent felt confident in dealing with a child suffering from a severe asthma attack. Less than a third of respondents (29.6 per cent) had received training in the management of asthma. These results reflect the requirement to put new emphasis on greater collaborative and partnership working between the NHS and local education authorities to provide appropriate opportunities to meet this need. Increasing teachers’ knowledge and access to resources should result in improved care of children with asthma in schools.

Details

Health Education, vol. 101 no. 6
Type: Research Article
ISSN: 0965-4283

Keywords

Article
Publication date: 1 December 2001

Edward Boyes and Martin Stanisstreet

Over 1,000 secondary school students (ages 11‐16) completed a closed‐form questionnaire about the nature, causes and consequences of asthma. The questionnaire contained items…

Abstract

Over 1,000 secondary school students (ages 11‐16) completed a closed‐form questionnaire about the nature, causes and consequences of asthma. The questionnaire contained items which related to conceptions about asthma which had emerged in previous work, and also items relating to the known scientific issues surrounding asthma. In general, most students knew about many of the triggers which can cause an asthma attack, although fewer recognised the allergenic properties of nuts and the possible role of emotional upset. More than half thought that people with asthma could not perform well at sport, and a fifth saw them as somehow “weaker”. A fifth thought of asthma as being simply inconvenient, but not serious. These ideas persisted in the oldest students, and it seems likely that they will exist in the adult population to a similar extent. In general, girls seemed to be better informed about asthma than boys.

Details

Health Education, vol. 101 no. 6
Type: Research Article
ISSN: 0965-4283

Keywords

Article
Publication date: 1 June 2004

Eva Pilman, Anna Ovanfors, Johan Brun, Göran Karlsson, Christin Prütz and Anders Westlund

Examines the relationships between different aspects involved in asthma treatment. Analyses each aspect's impact on overall patient satisfaction with asthma treatment. Also…

Abstract

Examines the relationships between different aspects involved in asthma treatment. Analyses each aspect's impact on overall patient satisfaction with asthma treatment. Also studies how outcome variables such as compliance with physician's recommendations, health‐related quality of life and resource use are affected by the degree of patient satisfaction. The results refer to asthma patients as a group but not necessarily to each patient as an individual. The statistical technique applied for this analysis is partial least squares. Tests the suggested generic model on 599 respondents from a questionnaire survey. The structure of the suggested model is well supported by the data.

Details

International Journal of Health Care Quality Assurance, vol. 17 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Book part
Publication date: 5 June 2018

Sunday O. Obi

Students with physical and health impairments represent a small but growing group of individuals with diverse educational needs. They are those students whose physical limitations…

Abstract

Students with physical and health impairments represent a small but growing group of individuals with diverse educational needs. They are those students whose physical limitations or health problems interfere with school attendance or learning to such an extent that special services, training, equipment, materials, or facilities are required. Therefore, the purpose of this chapter is to discuss some of these impairments and acquaint both general and special educators with interventions for helping students with physical and health impairments succeed.

Details

Viewpoints on Interventions for Learners with Disabilities
Type: Book
ISBN: 978-1-78743-089-1

Keywords

Abstract

Details

Singing
Type: Book
ISBN: 978-1-83867-332-1

Book part
Publication date: 28 January 2011

Barbara M. Fulk, Emily Watts and Jeffrey P. Bakken

Throughout the ages, caring for an individual with a significant physical disability and/or health impairment has been extremely difficult or perhaps even impossible. Conditions…

Abstract

Throughout the ages, caring for an individual with a significant physical disability and/or health impairment has been extremely difficult or perhaps even impossible. Conditions for survival were often hard, requiring all able-bodied family members working from dawn until dark to scratch out even a minimal standard of living. Consequently, little time and resources were available for the care of a loved one with a disability. Safford and Safford's sobering volume (1996) emphasizes that children have always been vulnerable to neglect and children with disabilities were particularly subject to abuse. To illustrate this, children with disabilities were particularly subject to infanticide, abandonment, slavery, sterilization or placed in orphanages, where maiming sometimes occurred to increase the individuals' potential for street corner begging.

Details

History of Special Education
Type: Book
ISBN: 978-0-85724-629-5

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