ASSESSMENT OF ASTHMA MANAGEMENT: EXPLORING KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG PATIENTS IN A TERTIARY CARE SETTING
Main Article Content
Keywords
Knowledge, Attitude, Practices, Asthma
Abstract
This cross-sectional study explores the knowledge, attitudes, and practices related to asthma among 430 patients in a tertiary care setting, utilizing a convenience sampling technique. The study assessed participants’ understanding of asthma, including knowledge about general information, signs and symptoms, risk factors, as well as their attitudes and practices regarding asthma management. The analysis revealed significant variations in asthma knowledge based on education level, with higher education correlating with better knowledge and more positive attitudes. The general knowledge mean rank varied significantly across educational levels (p = 0.000), with postgraduates showing the highest mean ranks in knowledge, attitude, and practices. Correlations between asthma-related knowledge and attitudes were observed, particularly between knowledge about risk factors (r = 0.230, p = 0.000) and overall asthma knowledge, which significantly influenced attitudes (r = 0.191, p = 0.000) and practices (r = 0.215, p = 0.000). Knowledge about asthma had a weak positive correlation with general knowledge (r = 0.165, p = 0.001) and a weak negative correlation with risk factors (r = -0.114, p = 0.018). Attitude and practices were significantly correlated with knowledge, with attitude also showing weak positive correlations with practices (r = 0.136, p = 0.005). Despite positive correlations, the study found that knowledge alone did not guarantee better practices, suggesting the need for more comprehensive asthma education programs. The results highlight the importance of education in improving patient outcomes and underscore the need for further research to explore the complex interactions between education, socio-economic factors, and healthcare access in shaping asthma-related practices and management strategies.
References
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31. SALIM, H., SHARIFF GHAZALI, S., LEE, P. Y., CHEONG, A. T., HARRUN, N. H., MOHAMED ISA, S. & PINNOCK, H. 2021. Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study. BMC Public Health, 21, 1186.
32. SHARIFI, L., HEIDARNAZHAD, H. & MOIN, M. 2011. Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic patients. Archives of Iranian Medicine, 14, 315.
33. SHEA, L., PESA, J., GEONNOTTI, G., POWELL, V., KAHN, C. & PETERS, W. 2022. Improving diversity in study participation: Patient perspectives on barriers, racial differences and the role of communities. Health Expect, 25, 1979-1987.
34. SODHI, R., PRASAD, R., KUSHWAHA, R., KANT, S., VERMA, S., GARG, R., KUMAR, S., VERMA, A. K. & PRAKASH, V. 2013. A study to know the knowledge, attitude, and practices of patients of bronchial asthma. International Journal of Medicine and Public Health, 3, 159-162.
35. TIOTIU, A. I., NOVAKOVA, P., NEDEVA, D., CHONG-NETO, H. J., NOVAKOVA, S., STEIROPOULOS, P. & KOWAL, K. 2020. Impact of Air Pollution on Asthma Outcomes. Int J Environ Res Public Health, 17.
36. TOSKALA, E. & KENNEDY, D. W. 2015. Asthma risk factors. Int Forum Allergy Rhinol, 5 Suppl 1, S11-6.
37. VAN DER MOLEN, T., FLETCHER, M. & PRICE, D. 2018. Identifying Patient Attitudinal Clusters Associated with Asthma Control: The European REALISE Survey. The Journal of Allergy and Clinical Immunology: In Practice, 6, 962-971.
38. VERMEIRE, P., RABE, K., SORIANO, J. & MAIER, W. 2002. Asthma control and differences in management practices across seven European countries. Respiratory Medicine, 96, 142-149.
39. VOLERMAN, A., FIERSTEIN, J., BOON, K., VOJTA, D. & GUPTA, R. 2021. Determinants of asthma knowledge and practices among caregivers of children with moderate-to-severe persistent asthma. Ann Allergy Asthma Immunol, 127, 392-394.
40. WILLIAMS, D. R., STERNTHAL, M. & WRIGHT, R. J. 2009. Social determinants: taking the social context of asthma seriously. Pediatrics, 123 Suppl 3, S174-84.
41. ZHANG, X., DING, R., ZHANG, Z., CHEN, M., YIN, Y. & QUINT, J. K. 2023. Medication Adherence in People with Asthma: A Qualitative Systematic Review of Patient and Health Professional Perspectives. J Asthma Allergy, 16, 515-527.
42. ZHANG, X., LAI, Z., QIU, R., GUO, E., LI, J., ZHANG, Q. & LI, N. 2021. Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study. Asthma Research and Practice, 7, 10.
43. ZHAO, M., YE, J., CHEN, L., YANG, Y., ZHAO, M., YANG, M. & SHI, Z. 2024. Knowledge, attitudes, and practices towards Kawasaki disease from caregivers of children with Kawasaki disease: a cross-sectional study. BMC Public Health, 24, 899.
2. AYIK, S., KARADENIZ, G., TATLı, T. & DINÇEL, B. 2024. Predictive parameters of uncontrolled asthma in the real world: a prospective study. J Asthma, 1-10.
3. BEUTHER, D. A. & SUTHERLAND, E. R. 2007. Overweight, obesity, and incident asthma: a meta-analysis of prospective epidemiologic studies. American journal of respiratory and critical care medicine, 175, 661-666.
4. CHOKHANI, R., RAZAK, A., WAKED, M., NAING, W., BAKHATAR, A., KHORANI, U., GAUR, V. & GOGTAY, J. 2021. Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco. J Asthma, 58, 979-989.
5. CLEMENTE-SUÁREZ, V. J., MIELGO-AYUSO, J., RAMOS-CAMPO, D. J., BELTRAN-VELASCO, A. I., MARTÍNEZ-GUARDADO, I., NAVARRO JIMENEZ, E., REDONDO-FLÓREZ, L., YÁÑEZ-SEPÚLVEDA, R. & TORNERO-AGUILERA, J. F. 2023. Basis of preventive and non-pharmacological interventions in asthma. Front Public Health, 11, 1172391.
6. DANIEL, J., INBARAJ, L. R., JENKINS, S., RAMAMURTHY, P. H. & ISAAC, R. 2021. A community-based cross-sectional study on knowledge, attitude, and perceptions about asthma among healthy adults in rural South India. J Family Med Prim Care, 10, 1956-1962.
7. DHARMAGE, S. C., PERRET, J. L. & CUSTOVIC, A. 2019. Epidemiology of Asthma in Children and Adults. Front Pediatr, 7, 246.
8. EAKIN, M. N. & RAND, C. S. 2012. Improving patient adherence with asthma self-management practices: what works? Ann Allergy Asthma Immunol, 109, 90-2.
9. EHRLICH, R. I., DU TOIT, D., JORDAAN, E., ZWARENSTEIN, M., POTTER, P., VOLMINK, J. A. & WEINBERG, E. 1996. Risk factors for childhood asthma and wheezing. Importance of maternal and household smoking. Am J Respir Crit Care Med, 154, 681-8.
10. GHANNAME, I., CHAKER, A., CHERKANI HASSANI, A., HERRAK, L., ARNAUL EBONGUE, S., LAINE, M., RAHHALI, K., ZOGLAT, A., BENITEZ REXACH, A. M., AHID, S. & CHERRAH, Y. 2018. Factors associated with asthma control: MOSAR study (Multicenter Observational Study of Asthma in Rabat-Morocco). BMC Pulmonary Medicine, 18, 61.
11. GHOZALI, M. T. & URROHMAH, U. A. 2023. Determining the relationship between the knowledge on self-management and levels of asthma control among adult asthmatic patients: a cross-sectional study. J Med Life, 16, 442-446.
12. H.P.D, M. & SUBASINGHE, S. 2016. Knowledge attitudes and practices of asthma-Does it associate with demographic factors of adult patients. Asian Pacific Journal of Health Sciences, 3, 94-99.
13. HASSAN, G. A., AHSAN, S., ASEM, M., TAHA, I., MUHAMMAD, U., SALEEM, M. W., BAKAR, A. A. & CHEN, M. 2017. Role and frequency of asthma risk factors in triggering the asthmatic attack: A cross-sectional study from Pakistan. Journal of Pharmacy Practice and Community Medicine, 3, 277-284.
14. HUSSAIN, S. F., ZAHID, S., KHAN, J. A. & HAQQEE, R. 2004. Asthma management by general practitioners in Pakistan. Int J Tuberc Lung Dis, 8, 414-7.
15. JEONG, S. H., CHUNG, S. J., YOO, H. S., JUNG, J. H., BAIK, K., LEE, Y. H., LEE, P. H. & SOHN, Y. H. 2022. Premorbid Educational Attainment and Long-Term Motor Prognosis in Parkinson's Disease. J Parkinsons Dis, 12, 129-136.
16. KAMBLI, S. 2014. Asthma patient’s knowledge regarding diagnosis and treatment. International Journal of Science and Research, 3, 1871-1876.
17. KAPLAN, A., BOIVIN, M., BOUCHARD, J., KIM, J., HAYES, S. & LICSKAI, C. 2023. The emerging role of digital health in the management of asthma. Ther Adv Chronic Dis, 14, 20406223231209329.
18. KHAN, J. A. 2024. MISCONCEPTIONS ABOUT ASTHMA AMONG PATIENTS VISITING THE TERTIARY CARE HOSPITAL OF KARACHI. Biological and Clinical Sciences Research Journal, 2024, 1213.
19. LÉGARÉ, F., ADEKPEDJOU, R., STACEY, D., TURCOTTE, S., KRYWORUCHKO, J., GRAHAM, I. D., LYDDIATT, A., POLITI, M. C., THOMSON, R., ELWYN, G. & DONNER-BANZHOFF, N. 2018. Interventions for increasing the use of shared decision making by healthcare professionals. Cochrane Database Syst Rev, 7, Cd006732.
20. LOTFATA, A., MOOSAZADEH, M., HELBICH, M. & HOSEINI, B. 2023a. Socioeconomic and environmental determinants of asthma prevalence: a cross-sectional study at the U.S. County level using geographically weighted random forests. International Journal of Health Geographics, 22, 18.
21. LOTFATA, A., MOOSAZADEH, M., HELBICH, M. & HOSEINI, B. 2023b. Socioeconomic and environmental determinants of asthma prevalence: a cross-sectional study at the U.S. County level using geographically weighted random forests. Int J Health Geogr, 22, 18.
22. LUCKIE, K., PANG, T. C., KRITIKOS, V., SAINI, B. & MOLES, R. J. 2018. Development and validation of an asthma first aid knowledge questionnaire. Res Social Adm Pharm, 14, 459-463.
23. MADHUSHANI, H. P. D. & SUBASINGHE, H. W. A. S. 2016. Knowledge attitudes and practices of asthma; Does it associate with demographic factors of adult patients? Asian Pacific Journal of Health Science, 3, 94-99.
24. MANCUSO, C. A., SAYLES, W. & ALLEGRANTE, J. P. 2010. Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. J Asthma, 47, 883-8.
25. MARSDEN, E. J., SOMWE, S. W., CHABALA, C., SORIANO, J. B., VALLÈS, C. P. & ANCHOCHEA, J. 2016. Knowledge and perceptions of asthma in Zambia: a cross-sectional survey. BioMed Central pulmonary medicine, 16, 33.
26. MAULOOD, K. B., KHAN, M., SYED SULAIMAN, S. A. & KHAN, A. H. 2023a. Assessing the Impact of Health Education Intervention on Asthma Knowledge, Attitudes, and Practices: A Cross-Sectional Study in Erbil, Iraq. Healthcare [Online], 11.
27. MAULOOD, K. B., KHAN, M., SYED SULAIMAN, S. A. & KHAN, A. H. 2023b. Assessing the Impact of Health Education Intervention on Asthma Knowledge, Attitudes, and Practices: A Cross-Sectional Study in Erbil, Iraq. Healthcare (Basel), 11.
28. MERGHANI, T. H., ZAKI, A. M., AHMED, A. M. & TOUM, I. M. 2012. Knowledge, attitude and behaviour of asthmatic patients regarding asthma in urban areas in Khartoum State, Sudan. Khartoum Medical Journal, 4.
29. MILES, C., ARDEN-CLOSE, E., THOMAS, M., BRUTON, A., YARDLEY, L., HANKINS, M. & KIRBY, S. E. 2017. Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views. NPJ Prim Care Respir Med, 27, 57.
30. PRISTOV, Z., LOBE, B. & SOČAN, M. 2024. Factors Influencing COVID-19 Vaccination among Primary Healthcare Nurses in the Pandemic and Post-Pandemic Period: Cross-Sectional Study. Vaccines (Basel), 12.
31. SALIM, H., SHARIFF GHAZALI, S., LEE, P. Y., CHEONG, A. T., HARRUN, N. H., MOHAMED ISA, S. & PINNOCK, H. 2021. Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study. BMC Public Health, 21, 1186.
32. SHARIFI, L., HEIDARNAZHAD, H. & MOIN, M. 2011. Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic patients. Archives of Iranian Medicine, 14, 315.
33. SHEA, L., PESA, J., GEONNOTTI, G., POWELL, V., KAHN, C. & PETERS, W. 2022. Improving diversity in study participation: Patient perspectives on barriers, racial differences and the role of communities. Health Expect, 25, 1979-1987.
34. SODHI, R., PRASAD, R., KUSHWAHA, R., KANT, S., VERMA, S., GARG, R., KUMAR, S., VERMA, A. K. & PRAKASH, V. 2013. A study to know the knowledge, attitude, and practices of patients of bronchial asthma. International Journal of Medicine and Public Health, 3, 159-162.
35. TIOTIU, A. I., NOVAKOVA, P., NEDEVA, D., CHONG-NETO, H. J., NOVAKOVA, S., STEIROPOULOS, P. & KOWAL, K. 2020. Impact of Air Pollution on Asthma Outcomes. Int J Environ Res Public Health, 17.
36. TOSKALA, E. & KENNEDY, D. W. 2015. Asthma risk factors. Int Forum Allergy Rhinol, 5 Suppl 1, S11-6.
37. VAN DER MOLEN, T., FLETCHER, M. & PRICE, D. 2018. Identifying Patient Attitudinal Clusters Associated with Asthma Control: The European REALISE Survey. The Journal of Allergy and Clinical Immunology: In Practice, 6, 962-971.
38. VERMEIRE, P., RABE, K., SORIANO, J. & MAIER, W. 2002. Asthma control and differences in management practices across seven European countries. Respiratory Medicine, 96, 142-149.
39. VOLERMAN, A., FIERSTEIN, J., BOON, K., VOJTA, D. & GUPTA, R. 2021. Determinants of asthma knowledge and practices among caregivers of children with moderate-to-severe persistent asthma. Ann Allergy Asthma Immunol, 127, 392-394.
40. WILLIAMS, D. R., STERNTHAL, M. & WRIGHT, R. J. 2009. Social determinants: taking the social context of asthma seriously. Pediatrics, 123 Suppl 3, S174-84.
41. ZHANG, X., DING, R., ZHANG, Z., CHEN, M., YIN, Y. & QUINT, J. K. 2023. Medication Adherence in People with Asthma: A Qualitative Systematic Review of Patient and Health Professional Perspectives. J Asthma Allergy, 16, 515-527.
42. ZHANG, X., LAI, Z., QIU, R., GUO, E., LI, J., ZHANG, Q. & LI, N. 2021. Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study. Asthma Research and Practice, 7, 10.
43. ZHAO, M., YE, J., CHEN, L., YANG, Y., ZHAO, M., YANG, M. & SHI, Z. 2024. Knowledge, attitudes, and practices towards Kawasaki disease from caregivers of children with Kawasaki disease: a cross-sectional study. BMC Public Health, 24, 899.
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Jan 08, 2025
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Sana Ahmed, Imran Masood, Maimoona Ahmad, Ayesha tariq, & Nadia Noreen. (2025). ASSESSMENT OF ASTHMA MANAGEMENT: EXPLORING KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG PATIENTS IN A TERTIARY CARE SETTING. Journal of Population Therapeutics and Clinical Pharmacology, 32(1), 98-114. https://doi.org/10.53555/pfnqac58
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Author Biographies
Sana Ahmed
Department of Pharmacy, Islamia University Bahawalpur, Bahawalpur
Imran Masood
Associate Professor, The Islamia university Bahawalpur, Bahawalpur
Maimoona Ahmad
The Islamia university Bahawalpur,
Ayesha tariq
The Islamia university Bahawalpur
Nadia Noreen
Ph.D Scholar, University of Lahore, Pharmacist, Sheikh Khalifa Bin Zayyad Hospital Quetta
How to Cite
Sana Ahmed, Imran Masood, Maimoona Ahmad, Ayesha tariq, & Nadia Noreen. (2025). ASSESSMENT OF ASTHMA MANAGEMENT: EXPLORING KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG PATIENTS IN A TERTIARY CARE SETTING. Journal of Population Therapeutics and Clinical Pharmacology, 32(1), 98-114. https://doi.org/10.53555/pfnqac58