Influence of parental anxiety and beliefs about medicines on feeding and exercise in children living with asthma

Rebecca Clarke; Gemma Heath; Prasad Nagakumar; Claire Farrow

doi:10.1177/13674935231171453

Influence of parental anxiety and beliefs about medicines on feeding and exercise in children living with asthma

Rebecca Clarke^*, Gemma Heath, Prasad Nagakumar, Claire Farrow

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

This study’s primary objective was to establish differences in beliefs about medicines, levels of asthma-related anxiety and diet and exercise behaviours between parents of children with well controlled and poorly controlled asthma. Secondary objectives were to explore how asthma control might shape relationships between parental cognitions and parenting practices concerning paediatric asthma. Parents of children with asthma aged 10–16 years ( N = 310) completed standardised questionnaires measuring beliefs about medicines, parental asthma-related anxiety, parenting attitudes towards child activity, parental feeding and asthma control. Parents of children with poorly controlled asthma reported significantly greater asthma medication necessity and concern, asthma-related anxiety, control of child activity, pressure to exercise and unhealthy feeding practices. Moderation analyses indicated that the relationship between parental concern about asthma medicine and parental control of child activity was strongest in children with poorly controlled asthma. Also, the relationship between parental asthma-related anxiety and use of food to regulate child emotion was only significant when asthma was poorly controlled. Parental beliefs about asthma medicines and asthma-related anxiety may indirectly influence asthma outcomes through unhealthy parenting practices around exercise and diet. Eliciting and understanding parents’ perceptions of asthma medications and anxiety may facilitate personalised interventions to improve asthma control.

Original language	English
Number of pages	15
Journal	Journal of Child Health Care
Early online date	25 Apr 2023
DOIs	https://doi.org/10.1177/13674935231171453
Publication status	E-pub ahead of print - 25 Apr 2023

Bibliographical note

Copyright © The Author(s) 2023.
Creative Commons License (CC BY 4.0)
This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Keywords

Asthma
anxiety
beliefs about medicines
exercise
feeding
parents

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10.1177/13674935231171453Licence: CC BY 4.0

Clarkeetal_2023_VoR
Copyright © The Author(s) 2023. Creative Commons License (CC BY 4.0) This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Final published version, 544 KBLicence: CC BY 4.0
Beliefs anxiety asthma manuscript and tables

Cite this

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title = "Influence of parental anxiety and beliefs about medicines on feeding and exercise in children living with asthma",

abstract = "This study{\textquoteright}s primary objective was to establish differences in beliefs about medicines, levels of asthma-related anxiety and diet and exercise behaviours between parents of children with well controlled and poorly controlled asthma. Secondary objectives were to explore how asthma control might shape relationships between parental cognitions and parenting practices concerning paediatric asthma. Parents of children with asthma aged 10–16 years ( N = 310) completed standardised questionnaires measuring beliefs about medicines, parental asthma-related anxiety, parenting attitudes towards child activity, parental feeding and asthma control. Parents of children with poorly controlled asthma reported significantly greater asthma medication necessity and concern, asthma-related anxiety, control of child activity, pressure to exercise and unhealthy feeding practices. Moderation analyses indicated that the relationship between parental concern about asthma medicine and parental control of child activity was strongest in children with poorly controlled asthma. Also, the relationship between parental asthma-related anxiety and use of food to regulate child emotion was only significant when asthma was poorly controlled. Parental beliefs about asthma medicines and asthma-related anxiety may indirectly influence asthma outcomes through unhealthy parenting practices around exercise and diet. Eliciting and understanding parents{\textquoteright} perceptions of asthma medications and anxiety may facilitate personalised interventions to improve asthma control.",

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Influence of parental anxiety and beliefs about medicines on feeding and exercise in children living with asthma

Abstract

Bibliographical note

Keywords

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