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. 2015 Sep;52(7):699-706.
doi: 10.3109/02770903.2014.1001905. Epub 2015 Mar 10.

Illness representations and cultural practices play a role in patient-centered care in childhood asthma: experiences of Mexican mothers

Kimberly Arcoleo  1 , Luis E Zayas, April Hawthorne, Rachelle Begay
Affiliations

Illness representations and cultural practices play a role in patient-centered care in childhood asthma: experiences of Mexican mothers

Kimberly Arcoleo et al. J Asthma. 2015 Sep.

Abstract

Objective: Patients' cultural health beliefs and behaviors may conflict with biomedical healthcare values and practices potentially leading to non-adherence with asthma treatment regimens. To optimize shared decision-making, healthcare providers should understand and be sensitive to these cultural beliefs and behaviors and negotiate an asthma management plan acceptable to parents. The purpose of this study was to obtain the perspective of Mexican mothers regarding (1) their experiences of living with a child with asthma, (2) their understanding of the nature of asthma, and (3) how their cultural beliefs influence asthma management.

Methods: A qualitative, phenomenological study design was employed to assess mothers' lived experiences with and perceptions of their child's asthma. Individual in-depth interviews were conducted with a purposeful sample of 20 Mexican mothers of children ages 5-17 years with asthma. An inductive, theory-driven, phenomenological analysis approach was used to elicit thematic findings.

Results: Mothers expressed a symptomatic perception of asthma and limited understanding of the disease. Most believe the disease is present only when their child is symptomatic. Many are surprised and puzzled by the unpredictability of their child's asthma attacks, which they report as sometimes "silent". The inconsistency of triggers also leads to frustration and worry, which may reflect their concerns around daily controller medication use and preference for alternative illness management strategies.

Conclusions: Our clinical encounters should be refocused to better understand the context of these families' lives and the cultural lens through which they view their child's asthma.

Keywords: Asthma; childhood; illness representations; latino; shared decision-making.

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Figures

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Figure 1
Interview Guide by Question
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References

    1. Yoos HL, Kitzman H, Henderson C, McMullen A, Sidora-Arcoleo K, Halterman JS, et al. The impact of the parental illness representation on disease management in childhood asthma. Nursing Research. 2007;56(3):167–74. - PubMed
    1. Sidora-Arcoleo K, Feldman J, Serebrisky D, Spray A. A multi-factorial model for examining racial and ethnic disparities in acute asthma visits by children. Annals of Behavioral Medicine. 2012;43(1) - PMC - PubMed
    1. Callery P, Milnes L, Verduyn C, Couriel J. Qualitative study of young people's and parents' beliefs about childhood asthma. British Journal of General Practice. 2003;53:185–90. - PMC - PubMed
    1. Horne R. Representations of medications and treatment: Advances in theory and measurement. In: Petrie KJ, Weinman JA, editors. Perceptions of health and illness. Harwood Acadmeic Publishers; Netherlands: 1997. pp. 155–88.
    1. Yoos HL, Kitzman H, McMullen A. Barriers to anti-inflammatory medication use in childhood asthma. Ambul Pediatr. 2003 Jul-Aug;3(4):181–90. - PubMed

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