Main Article Content
Purpose: To examine the factors predicting allergic rhinitis control which were co-morbidity, self-management behaviors, caregiver’s management behaviors and caregiver’s health literacy.
Design: The correlational predictive research design.
Methods: The subject consisted of 124 pairs of caregivers and school-aged children with allergic rhinitis who were treated from Allergy clinics at two tertiary hospitals in Bangkok. The research instruments composed of 1) Demographic Data Questionnaire 2) Data Record Form 3) Children’s Management Behavior for Allergic Rhinitis Questionnaire 4) Caregiver’s Management Behavior for Allergic Rhinitis Questionnaire 5) Caregiver’s Health Literacy for Allergic Rhinitis Questionnaire and 6) Control of Allergic Rhinitis and Asthma Test for Children (Thai version). Data were analyzed using logistic regression.
Main findings: School-aged children with allergic rhinitis were classified in controlled level (71.8%) and uncontrolled level (28.2%). The model of self-management behaviors, caregiver-management behaviors and caregiver’s health literacy explained 33.5% of variance on allergic rhinitis control (Nagelkerke R2 = .34). The predictive factors of allergic rhinitis control were self-management behaviors and caregiver-management behaviors (OR = 1.09, 95%CI = 1.03, 1.15; OR = 1.07, 95%CI = 1.01, 1.14).
Conclusion and recommendations: The self-management behaviors and caregiver’s management behaviors can significantly predict allergic rhinitis control in school-aged children. Therefore, health care team should organize the programs to promote child management behaviors and caregiver management behaviors, in order to achieve the goal of allergic rhinitis control.
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Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg. 2015;152(1 Suppl):S1-43. doi: 10.1177/0194599814561600.
Passali D, Cingi C, Staffa P, Passali F, Muluk NB, Bellussi ML. The international study of the allergic rhinitis survey: outcomes from 4 geographical regions. Asia Pac Allergy. 2018;8(1):e7. doi: 10.5415/apallergy.2018.8.e7.
Chinratanapisit S, Suratannon N, Pacharn P, Sritipsukho P, Vichyanond P. Prevalence and risk factors of allergic rhinitis in children in Bangkok area. Asian Pac J Allergy Immunol. 2019;37(4):232-9. doi: 10.12932/AP-120618-0337.
Blaiss MS, Hammerby E, Robinson S, Kennedy-Martin T, Buchs S. The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents. Ann Allergy Asthma Immunol. 2018;121(1):43-52. doi: 10.1016/j.anai.2018.03.028.
Sritipsukho P, Satdhabudha A, Nanthapisal S. Effect of allergic rhinitis and asthma on the quality of life in young Thai adolescents. Asian Pac J Allergy Immunol. 2015;33(3):222-6. doi: 10.12932/AP05188.8.131.525.
Nitirungruang P, Ua-kit N. Nursing of roles in caring of pediatrics allergy. Journal of Public Health Nursing. 2013;27(3):94-105. (in Thai).
Meltzer EO, Farrar JR, Sennett C. Findings from an online survey assessing the burden and management of seasonal allergic rhinoconjunctivitis in US patients. J Allergy Clin Immunol Pract. 2017;5(3):779-89.e6. doi: 10.1016/j.jaip.2016.10010.
Wanngamwiset S, Nookong A, Payakkaraung S. Factors predicting medication adherence in school-aged children with asthma in tertiary care hospital. Journal of Health Science Research. 2019;13(2):20-9. (in Thai).
Modi AC, Pai AL, Hommel KA, Hood KK, Cortina S, Hilliard ME, et al. Pediatric self-management: a framework for research, practice, and policy. Pediatrics. 2012;129(2):e473-85. doi: 10.1542/peds.2011-1635.
Khongsomboon K, Poowaruttanawiwit P. Factors associated with allergic rhinitis with asthma control in children at Queen Sirikit National Institute of Child Health. Thai Journal of Pediatrics. 2017;56(3):175-84. (in Thai).
Tangpathomwong C, Nookong A, Senasuttipan W. Children and caregiver factors predicting asthma control of school aged children. Journal of Nursing and Health Care. 2016;34(2):67-76. (in Thai).
Sasaki M, Yoshida K, Adachi Y, Furukawa M, Itazawa T, Odajima H, et al. Factors associated with asthma control in children: findings from a national web-based survey. Pediatric Allergy Immunol. 2014;25(8):804-9. doi: 10.1111/pai.12316.
Boonyaphak P, Kaewpradist P. Factors influencing to asthma control of asthma patients at Pakphanang Hospital. Region 11 Medical Journal. 2014;28(1):77-87. (in Thai).
Krishnan S, Rohman A, Welter J, Dozor AJ. Relationship between health literacy in parents and asthma control in their children: a prospective study in a diverse suburban population. Pediatr Allergy Immunol Pulmonol. 2018;31(4):221-5. doi: 10.1089/ped.2018.0929.
Clark NM. Community-based approaches to controlling childhood asthma. Annu Rev Public Health. 2012;33:193-208. doi: 10.1146/annurev-publhealth-031811-124532.
Mammen J, Rhee H. Adolescent asthma self-management: a concept analysis and operational definition. Pediatr Allergy Immunol Pulmonol. 2012;25(4):180-9. doi: 10.1089/ped.2012.0150.
Wang Y-H, Yang C-P, Ku M-S, Sun H-L, Lue K-H. Efficacy of nasal irrigation in the treatment of acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2009;73(12):1696-701. doi: 10.1016/j.ijporl.2009.09.001.
Everhart RS, Kopel S, McQuaid EL, Salcedo L, York D, Potter C. Differences in environmental control and asthma outcomes among urban Latino, African American, and non-Latino white families. Pediatr Allergy Immunol Pulmonol. 2011;24(3):165-9. doi: 10.1089/ped.2011.0081.
Rak EC, Hooper SR, Belsante MJ, Burnett O, Layton B, Tauer D, et al. Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice. Clin Kidney J. 2016;9(3):510-5. doi: 10.1093/ckj/sfw015.
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi: 10.1186/1471-2458-12-80.
Nookong A, Kosawanon S, Suwantawakup S, Chinda C. Caregiver and child management behaviors and quality of life for children with asthma. Journal of Nursing Science. 2009;27(3):49-57.
Linhares DV, da Fonseca JAL, Borrego LM, Matos Á, Pereira AM, Sá-Sousa A, et al. Validation of control of allergic rhinitis and asthma test for children (CARATKids) -- a prospective multicenter study. Pediatr Allergy Immunol. 2014;25(2):173-9. doi: 10.1111/pai.12218.
Batmaz SB, Tokgöz SA, Fonseca JA. Validity and the reliability of the Turkish version of the Control of Allergic Rhinitis and Asthma Test for children (CARATKids). J Asthma. 2019;56(11):1231-8. doi: 10.1080/02770903.2018.1534969.
Harris K, Kneale D, Lasserson TJ, McDonald VM, Grigg J, Thomas J. School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review. Cochrane Database Syst Rev. 2019;1(1):CD011651. doi: 10.1002/14651858.CD011651.pub2.
Phuengphasook S, Wanitkun N, Towsakulkao T, Utriyaprasit K. Health literacy, health education outcomes and social influence, and their relationships with type-2 diabetes and/or hypertension patients’ clinical outcomes. Thai Journal of Nursing Council. 2017;2(2):111-25. (in Thai).