RT Journal Article
SR Electronic
T1 Low exercise among children with asthma: a culture of over protection? A qualitative study of experiences and beliefs
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP e319
OP e326
DO 10.3399/bjgp10X515070
VO 60
IS 577
A1 Brian Williams
A1 Gaylor Hoskins
A1 Jannette Pow
A1 Ron Neville
A1 Somnath Mukhopadhyay
A1 Joanne Coyle
YR 2010
UL http://bjgp.org/content/60/577/e319.abstract
AB Background Research shows that children are insufficiently active in most affluent societies. Although children with asthma may particularly benefit from physical activity, they are less active than their peers.Aim To explore the reasons for low physical activity levels among children with asthma and to identify strategies to improve activity.Design of study A qualitative study using in-depth interviews and focus groups.Setting Six GP practices, a Paediatric Respiratory Unit, and four schools in Tayside, Scotland.Method Purposive sampling identified 30 children with asthma, their parents (n = 38) and school staff (n = 28), who were interviewed or took part in focus groups. Data were examined using constant comparative analysis.Results The lower level of activity among children with asthma was supported by a climate of fear among parents and teachers about what was safe and possible for the child. Restrictions were imposed because of perceived dangers of exercising in the presence of ‘triggers’. Physical activity was regarded as a threat to be managed rather than something beneficial. Teachers found it difficult to distinguish between children who were physically incapable of exercise due to asthma and those who were unmotivated. GPs were unknowingly drawn into the controversy by children and parents who cite medical advice to sanction exemption from exercise.Conclusion GPs and asthma nurses need to provide clear management plans explaining what is appropriate and safe in terms of exercise on a child-by-child basis, to counter the considerable misunderstanding and disagreement among children, parents, and teachers.