ArticleBMJ open2022
Stakeholders' views of supporting asthma management in schools with a school-based asthma programme for primary school children: a qualitative study in Malaysia.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- Effectiveness of online asthma training programmes to improve asthma management among school staff: a systematic review using the Kirkpatrick evaluation model.NPJ primary care respiratory medicine · 2025Pooled it
- Development and feasibility study of a Culturally Tailored Asthma intervention using a mixed-method approach at the primary school level in Malaysia: Challenged by the COVID-19 pandemic.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Article
- Enhancing pediatric asthma management through multifaceted health education.World journal of clinical cases · 2024Article
- Qualitative research influencing guideline and policy: An exemplar of the development of a national school asthma guideline in Malaysia.Journal of global health · 2024Article
- A cross-country qualitative analysis of teachers' perceptions of asthma care in sub-Saharan Africa.NPJ primary care respiratory medicine · 2023Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe WHO Global School Health Initiative aimed to improve child and community health through health promotion programmes in schools, though most focus on preventing communicable disease. Despite WHO recommendations, no asthma programme is included in the Malaysian national school health service guideline. Therefore, we aimed to explore the views of school staff, healthcare professionals and policy-makers about the challenges of managing asthma in schools and the potential of a school asthma programme for primary school children.
designA focus group and individual interview qualitative study using purposive sampling of participants to obtain diverse views. Data collection was guided by piloted semistructured topic guides. The focus groups and interviews were audiorecorded, transcribed verbatim and analysed using inductive thematic analysis. We completed data collection once data saturation was reached.
settingStakeholders in education and health sectors in Malaysia.
participantsFifty-two participants (40 school staff, 9 healthcare professionals and 3 policy-makers) contributed to nine focus groups and eleven individual interviews.
resultsSchool staff had limited awareness of asthma and what to do in emergencies. There was no guidance on asthma management in government schools, and teachers were unclear about their role in school children's health. These uncertainties led to delays in the treatment of asthma symptoms/attacks, and suggestions that an asthma education programme and a school plan would improve asthma care. Perceived challenges in conducting school health programmes included a busy school schedule and poor parental participation. A tailored asthma programme in partnerships with schools could facilitate the programme's adoption and implementation.
conclusionsIdentifying and addressing issues and challenges specific to the school and wider community could facilitate the delivery of a school asthma programme in line with the WHO School Health Initiative. Clarity over national policy on the roles and responsibilities of school staff could support implementation and guide appropriate and prompt response to asthma emergencies in schools.
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