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Asthma beyond the clinic: a decade-long narrative review of parental knowledge and practices in Indian children

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Published: 17 December 2025
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This narrative review explores parental knowledge, attitudes, and practices (KAP) toward childhood asthma in India, covering aspects of disease etiology, stigma, trigger avoidance, and management, and their overall impact on asthma control and outcomes. A total of 17 studies from 2014 to 2024 focusing on parental KAP were analyzed, excluding those centered on healthcare providers or lacking KAP-compliance correlation. This review reveals widespread parental misconceptions, stigma, and poor knowledge about childhood asthma in India, influenced by regional and socioeconomic factors. Fear of inhalers, use of alternative therapies, and cost barriers to treatment are common. Improved, culturally tailored education and policy efforts are needed to enhance asthma care and outcomes. Parental KAP significantly influences asthma control, with gaps caused by misconceptions, cultural beliefs, and poor practices. Regional disparities highlight the need for context-specific strategies. Despite various global and national asthma guidelines, parental knowledge and practices in India remain poor. Culturally tailored education, community engagement, and policy support are essential to improve parental compliance and childhood asthma outcomes, particularly in underserved regions.

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World Health Organization. Asthma. 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/asthma. Accessed on: 1/06/2025.
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2025. Available from: https://ginasthma.org/wp-content/uploads/2025/11/GINA-2025-Update-25_11_08-WMS.pdf.
GBD Compare. Viz Hub. (2021, June 30). Available from: https://vizhub.healthdata.org/gbd-compare/.
Singh S, Salvi S, Mangal DK, et al. Prevalence, time trends and treatment practices of asthma in India: the Global Asthma Network study. ERJ Open Res 2022;8:00528-2021. DOI: https://doi.org/10.1183/23120541.00528-2021
Singh N, Sabir M, Awasthi S, et al. India. In: Global Asthma Network. The Global Asthma Report 2022. Auckland, New Zealand: Global Asthma Network; 2022.
Daniel RA, Aggarwal P, Kalaivani M, Gupta SK. Prevalence of asthma among children in India: A systematic review and meta-analysis. Lung India 2022;39:357-67. DOI: https://doi.org/10.4103/lungindia.lungindia_706_21
Daniel J, Inbaraj LR, Jenkins S, et al. A community-based cross-sectional study on knowledge, attitude, and perceptions about asthma among healthy adults in rural South India. J Family Med Prim Care 2021;10:1956-62. DOI: https://doi.org/10.4103/jfmpc.jfmpc_2152_20
Vaishnav P, Ameta G. Knowledge, attitude and practices among parents of asthmatic children in Rajasthan: a hospital based descriptive observational study. Int J Contemp Pediatr 2020;7:770-5. DOI: https://doi.org/10.18203/2349-3291.ijcp20200994
National Asthma Education and Prevention Program. Expert Panel Report 3: guidelines for the diagnosis and management of asthma. Bethesda, MD, USA: National Heart, Lung, and Blood Institute; 2007.
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2022. Available from: https://ginasthma.org/wp-content/uploads/2022/07/GINA-Main-Report-2022-FINAL-22-07-01-WMS.pdf.
Bhagavatheeswaran KS, Kasav JB, Singh AK, et al. Asthma-related knowledge, attitudes, practices (KAP) of parents of children with bronchial asthma: a hospital-based study. Ann Trop Med Public Health 2016;9:23-30. DOI: https://doi.org/10.4103/1755-6783.168704
Gulvadi A, Sreenivasan VK. A clinical study of knowledge, attitude and practices regarding asthma among the parents of asthmatic children. Int J Med Health Res 2019;5:119-23.
Gajanan G, Padbidri VS, Chaudhury A. Assessment of knowledge and attitude of parents towards the allergy and bronchial asthma in their children. Int J Med Public Health 2016;6:121-5. DOI: https://doi.org/10.5530/ijmedph.2016.3.5
Menon K, Vora HD, Patel SV, et al. Study of the knowledge, attitudes and practices of parents of children with bronchial asthma in a tertiary care hospital in Ahmedabad. Int J Contemp Pediatr 2024;11:679-85. DOI: https://doi.org/10.18203/2349-3291.ijcp20241348
Goyal P, Gill GS, Virdi JS. Knowledge, attitude and practices of parents of children with bronchial asthma coming to pediatrics department of Govt. Medical College / Rajindra Hospital, Patiala. Int J Life Sci Biotechnol Pharma Res 2024;13:70.
Paul P, Singh Y, Gupta N, et al. Knowledge assessment among caregivers about various allergic disorders in a hospital-based pediatric outpatient department in North India. Indian J Allergy, Asthma Immunol 2020;34:112-6. DOI: https://doi.org/10.4103/ijaai.ijaai_30_20
Reddy PR, Himabindu M, Vasanthalaxmi. Knowledge, attitude, practices of parents of children with asthma. Res J Med Sci 2024;18:203-7.
Silvia LC, Podhini J, Palanisamy S. Parental knowledge, attitude toward asthma, and its correlation with compliance of asthma management in children. Indian J Allergy Asthma Immunol 2022;36:40-6. DOI: https://doi.org/10.4103/ijaai.ijaai_32_22
Khajuria R, Gupta RK, et al. Parental knowledge, attitude and practices regarding management of childhood bronchial asthma. JK Science 2023;25:163-7.
Divecha CA, Tullu MS, Jadhav DU. Parental knowledge and attitudes regarding asthma in their children: impact of an educational intervention in an Indian population. Pediatric Pulmonol 2020;55:607-15. DOI: https://doi.org/10.1002/ppul.24647
Venugopal S, Namboodiripad A. Effect of parental knowledge and attitude in the control of childhood asthma. Int J Contemp Pediatr 2016;3:1385-8. DOI: https://doi.org/10.18203/2349-3291.ijcp20163683
Mondal PC, Mathew R, Mahata DK, et al. Study on clinical, socio-demographic profile; KAP among parents towards inhalation therapy in childhood asthma. NeuroQuantology 2022;20:7169-77.
Venkat PK, Chinnasami B, Sundar S, et al. Effect of health education on wheeze related knowledge, attitude and practice (KAP) among parents of wheezing children. Ann Trop Med Public Health 2020;23:SP232140. DOI: https://doi.org/10.36295/ASRO.2020.232140
Dhirja, Sharma MC, Goyal JP, Remiya M. Knowledge and practices among parents of asthmatic children: a quasi-experimental study conducted at tertiary care centre of Western India. Int J Community Med Public Health 2021;8:3430-9. DOI: https://doi.org/10.18203/2394-6040.ijcmph20212598
Chanlin Chacko P, Reghunath R. Knowledge of mothers of under five children regarding the prevention of bronchial asthma. Galore Int J Appl Sci Humanit 2025;9:31-4. DOI: https://doi.org/10.52403/gijash.20250205
Vinodh V. Knowledge, attitude, practices in childhood asthma in northern Chennai. Univ J Med Med Spec 2017;3.
Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr 1974;2:328-35. DOI: https://doi.org/10.1177/109019817400200403
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991;50:17-–211. DOI: https://doi.org/10.1016/0749-5978(91)90020-T
Jat KR, Kabra SK. Awareness about childhood asthma. Indian J Med Res 2017;145:581-3. DOI: https://doi.org/10.4103/ijmr.IJMR_420_17
Mehrotra N, Ramagopal M, Dodani S. Cultural factors impacting asthma management in Asian Indian children. Indian J Allergy Asthma Immunol 2014;28:63-7. DOI: https://doi.org/10.4103/0972-6691.140761
Swarnakar R, Dhar R. Call to action: Addressing asthma diagnosis and treatment gaps in India. Lung India 2024;41:209-16. DOI: https://doi.org/10.4103/lungindia.lungindia_518_23
Lakhanpaul M, Bird D, Manikam L, et al. A systematic review of explanatory factors of barriers and facilitators to improving asthma management in South Asian children. BMC Public Health 2014;14:403. DOI: https://doi.org/10.1186/1471-2458-14-403
Kotwani A. Availability, price and affordability of asthma medicines in five Indian states. Int J Tuberc Lung Dis 2009;13:574-9.
Williams I, Daniel J, Mansur AH, et al. Exploring facilitators and barriers in asthma management in rural, semi‐urban and urban populations in Vellore, India: n interview study of patients and primary care physicians. Clin Exp Allergy 2024;54:444-7. DOI: https://doi.org/10.1111/cea.14477
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995;36:1-10. DOI: https://doi.org/10.2307/2137284
Kopel LS, Petty CR, Gaffin JM, et al. Caregiver stress among inner-city school children with asthma. J Allergy Clin Immunol Pract 2017;5:1132-4. DOI: https://doi.org/10.1016/j.jaip.2017.02.026
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988;15:351-77. DOI: https://doi.org/10.1177/109019818801500401
Michie S, van Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci 2011;6:42. DOI: https://doi.org/10.1186/1748-5908-6-42
Rabe KF, Adachi M, Lai CK, et al. Worldwide severity and control of asthma in children and adults: The global asthma insights and reality surveys. J Allergy Clin Immunol 2004;114:40-7. DOI: https://doi.org/10.1016/j.jaci.2004.04.042
World Health Organization. Global surveillance, prevention and control of chronic respiratory diseases: a comprehensive approach. 2007. Available from: https://www.who.int/publications/i/item/global-surveillance-prevention-and-control-of-chronic-respiratory-diseases.

How to Cite



“Asthma Beyond the Clinic: A Decade-Long Narrative Review of Parental Knowledge and Practices in Indian Children”. 2025. Monaldi Archives for Chest Disease, December. https://doi.org/10.4081/monaldi.2025.3622.