Liu Si, Zhou Qianlan, Dai Bing, Chen Li, Zhang Qinzhen, Han Lina, Li Xiaowen, Shen Wenxin, Shan Lishen
Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China
BMJ Open. 2024 Dec 20;14(12):e085905. doi: 10.1136/bmjopen-2024-085905.
This cross-sectional study aimed to evaluate parents' knowledge, attitudes and practices (KAP) concerning the prevention and treatment of dust mite allergy in children.
This cross-sectional study survey was conducted from September to December 2022 at Shengjing Hospital, Affiliated with China Medical University.
A total of 503 parents of children with dust mite allergies participated, with 253 parents having children undergoing desensitisation treatment and 250 parents whose children did not. Selection criteria were carefully defined to include parents directly responsible for caring children with dust mite allergies.
Two distinct questionnaires were administered to parents, tailored for those with and without children undergoing desensitisation treatment. These questionnaires covered demographic information, allergy diagnosis, treatment details and KAP related to dust mite allergy. Primary outcomes included parents' scores on KAP regarding dust mite allergy prevention and treatment. Secondary outcomes involved analysing the interaction between these factors using pathway analysis.
Parents of children undergoing desensitisation treatment exhibited higher scores for all items of knowledge, attitude and overall practice than those without desensitisation therapy (all p values<0.05). The pathway analyses revealed that in the non-desensitisation group, knowledge directly affected attitude (β=0.22, p<0.001) and attitude directly affected practice (β=0.16, p<0.001), but the knowledge did not affect practice (β=-0.01, 0.06, p<0.001). In the desensitisation group, knowledge directly affected attitude (β=0.13, p=0.028), but the practice was not affected by attitude (β=0.08, p<0.001) or knowledge (β=0.03, 0.12, p<0.001).
The study highlighted differing levels of KAP among parents of children with dust mite allergies. The KAP was influenced by desensitisation therapy status. While attitudes tended to be favourable, practices were suboptimal, particularly among parents whose children did not receive desensitisation treatment. These findings emphasise the importance of targeted educational interventions to enhance parental awareness and practices regarding dust mite allergy management, especially in cases where desensitisation treatment is not pursued. Further research is warranted to explore effective strategies for improving parental engagement and adherence to preventive measures.
本横断面研究旨在评估父母对儿童尘螨过敏预防和治疗的知识、态度和行为（KAP）。
本横断面研究调查于2022年9月至12月在中国医科大学附属盛京医院进行。
共有503名尘螨过敏儿童的父母参与，其中253名父母的孩子正在接受脱敏治疗，250名父母的孩子未接受脱敏治疗。仔细定义了入选标准，包括直接负责照顾尘螨过敏儿童的父母。
向父母发放了两份不同的问卷，分别针对孩子接受和未接受脱敏治疗的父母进行了定制。这些问卷涵盖了人口统计学信息、过敏诊断、治疗细节以及与尘螨过敏相关的KAP。主要结局包括父母在尘螨过敏预防和治疗方面的KAP得分。次要结局包括使用路径分析来分析这些因素之间的相互作用。
接受脱敏治疗的儿童的父母在知识、态度和总体行为的所有项目上的得分均高于未接受脱敏治疗的父母（所有p值<0.05）。路径分析显示，在未脱敏组中，知识直接影响态度（β=0.22，p<0.001），态度直接影响行为（β=0.16，p<0.
