Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds

BACKGROUND: Diagnosing childhood asthma is dependent upon parental symptom reporting but there are problems in the use of words and terms. The purpose of this study was to describe and compare understandings of childhood 'asthma' by mothers from three different ethnic backgrounds who have no personal experience of diagnosing asthma. A better understanding of parents' perceptions of an illness by clinicians should improve communication and management of the illness. METHOD: Sixty-six mothers living in east London describing their ethnic backgrounds as Bangladeshi, white English and black Caribbean were recruited to 9 focus groups. Discussion was semi-structured. Three sessions were conducted with each ethnic group. Mothers were shown a video clip of a boy with audible wheeze and cough and then addressed 6 questions. Sessions were recorded and transcribed verbatim. Responses were compared within and between ethnic groups. RESULTS: Each session, and ethnic group overall, developed a particular orientation to the discussion. Some mothers described the problem using single signs, while others imitated the sound or made comparisons to other illnesses. Hereditary factors were recognised by some, although all groups were concerned with environmental triggers. Responses about what to do included 'normal illness' strategies, use of health services and calls for complementary treatment. All groups were concerned about using medication every day. Expectations about the quality of life were varied, with recognition that restrictions may be based on parental beliefs about asthma, rather than asthma itself. CONCLUSION: Information from these focus groups suggests mothers know a great deal about childhood asthma even though they have no personal experience of it. Knowledge of how mothers from these ethnic backgrounds perceive asthma may facilitate doctor – patient communication with parents of children experiencing breathing difficulties

“That Looks Like Me or Something i Can Do”: Affordances and Constraints in the Online Identity Work of US LGBTQ+ Millennials

This article examines how search engines and social networking sites enable and constrain the identity-related information practices of lesbian, gay, bisexual, transgender,and queer (LGBTQ+) millennials in the United States

Media Effects and the Question of the Rational Audience: Lessons from the Financial Markets

This article offers evidence for an alternative perspective on the media effects debate. Early work on media influence, be it conservative or critical, assumed a causal link between mass media and mass behaviour. In contrast, decades of effects and audience research has established the inadequacy of this ‘strong effects’ paradigm. The main thrust of this counter-research is the realization that audiences actively consume and use the media for self-serving purposes. The alternative perspective offered here comes from a study of elite fund managers, their communications and decision-making in the London Stock Exchange. The research findings suggest that such individuals do respond actively to media, but, collectively, the results can be both self-defeating and on a mass scale. That is, individuals do not have to be ignorant nor act irrationally to contribute to media-instigated, collective irrationality