Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults

Abstract Background Supported self‐management improves asthma outcomes, but implementation requires adaptation to the local context. Barriers reported in Western cultures may not resonate in other cultural contexts. We explored the views, experiences and beliefs that influenced self‐management among...

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Autores principales:	Wen Ming Koh, Ahmad Ihsan Abu Bakar, Norita Hussein, Hilary Pinnock, Su May Liew, Nik Sherina Hanafi, Yong Kek Pang, Bee Kiau Ho, Salbiah Mohamed Isa, Aziz Sheikh, Ee Ming Khoo
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	adult asthma experiential learning qualitative self‐management sociocultural influences Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/993c048ee5a14a489b1a14947c209de6
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spelling	oai:doaj.org-article:993c048ee5a14a489b1a14947c209de62021-11-29T13:50:52ZSociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults1369-76251369-651310.1111/hex.13352https://doaj.org/article/993c048ee5a14a489b1a14947c209de62021-12-01T00:00:00Zhttps://doi.org/10.1111/hex.13352https://doaj.org/toc/1369-6513https://doaj.org/toc/1369-7625Abstract Background Supported self‐management improves asthma outcomes, but implementation requires adaptation to the local context. Barriers reported in Western cultures may not resonate in other cultural contexts. We explored the views, experiences and beliefs that influenced self‐management among adults with asthma in multicultural Malaysia. Methods Adults with asthma were purposively recruited from an urban primary healthcare clinic for in‐depth interviews. Audio‐recordings were transcribed verbatim and analysed thematically. Results We interviewed 24 adults. Four themes emerged: (1) Participants believed in the ‘hot and cold’ concept of illness either as an inherent hot/cold body constitution or the ambient temperature. Hence, participants tried to ‘neutralize’ body constitution or to ‘warm up’ the cold temperature that was believed to trigger acute attacks. (2) Participants managed asthma based on past experiences and personal health beliefs as they lacked formal information about asthma and its treatment. (3) Poor communication and variable advice from healthcare practitioners on how to manage their asthma contributed to poor self‐management skills. (4) Embarrassment about using inhalers in public and advice from family and friends resulted in a focus on nonpharmacological approaches to asthma self‐management practice. Conclusions Asthma self‐management practices were learnt experientially and were strongly influenced by sociocultural beliefs and advice from family and friends. Effective self‐management needs to be tailored to cultural norms, personalized to the individuals' preferences and clinical needs, adapted to their level of health literacy and underpinned by patient–practitioner partnerships. Patient and Public Contributions Patients contributed to data. Members of the public were involved in the discussion of the results.Wen Ming KohAhmad Ihsan Abu BakarNorita HusseinHilary PinnockSu May LiewNik Sherina HanafiYong Kek PangBee Kiau HoSalbiah Mohamed IsaAziz SheikhEe Ming KhooWileyarticleadultasthmaexperiential learningqualitativeself‐managementsociocultural influencesMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Expectations, Vol 24, Iss 6, Pp 2078-2086 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adult asthma experiential learning qualitative self‐management sociocultural influences Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	adult asthma experiential learning qualitative self‐management sociocultural influences Medicine (General) R5-920 Public aspects of medicine RA1-1270 Wen Ming Koh Ahmad Ihsan Abu Bakar Norita Hussein Hilary Pinnock Su May Liew Nik Sherina Hanafi Yong Kek Pang Bee Kiau Ho Salbiah Mohamed Isa Aziz Sheikh Ee Ming Khoo Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
description	Abstract Background Supported self‐management improves asthma outcomes, but implementation requires adaptation to the local context. Barriers reported in Western cultures may not resonate in other cultural contexts. We explored the views, experiences and beliefs that influenced self‐management among adults with asthma in multicultural Malaysia. Methods Adults with asthma were purposively recruited from an urban primary healthcare clinic for in‐depth interviews. Audio‐recordings were transcribed verbatim and analysed thematically. Results We interviewed 24 adults. Four themes emerged: (1) Participants believed in the ‘hot and cold’ concept of illness either as an inherent hot/cold body constitution or the ambient temperature. Hence, participants tried to ‘neutralize’ body constitution or to ‘warm up’ the cold temperature that was believed to trigger acute attacks. (2) Participants managed asthma based on past experiences and personal health beliefs as they lacked formal information about asthma and its treatment. (3) Poor communication and variable advice from healthcare practitioners on how to manage their asthma contributed to poor self‐management skills. (4) Embarrassment about using inhalers in public and advice from family and friends resulted in a focus on nonpharmacological approaches to asthma self‐management practice. Conclusions Asthma self‐management practices were learnt experientially and were strongly influenced by sociocultural beliefs and advice from family and friends. Effective self‐management needs to be tailored to cultural norms, personalized to the individuals' preferences and clinical needs, adapted to their level of health literacy and underpinned by patient–practitioner partnerships. Patient and Public Contributions Patients contributed to data. Members of the public were involved in the discussion of the results.
format	article
author	Wen Ming Koh Ahmad Ihsan Abu Bakar Norita Hussein Hilary Pinnock Su May Liew Nik Sherina Hanafi Yong Kek Pang Bee Kiau Ho Salbiah Mohamed Isa Aziz Sheikh Ee Ming Khoo
author_facet	Wen Ming Koh Ahmad Ihsan Abu Bakar Norita Hussein Hilary Pinnock Su May Liew Nik Sherina Hanafi Yong Kek Pang Bee Kiau Ho Salbiah Mohamed Isa Aziz Sheikh Ee Ming Khoo
author_sort	Wen Ming Koh
title	Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
title_short	Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
title_full	Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
title_fullStr	Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
title_full_unstemmed	Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults
title_sort	sociocultural influences on asthma self‐management in a multicultural society: a qualitative study amongst malaysian adults
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/993c048ee5a14a489b1a14947c209de6
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Sociocultural influences on asthma self‐management in a multicultural society: A qualitative study amongst Malaysian adults

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