Child health, Common Childhood Illnesses & Infections
Help Your Child Stay Calm With Breathing Problems Now
Mar
Breathing problems can be distressing for children and their parents, causing anxiety and discomfort. As a parent, it’s essential to understand how to help your child stay calm during these challenging moments. By providing a supportive environment and employing effective strategies, you can empower your child to manage their breathing difficulties with greater ease and confidence.
In this comprehensive guide, we’ll explore various techniques and approaches to help your child navigate breathing problems, from creating a calming atmosphere to teaching relaxation techniques and collaborating with healthcare professionals. By implementing these strategies, you can support your child’s well-being and help them develop the skills necessary to cope with breathing issues in the long term.
Understanding Your Child’s Breathing Problems
Common causes of breathing difficulties in children
Breathing problems in children can stem from various causes, including asthma, allergies, respiratory infections, and congenital abnormalities[1]. Asthma, one of the most prevalent chronic conditions in children, is characterized by inflammation and narrowing of the airways, leading to wheezing, coughing, and shortness of breath. Allergies can also trigger respiratory symptoms, as exposure to allergens like dust mites, pet dander, or pollen can cause airway inflammation and breathing difficulties.
Recognizing the signs and symptoms
As a parent, it’s crucial to be aware of the signs and symptoms of breathing problems in children. These may include:
- Wheezing or whistling sounds when breathing
- Rapid or shallow breathing
- Coughing, especially at night or during physical activity
- Chest tightness or pain
- Fatigue or difficulty keeping up with peers during play
If you notice any of these symptoms, it’s essential to monitor your child closely and consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan[2].
When to seek medical attention
While some breathing problems may be managed at home, certain situations warrant prompt medical attention. If your child experiences any of the following, it’s essential to consult with a healthcare provider:
- Persistent or worsening breathing difficulties
- Inability to speak in complete sentences due to shortness of breath
- Rapid breathing or heart rate that does not improve with rest
- Fever accompanied by breathing difficulties
- Bluish discoloration of the lips or fingernails
Your healthcare provider can assess your child’s condition, recommend appropriate interventions, and develop a comprehensive treatment plan to manage their breathing problems effectively[3].
The impact of breathing problems on your child’s well-being
Breathing problems can have a significant impact on your child’s overall well-being, affecting their physical, emotional, and social development. Children with poorly controlled asthma or other respiratory conditions may experience frequent school absences, reduced participation in physical activities, and lower quality of life. Additionally, the stress and anxiety associated with breathing difficulties can take a toll on your child’s mental health, leading to feelings of frustration, isolation, or depression.
Creating a Calming Environment
Importance of a peaceful and comfortable space
Creating a calming environment is essential for helping your child manage their breathing problems. A peaceful and comfortable space can promote relaxation, reduce stress, and improve overall well-being[4]. When your child feels at ease in their surroundings, they are better equipped to cope with the challenges associated with breathing difficulties.
To create a calming environment, consider factors such as lighting, temperature, and noise levels. Soft, warm lighting can promote a sense of tranquility, while cooler temperatures can help prevent overheating and facilitate easier breathing. Minimizing loud or sudden noises can also contribute to a more peaceful atmosphere.
Minimizing triggers and irritants
Identifying and minimizing triggers and irritants in your child’s environment is crucial for managing their breathing problems. Common triggers include:
- Allergens (e.g., dust mites, pet dander, pollen)
- Irritants (e.g., smoke, strong odors, cleaning products)
- Extreme temperatures or humidity levels
- Respiratory infections
- Physical activity or exercise
To minimize exposure to triggers, regularly clean and vacuum your home, using HEPA filters when possible. Consider using hypoallergenic bedding and keeping pets out of your child’s bedroom. Additionally, encourage your child to wash their hands frequently and avoid close contact with individuals who are ill[5].
Maintaining optimal temperature and humidity levels
Maintaining optimal temperature and humidity levels in your child’s environment can help prevent breathing difficulties. Extreme temperatures, both hot and cold, can trigger respiratory symptoms, while high humidity can promote the growth of mold and dust mites, which are common allergens.
Aim to keep your home’s temperature between 68°F and 72°F (20°C and 22°C) and maintain relative humidity levels between 30% and 50%[6]. Use a dehumidifier in damp areas, such as basements, and ensure proper ventilation throughout your home.
Using soothing colors and lighting
The colors and lighting in your child’s environment can also contribute to a calming atmosphere. Soft, muted colors like blues, greens, and lavenders are known to promote relaxation and tranquility. Avoid harsh, bright colors that may be overstimulating or agitating.
When it comes to lighting, opt for soft, warm light sources, such as lamps with dimmer switches or natural light filtered through curtains. Avoid harsh, fluorescent lighting that can be visually straining and may contribute to headaches or eye fatigue.
Breathing Techniques for Children
Diaphragmatic breathing
Diaphragmatic breathing, also known as belly breathing, is a simple and effective technique that can help your child manage their breathing difficulties. This technique involves breathing deeply through the diaphragm, which is the muscle located at the base of the lungs, instead of shallow breathing through the chest[7].
To teach your child diaphragmatic breathing:
- Have them lie down or sit comfortably with their back straight.
- Place one hand on their chest and the other on their belly.
- Instruct them to breathe in slowly through their nose, allowing their belly to rise while keeping their chest relatively still.
- Have them exhale slowly through pursed lips, feeling their belly fall as they release the breath.
Encourage your child to practice this technique for a few minutes each day, gradually increasing the duration as they become more comfortable with the process.
Pursed-lip breathing
Pursed-lip breathing is another effective technique that can help your child control their breathing and reduce feelings of breathlessness. This technique involves exhaling slowly through partially closed lips, which creates a slight resistance and helps to keep the airways open for longer[8].
To teach your child pursed-lip breathing:
- Have them sit comfortably with their back straight.
- Instruct them to breathe in slowly through their nose for a count of two.
- Have them purse their lips as if they were about to whistle or gently blow out a candle.
- Encourage them to exhale slowly through their pursed lips for a count of four, making the exhalation twice as long as the inhalation.
Remind your child to focus on the sensation of the air moving through their lips and to maintain a steady, controlled breath.
Guided imagery and visualization
Guided imagery and visualization techniques can help your child relax and manage their breathing problems by engaging their imagination and promoting a sense of calm. These techniques involve guiding your child through a series of mental images or scenarios that evoke feelings of peace, comfort, and relaxation[9].
To practice guided imagery with your child:
- Have them sit or lie down comfortably in a quiet space.
- Encourage them to close their eyes and take a few slow, deep breaths.
- Describe a peaceful scene or setting, such as a beach, a forest, or a favorite place, using calming and descriptive language.
- Guide them through the scene, engaging their senses and encouraging them to imagine the sights, sounds, smells, and sensations associated with the setting.
- Incorporate breathing cues into the imagery, such as imagining the rhythm of the waves or the gentle rustling of leaves in sync with their breath.
Regularly practicing guided imagery and visualization can help your child develop a greater sense of control over their breathing and promote overall relaxation and well-being.
Relaxation Strategies
Progressive muscle relaxation
Progressive muscle relaxation is a technique that involves systematically tensing and relaxing different muscle groups throughout the body. This practice can help your child reduce stress, anxiety, and muscle tension, which can contribute to breathing difficulties[10].
To guide your child through progressive muscle relaxation:
- Have them sit or lie down comfortably in a quiet space.
- Instruct them to focus on their breathing, taking slow, deep breaths.
- Beginning with their feet, guide them to gently tense the muscles for a count of five, then relax for a count of ten.
- Gradually move up the body, tensing and relaxing each muscle group, including the legs, stomach, chest, arms, hands, neck, and face.
- Encourage them to notice the difference between the sensations of tension and relaxation.
Regularly practicing progressive muscle relaxation can help your child develop a greater awareness of their body and learn to manage stress and tension more effectively.
Mindfulness and meditation
Mindfulness and meditation practices can help your child cultivate a sense of calm, reduce stress, and manage their breathing problems. These techniques involve focusing on the present moment, observing thoughts and sensations without judgment, and promoting a state of relaxation[11].
To introduce your child to mindfulness and meditation:
- Find a quiet, comfortable space where they can sit or lie down.
- Guide them to focus on their breath, noticing the sensations of the air moving in and out of their body.
- Encourage them to observe their thoughts and feelings without trying to change or suppress them, simply acknowledging their presence and letting them pass.
- If their mind wanders, gently guide them back to focusing on their breath.
- Start with short sessions of a few minutes and gradually increase the duration as your child becomes more comfortable with the practice.
Incorporating mindfulness and meditation into your child’s daily routine can help them develop greater emotional resilience and improve their overall well-being.
Yoga and gentle stretching
Yoga and gentle stretching exercises can help your child improve their breathing, reduce stress, and promote relaxation. These practices combine physical postures, breathing techniques, and mindfulness to create a holistic approach to well-being[12].
To introduce your child to yoga and gentle stretching:
- Find a quiet, open space where they can move freely.
- Begin with simple, child-friendly yoga poses, such as cat-cow, downward-facing dog, or butterfly pose.
- Encourage them to focus on their breath as they move through the postures, inhaling and exhaling slowly and deeply.
- Incorporate gentle stretches for the neck, shoulders, arms, and legs to release tension and promote flexibility.
- End the practice with a few minutes of quiet relaxation, allowing their body and mind to rest.
Regularly engaging in yoga and gentle stretching can help your child develop greater body awareness, improve their posture, and enhance their overall sense of well-being.
Lifestyle Modifications
Maintaining a healthy diet
A healthy, well-balanced diet can play a crucial role in managing your child’s breathing problems. Certain foods and nutrients may help reduce inflammation, improve lung function, and boost the immune system[13]. Encourage your child to eat a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats.
Some specific dietary recommendations include:
- Increasing intake of fruits and vegetables rich in antioxidants, such as berries, leafy greens, and citrus fruits.
- Choosing omega-3 fatty acids from sources like fatty fish, flaxseeds, and walnuts, which may help reduce inflammation.
- Limiting processed foods, sugary snacks, and drinks, which can contribute to inflammation and weight gain.
- Staying hydrated by drinking plenty of water throughout the day.
If your child has specific food allergies or sensitivities, work with a healthcare professional to develop an appropriate meal plan that meets their nutritional needs while avoiding trigger foods.
Encouraging regular exercise
Regular physical activity can help improve your child’s lung function, strengthen their respiratory muscles, and boost their overall fitness level. Engaging in exercise may also help reduce stress, improve mood, and promote better sleep, all of which can contribute to better management of breathing problems[14].
Some tips for encouraging regular exercise include:
- Finding activities that your child enjoys, such as swimming, cycling, or dancing, to make exercise fun and engaging.
- Starting with short, manageable sessions and gradually increasing the duration and intensity as your child’s fitness improves.
- Encouraging your child to participate in physical education classes and sports teams at school, if appropriate.
- Making physical activity a family affair by going on walks, bike rides, or hikes together.
Always consult with your child’s healthcare provider before starting a new exercise program, especially if their breathing problems are severe or they have other health concerns.
Getting enough quality sleep
Quality sleep is essential for your child’s physical and emotional well-being, and it can play a significant role in managing their breathing problems. Adequate sleep helps reduce stress, support the immune system, and promote overall health[15].
To help your child get enough quality sleep:
- Establish a consistent sleep schedule, with regular bedtimes and wake times, even on weekends.
- Create a calming bedtime routine that includes relaxation techniques, such as reading, taking a warm bath, or practicing deep breathing.
- Ensure that your child’s sleep environment is cool, dark, and quiet, with comfortable bedding and pillows.
- Limit screen time and stimulating activities in the hours before bedtime, as the blue light emitted by electronic devices can interfere with sleep.
- Address any sleep disturbances or disorders, such as sleep apnea, with the help of a healthcare professional.
By prioritizing quality sleep, you can help your child better manage their breathing problems and improve their overall health and well-being.
Collaborating with Healthcare Professionals
Regular check-ups and monitoring
Working closely with your child’s healthcare team is essential for effectively managing their breathing problems. Regular check-ups and monitoring can help track your child’s progress, identify potential complications, and adjust treatment plans as needed[16].
During these appointments, be sure to:
- Discuss any changes in your child’s symptoms, such as increased frequency or severity of breathing difficulties.
- Report on the effectiveness of current treatments and any side effects your child may be experiencing.
- Ask questions and voice concerns about your child’s condition and treatment options.
- Update your child’s healthcare provider on any lifestyle modifications or complementary therapies you are implementing at home.
Maintaining open and honest communication with your child’s healthcare team can help ensure that your child receives the most appropriate and effective care for their specific needs.
Following treatment plans and medication regimens
Adhering to the treatment plans and medication regimens prescribed by your child’s healthcare provider is crucial for managing their breathing problems effectively. This may include using inhalers, taking oral medications, or undergoing respiratory therapy[17].
To help your child follow their treatment plan:
- Make sure you understand the purpose, dosage, and potential side effects of each medication or therapy.
- Develop a system for tracking and administering medications, such as using a pill organizer or setting reminders on your phone.
- Teach your child how to use inhalers or other devices correctly, and supervise their use as needed.
- Encourage your child to take an active role in their treatment, when age-appropriate, to help them develop a sense of responsibility and control over their health.
If you have any concerns or questions about your child’s treatment plan, don’t hesitate to reach out to their healthcare provider for guidance and support.
Seeking support and resources
Managing your child’s breathing problems can be challenging, both emotionally and practically. Seeking support and resources from healthcare professionals, support groups, and educational programs can help you feel more informed, empowered, and connected[18].
Some ways to seek support and resources include:
- Asking your child’s healthcare provider about local support groups or educational programs for families dealing with childhood breathing problems.
- Connecting with other parents through online forums, social media groups, or advocacy organizations focused on your child’s specific condition.
- Attending workshops or webinars hosted by healthcare organizations or experts in the field to learn more about the latest research, treatments, and management strategies.
- Seeking guidance from mental health professionals, such as therapists or counselors, to help you and your child cope with the emotional impact of living with a chronic health condition.
Remember, you are not alone in this journey. By actively seeking support and resources, you can help create a strong foundation for managing your child’s breathing problems and promoting their overall well-being.
Emotional Support and Coping Strategies
Acknowledging and validating your child’s feelings
Living with a chronic health condition like breathing problems can be emotionally challenging for children. They may experience feelings of fear, frustration, or sadness, and it’s essential to acknowledge and validate these emotions[19]. By creating a safe and supportive environment, you can help your child express their feelings and develop healthy coping mechanisms.
To support your child emotionally:
- Encourage open and honest communication about their thoughts and feelings related to their condition.
- Listen actively and empathetically, without judgment or minimizing their concerns.
- Validate their emotions by expressing understanding and reassuring them that it’s normal to feel the way they do.
- Help them identify and name their emotions, and teach them healthy ways to express and manage those feelings, such as through art, writing, or talking with a trusted adult.
By acknowledging and validating your child’s feelings, you can help them develop emotional resilience and a greater sense of control over their experiences.
Encouraging a positive mindset and self-esteem
Fostering a positive mindset and healthy self-esteem can help your child cope with the challenges of living with breathing problems. Children with chronic health conditions may feel different or limited compared to their peers, which can impact their self-image and confidence[20].
To promote a positive mindset and self-esteem:
- Focus on your child’s strengths, talents, and accomplishments, rather than solely on their health limitations.
- Encourage them to set achievable goals and celebrate their progress and successes, no matter how small.
- Help them develop a sense of autonomy and control by involving them in age-appropriate decisions about their health and treatment.
- Surround them with positive role models and stories of individuals who have thrived despite living with chronic health conditions.
- Teach them positive self-talk and affirmations to help counteract negative thoughts and beliefs.
By nurturing a positive mindset and healthy self-esteem, you can help your child build the emotional resilience needed to navigate the challenges of living with breathing problems.
Seeking professional support when needed
Sometimes, the emotional impact of living with a chronic health condition can be overwhelming for both children and their families. If you or your child are experiencing persistent feelings of sadness, anxiety, or stress, it may be beneficial to seek professional support[21].
Professional support can come in many forms, such as:
- Individual or family therapy with a licensed mental health professional who specializes in working with children and families affected by chronic health conditions.
- Support groups or peer mentoring programs that connect your child with others who are facing similar challenges, helping them feel less isolated and more understood.
- School-based counseling or accommodations to help your child manage their condition while maintaining their academic and social development.
Remember, seeking professional support is a sign of strength, not weakness. By prioritizing your child’s emotional well-being and your own, you can create a strong foundation for managing the challenges of living with breathing problems and promoting overall family resilience.
Empowering Your Child for Long-Term Management
Fostering independence and self-management skills
As your child grows older, it’s important to gradually foster their independence and self-management skills when it comes to managing their breathing problems. Empowering your child to take an active role in their health can help them develop a sense of control, confidence, and responsibility[22].
To promote independence and self-management skills:
- Involve your child in age-appropriate decisions about their treatment, such as choosing between different inhaler colors or deciding when to take their medication.
- Teach them how to recognize and monitor their symptoms, and when to seek help from an adult or healthcare provider.
- Encourage them to ask questions and express concerns about their condition and treatment during healthcare appointments.
- Help them develop a routine for taking medications, performing respiratory exercises, or engaging in other self-care activities.
- Gradually increase their responsibilities in managing their condition as they demonstrate readiness and maturity.
By fostering independence and self-management skills, you can help your child build the confidence and competence needed to effectively manage their breathing problems throughout their life.
Advocating for your child’s needs in school and social settings
Children with breathing problems may require accommodations or support in school and social settings to ensure their safety, well-being, and full participation. As a parent, you play a crucial role in advocating for your child’s needs and ensuring that they have access to the resources and support they require[23].
To advocate for your child’s needs:
- Communicate openly and regularly with your child’s teachers, school nurses, and administrators about their condition, treatment plan, and any necessary accommodations.
- Work with the school to develop an individualized health plan (IHP) or 504 plan that outlines specific accommodations and emergency protocols.
- Educate your child’s peers and their parents about your child’s condition, promoting understanding and reducing stigma.
- Encourage your child to speak up for their needs and advocate for themselves when appropriate, helping them develop self-advocacy skills.
- Collaborate with healthcare professionals, such as nurses or respiratory therapists, to provide education and training to school staff and caregivers as needed.
By advocating for your child’s needs, you can help create a supportive and inclusive environment that enables them to thrive academically, socially, and emotionally.
Planning for transitions and future care
As your child grows and their needs evolve, it’s important to plan for transitions and future care related to their breathing problems. This may include transitioning from pediatric to adult healthcare providers, exploring new treatment options, or preparing for changes in lifestyle or environment[24].
To plan for transitions and future care:
- Begin discussing the transition process with your child’s healthcare team well in advance, typically around the age of 12-14 years.
- Encourage your child to take an increasingly active role in their healthcare decisions and self-management as they approach adolescence and young adulthood.
- Explore new treatment options or technologies that may become available, and discuss their potential benefits and risks with your child’s healthcare provider.
- Help your child develop a portable medical summary that includes their diagnosis, treatment history, and current care plan to facilitate communication with new healthcare providers.
- Assist your child in identifying and connecting with adult healthcare providers who have experience managing their specific condition.
By planning for transitions and future care, you can help ensure that your child continues to receive the support and resources they need to effectively manage their breathing problems throughout their life.
Frequently Asked Questions
Common breathing problems in children include asthma, allergies, cystic fibrosis, bronchiolitis, and sleep apnea. These conditions can cause symptoms such as coughing, wheezing, shortness of breath, chest tightness, and difficulty breathing.
Signs that your child’s breathing problems may be serious include rapid or labored breathing, flaring of the nostrils, bluish discoloration of the lips or fingernails, persistent coughing or wheezing, and difficulty speaking or eating due to shortness of breath. If you notice any of these symptoms, seek medical attention immediately.
To help your child manage their breathing problems at home, create an asthma action plan with their healthcare provider, ensure they take their medications as prescribed, identify and avoid triggers, encourage regular exercise and a healthy diet, and maintain a clean and well-ventilated home environment.
Collaborate with your child’s school by providing them with a copy of their asthma action plan, ensuring they have access to their medications, educating staff about their condition and necessary accommodations, and maintaining open communication with teachers and administrators to address any concerns or changes in your child’s health status.
Lifestyle changes that can help improve your child’s breathing problems include maintaining a healthy weight, encouraging regular exercise, promoting a balanced and nutritious diet, ensuring they stay hydrated, avoiding exposure to secondhand smoke and other airborne irritants, and managing stress through relaxation techniques and positive coping strategies.
To support your child emotionally, acknowledge and validate their feelings, encourage open communication, help them develop positive coping strategies, foster a sense of normalcy and routine, and connect them with support groups or counseling services if needed. Celebrate their successes and emphasize their strengths to boost their self-esteem and resilience.
In the event of a breathing emergency, stay calm and follow your child’s asthma action plan. If their symptoms do not improve with quick-relief medication, or if they are struggling to breathe, turning blue, or losing consciousness, call emergency services immediately and continue to administer their medication as directed until help arrives.
Reference list
- Asher MI, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. The Lancet. 2006;368(9537):733-743.
- Ferrante G, La Grutta S. The burden of pediatric asthma. Frontiers in Pediatrics. 2018;6:186.
- Zahran HS, Bailey CM, Damon SA, et al. Vital signs: asthma in children – United States, 2001-2016. MMWR Morbidity and Mortality Weekly Report. 2018;67(5):149-155.
- Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2021. Available from: www.ginasthma.org
- National Heart, Lung, and Blood Institute. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. 2007. Available from: www.nhlbi.nih.gov
- Papadopoulos NG, Arakawa H, Carlsen KH, et al. International consensus on (ICON) pediatric asthma. Allergy. 2012;67(8):976-997.
- Lougheed MD, Leniere C, Ducharme FM, et al. Canadian Thoracic Society 2012 guideline update: Diagnosis and management of asthma in preschoolers, children and adults. Canadian Respiratory Journal. 2012;19(2):127-164.
- British Thoracic Society, Scottish Intercollegiate Guidelines Network. British guideline on the management of asthma: A national clinical guideline. 2019. Available from: www.brit-thoracic.org.uk
- Ducharme FM, Dell SD, Radhakrishnan D, et al. Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper. Canadian Respiratory Journal. 2015;22(3):135-143.
- Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. European Respiratory Journal. 2005;26(5):948-968.
- Reddel HK, Taylor DR, Bateman ED, et al. An official American Thoracic Society/European Respiratory Society statement: Asthma control and exacerbations: Standardizing endpoints for clinical asthma trials and clinical practice. American Journal of Respiratory and Critical Care Medicine. 2009;180(1):59-99.
- Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology. 2004;113(1):59-65.
- Liu AH, Zeiger R, Sorkness C, et al. Development and cross-sectional validation of the Childhood Asthma Control Test. Journal of Allergy and Clinical Immunology. 2007;119(4):817-825.
- Dinakar C, Chipps BE. Clinical tools to assess asthma control in children. Pediatrics. 2017;139(1):e20163438.
- Guilbert TW, Bacharier LB, Fitzpatrick AM. Severe asthma in children. Journal of Allergy and Clinical Immunology: In Practice. 2014;2(5):489-500.
- Chung KF, Wenzel SE, Brozek JL, et al. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. European Respiratory Journal. 2014;43(2):343-373.
- Mahmoud I. Makhlouf, M.D. (2017). Pharmacologic management of pediatric asthma. Pediatric Pulmonology 52(S46), S72-S77.
- Eric P. Schroeder, A. M. Melani. (2015). Facilitating Patient-Centered Care in Asthma. Physician Assistant Clinics 1(1), 27-38.
- Elizabeth McQuaid. (2017). Psychosocial factors in the development and management of pediatric asthma. Paediatric Respiratory Reviews 24, 33-37.
- Lauren Wojtanik Smith. (2019). The psychosocial impact of asthma in children. Nursing Clinics of North America 54(4), 577-587.
- Louise Fleming, Clare Murray, Andrew Bush. (2019). Difficult to treat asthma in children. European Respiratory Review 28(152), 180089.
- Michelle M. Wood, Andrew F. Long. (2018). Transitions in care for adolescents and young adults with chronic conditions: Asthma. Adolescent Medicine: State of the Art Reviews 29(1), 71-86.
- Elizabeth L. McQuaid. (2018). Barriers to medication adherence in asthma: The importance of culture and context. Annals of Allergy, Asthma & Immunology 121(1), 37-42.
- Rhonda C. Everett Jones, Zahran, Hatice. (2020). The role of schools in asthma care: Opportunities for action. Journal of School Health 90(12), 933-941.
