What Is Known About Asthma Care and Management for Children and Young People Under 18 Years of age in New Zealand. A Scoping Review
Date
Authors
Blamires, J
Foster, M
Kanengoni‐Nyatara, B
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Abstract
Introduction Asthma is the most common chronic health condition affecting children in Aotearoa New Zealand, with Māori and Pacific children disproportionately burdened by high morbidity and inequitable care. Despite clinical guidelines and growing research, inconsistencies in diagnosis, treatment adherence, and education persist. This scoping review identifies and maps literature on care models, service delivery, education and support strategies, and experiences of children, young people, and their family/whānau in asthma care and management for those under 18 in Aotearoa New Zealand. Methods This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta‐analyses Extension for Scoping Reviews (PRISMA‐ScR) guidelines. We searched MEDLINE, CINAHL, Scopus, PsychINFO, and grey literature for articles published between 2014 and 2024 on asthma care for children under 18 in Aotearoa New Zealand. Eligible articles from health or community settings were thematically analysed using conventional content analysis. Results Twenty‐one articles met inclusion criteria, including qualitative, quantitative, mixed‐methods, and policy or guideline documents. Thematic analysis revealed four interconnected themes: (1) medications and adherence, (2) education and health literacy, (3) children and whānau experiences, and (4) culture and beliefs. Findings reflect persistent inequities in asthma outcomes and care access, especially for Māori and Pacific children and highlight opportunities to strengthen culturally safe and family/whānau‐centred care to improve asthma care, treatment and its management. Conclusion This review identifies key gaps in asthma care for children in Aotearoa New Zealand and calls for more responsive, culturally grounded models to improve asthma outcomes across diverse settings.Description
Keywords
1102 Cardiorespiratory Medicine and Haematology, 1107 Immunology, 32 Biomedical and clinical sciences, 3204 Immunology, 42 Health sciences, , adolescent, asthma, child, culturally competent care, health literacy, health services accessibility, patient care management
Source
The Clinical Respiratory Journal, ISSN: 1752-6981 (Print); 1752-699X (Online), Wiley, 19(12). doi: 10.1111/crj.70139
Publisher's version
Rights statement
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.© 2025 The Author(s). The Clinical Respiratory Journal published by John Wiley & Sons Ltd.