What determines the extent to which children and young people avoid asthma triggers at home?

Research question: What determines the extent to which children and young people avoid asthma triggers at home?Grace Lewis1, Linda Milnes1, Jurgen Schwarze2, Alexandra Adams3, Alistair Duff1,4 Affiliations: 1 School of Healthcare, University of Leeds2 Child Life and Health - Centre for Reproductive Health / Centre for Inflammation Research, The University of Edinburgh3 Paediatric Respiratory Medicine, Leeds Teaching Hospitals NHS Trust4 Psychology Services, Leeds Teaching Hospitals NHS TrustBackground:Poorer asthma outcomes have been associated with atopic asthma. Whilst there is evidence to suggest families have some understanding of asthma triggers, this knowledge does not consistently inform trigger-avoidance behaviour. Limited attention has been given to theory-based, public and patient-informed approaches to promote asthma trigger-avoidance for children and young people (CYP).Possible methodology: 1. A literature review of asthma-trigger beliefs.Impressions from initial scoping: Indoor asthma triggers are rarely the primary focus of paediatric asthma research, and little is known about commonalities or differences in beliefs held by CYP compared with their parents/carers. Greater insight into family beliefs and opinions is necessary for future development of effective child and family-centred complex interventions.2. A qualitative study of CYPs’ (proposed: 11-16 years) and parents’ perceptions of barriers, motivators and enablers for trigger reduction at home, using semi-structured interviews. Additionally, interviewing health professionals will provide a foundation to ensure future interventions are feasible alongside usual asthma care. Preferred outcomes for an intervention could also be identified for all stakeholders.These two evidence outputs will lead to a conceptual framework to inform a complex intervention, guided by the Medical Research Council (1,2) and/or intervention mapping promoting behaviour change (3).Questions to discuss:Can others share experiences of using the MRC’s complex interventions framework (1,2) and/or intervention mapping for promoting health behaviour change (3)?Can this proposal be enhanced to increase potential primary care impact? Declaration of Interest Funding: This work is funded by Asthma UK as part of the Asthma UK Centre for Applied Research [AUK-AC-2018-01] References and Clinical Trial Registry Information References: Medical Research Council. A framework for development and evaluation of RCTs for complex interventions to improve health. London Med Res Counc. 2000; (April):1–19. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating complex interventions: new guidance Prepared on behalf of the Medical Research Council [Internet]. 2008; Available from: www.mrc.ac.uk/complexinterventionsguidance Kok G, Peters LWH, Ruiter RAC. Planning theory- and evidence-based behavior change interventions: A conceptual review of the intervention mapping protocol. Psicol Reflex e Crit. 2017;30(1).