Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents

Halil Alkaya; Ugur Altas; Seda Çevik; Gamze Ünal; Tuğba Altıntaş; Mehmet Yaşar Özkars

doi:10.21765/pprjournal.1771373

EN TR

Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents

Abstract

Background/Objectives: Asthma is the most common chronic respiratory disease in childhood, with a rising prevalence both worldwide and in Türkiye. Around 70–80% of pediatric asthma cases are allergic. Despite the presence of established guidelines, knowledge gaps and practice inconsistencies remain. This study aimed to compare the knowledge levels of pediatric specialists and residents regarding asthma treatment. Methods: This cross-sectional study was conducted in February–March 2025 at the University of Health Sciences Ümraniye Training and Research Hospital. Pediatric specialists and residents completed a 31-item questionnaire based on the 2024 GINA guidelines, including 25 questions on asthma management. Each correct answer was scored as 4 points. Statistical analyses were performed using SPSS 22 with Chi-square/Fisher’s exact tests for categorical and independent t test/Mann–Whitney U for continuous variables. A p value <0.05 was considered significant. Ethical approval was obtained (26.12.2024; no. 470). Results: A total of 53 physicians participated (15 specialists, 38 residents). Specialists had longer experience (≥7 years: 73.3%), whereas most residents had 1–3 years (84.2%). Asthma training was reported more frequently among specialists (86.7% vs. 44.7%). While overall scores were similar, differences emerged: all specialists recognized spacer efficacy (100% vs. 76.3%, p=0.039), whereas residents more often identified omalizumab for allergic asthma (89.5% vs. 53.3%, p=0.003) and budesonide/fluticasone as first-line therapy (94.7% vs. 73.3%, p=0.027). Conclusions: Specialists showed stronger knowledge of inhaler devices, whereas residents were more updated on biologics and pharmacotherapy. Tailored educational strategies may enhance standardized, evidence-based pediatric asthma care.

Keywords

Pediatri Uzman ve Asistanlarının Astım İlaçları Hakkındaki Bilgi Düzeyinin Değerlendirilmesi

Abstract

Amaç: Astım, çocukluk çağının en sık görülen kronik solunum yolu hastalığı olup, hem dünyada hem de Türkiye’de prevalansı artmaya devam etmektedir. Çocukluk çağı olgularının yaklaşık %70–80’i alerjik kökenlidir. Ulusal ve uluslararası kılavuzlara rağmen bilgi eksiklikleri ve uygulama farklılıkları sürmektedir. Bu çalışmanın amacı, pediatri uzmanları ile asistanlarının astım tedavisine yönelik bilgi düzeylerini karşılaştırmaktır. Yöntemler: Bu kesitsel çalışma, Şubat–Mart 2025 döneminde Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi’nde yürütülmüştür. Pediatri uzmanı ve asistanlarından oluşan katılımcılar, GINA 2024 kılavuzuna dayalı 31 soruluk bir anketi yanıtlamıştır. Anketin 25 sorusu astım tedavisi bilgisini değerlendirmiş, her doğru yanıt 4 puan üzerinden hesaplanmıştır. Veriler SPSS 22 ile analiz edilmiş; kategorik değişkenlerde Ki-kare/Fisher’s Exact, sürekli değişkenlerde bağımsız t testi veya Mann–Whitney U testi kullanılmıştır. p<0,05 anlamlı kabul edilmiştir. Bulgular: Toplam 53 hekim (15 uzman, 38 asistan) çalışmaya dahil edilmiştir. Uzmanların %73,3’ü ≥7 yıl deneyime sahipken, asistanların %84,2’si 1–3 yıl çalışmaktaydı. Astım tedavisi eğitimi alma oranı uzmanlarda %86,7, asistanlarda %44,7 idi. Genel puanlar benzer bulunmuş ancak bazı farklılıklar vardı: tüm uzmanlar spacer etkinliğini bilirken (100% vs. 76,3%, p=0,039), asistanlar omalizumab kullanımını (89,5% vs. 53,3%, p=0,003) ve budesonid/flutikazonu birinci basamak tedavi olarak daha yüksek oranda bildirmiştir (94,7% vs. 73,3%, p=0,027). Sonuçlar: Uzmanlar inhaler cihazlar konusunda daha yetkin görünürken, asistanlar biyolojik tedaviler ve farmakoterapi konusunda daha güncel bilgiye sahiptir. Hedefe yönelik eğitim stratejileri, çocukluk çağı astımının daha standart ve kanıta dayalı yönetimine katkı sağlayabilir.

Keywords

References

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Details

Primary Language

English

Subjects

Pediatric Immunology and Allergic Diseases

Journal Section

Research Article

Authors

Halil Alkaya ^*
0009-0007-7256-3960
Türkiye

Ugur Altas
0000-0001-5871-2033
Türkiye

Seda Çevik
0000-0002-1124-4137
Türkiye

Gamze Ünal
0009-0008-8433-9373
Türkiye

Tuğba Altıntaş
0000-0002-4779-8668
Türkiye

Mehmet Yaşar Özkars
0000-0003-1290-8318
Türkiye

Publication Date

February 20, 2026

Submission Date

August 25, 2025

Acceptance Date

February 11, 2026

Published in Issue

Year 2026 Volume: 14 Number: 1

DOI

https://doi.org/10.21765/pprjournal.1771373

IZ

https://izlik.org/JA45FP87NW

Cite

RIS / Bibtex

APA

Alkaya, H., Altas, U., Çevik, S., Ünal, G., Altıntaş, T., & Özkars, M. Y. (2026). Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents. Pediatric Practice and Research, 14(1), 1771373. https://doi.org/10.21765/pprjournal.1771373

AMA

1.Alkaya H, Altas U, Çevik S, Ünal G, Altıntaş T, Özkars MY. Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents. pediatr pract res. 2026;14(1):1771373. doi:10.21765/pprjournal.1771373

Chicago

Alkaya, Halil, Ugur Altas, Seda Çevik, Gamze Ünal, Tuğba Altıntaş, and Mehmet Yaşar Özkars. 2026. “Evaluation of Knowledge Levels on Asthma Medications Among Pediatric Specialists and Residents”. Pediatric Practice and Research 14 (1): 1771373. https://doi.org/10.21765/pprjournal.1771373.

EndNote

Alkaya H, Altas U, Çevik S, Ünal G, Altıntaş T, Özkars MY (February 1, 2026) Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents. Pediatric Practice and Research 14 1 1771373.

IEEE

[1]H. Alkaya, U. Altas, S. Çevik, G. Ünal, T. Altıntaş, and M. Y. Özkars, “Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents”, pediatr pract res, vol. 14, no. 1, p. 1771373, Feb. 2026, doi: 10.21765/pprjournal.1771373.

ISNAD

Alkaya, Halil - Altas, Ugur - Çevik, Seda - Ünal, Gamze - Altıntaş, Tuğba - Özkars, Mehmet Yaşar. “Evaluation of Knowledge Levels on Asthma Medications Among Pediatric Specialists and Residents”. Pediatric Practice and Research 14/1 (February 1, 2026): 1771373. https://doi.org/10.21765/pprjournal.1771373.

JAMA

1.Alkaya H, Altas U, Çevik S, Ünal G, Altıntaş T, Özkars MY. Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents. pediatr pract res. 2026;14:1771373.

MLA

Alkaya, Halil, et al. “Evaluation of Knowledge Levels on Asthma Medications Among Pediatric Specialists and Residents”. Pediatric Practice and Research, vol. 14, no. 1, Feb. 2026, p. 1771373, doi:10.21765/pprjournal.1771373.

Vancouver

1.Halil Alkaya, Ugur Altas, Seda Çevik, Gamze Ünal, Tuğba Altıntaş, Mehmet Yaşar Özkars. Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents. pediatr pract res. 2026 Feb. 1;14(1):1771373. doi:10.21765/pprjournal.1771373

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Editors are obliged to comply with the policies of "Blind Review and Review Process" stated in the journal's publication policies. Therefore, the editors ensure that each manuscript is reviewed in an unbiased, fair and timely manner.
Quality Assurance
Editors must make sure that articles in the journal are published in accordance with the publication policies of the journal and international standards.
Protection of Personal Information
Editors are supposed to protect the personal information related with the subjects or visuals in the studies being reviewed, and to reject the study if there is no documentation of the subjects' consent. Furthermore, editors are supposed to protect the personal information of the authors, reviewers and readers.
Encouraging Ethical Rules and Protection of Human and Animal Rights
Editors are supposed to protect human and animal rights in the studies being reviewed and must reject the experimental studies which do not have ethical and related committee’s approval about the population given in such studies.
Precautions against possible Abuse and Malpractice
Editors are supposed to take precautions against possible abuse and malpractice. They must conduct investigations meticulously and objectively in determining and evaluating complaints about such situations. They must also share the results of the investigation.
Ensuring Academic Integrity
Editors must make sure that the mistakes, inconsistencies or misdirections in studies are corrected quickly.

Protection of Intellectual Property Rights

Editors are responsible for protecting the intellectual property rights of all the articles published in the journal and the rights of the journal and author(s) in cases where these rights are violated. Also, editors must take the necessary precautions in order to prevent the content of all published articles from violating the intellectual property rights of other publications.
Constructiveness and Openness to Discussion
Editors must
• Pay attention to the convincing criticism about studies published in the journal and must have a constructive attitude towards such criticism.
• Grant the right of reply to the author(s) of the criticized study.
• Not ignore or exclude the study that include negative results.
Complaints
Editors must examine the complaints from authors, reviewers or readers and respond to them in an explanatory and enlightening manner.
Political and Economic Apprehensions
Neither the owner of the journal, publisher or any other political or economical factor can influence the independent decision taking of the editors.
Conflicting Interests
Editors, acknowledging that there may be conflicting interests between reviewers and other editors, guarantee that the publication process of the manuscripts will be completed in an independent and unbiased manner

Ethical Responsibilities of Reviewers

The fact that all manuscripts are reviewed through "Blind Review" has a direct influence on the publication quality. This process ensures confidentiality by objective and independent review. The review process at J Contemp Med is carried out on the principle of double blind review. Reviewers do not contact the authors directly, and the reviews and comments are conveyed through the journal management system. In this process, the reviewer views on the evaluation forms and full texts are assigned to the author(s) by the editor. Therefore, the reviewers doing review work for J Contemp Med are supposed to bear the following ethical responsibilities:
Reviewers must
• Agree to review only in their subject of expertise.
• Review in an unbiased and confidential manner.
• Inform the editor of the journal if they think that they encounter conflict of interests and decline to review the manuscript during the review process.
• Dispose the manuscripts they have reviewed in accordance with the principle of confidentiality after the review process. Reviewers can use the final versions of the manuscripts they have reviewed only after publication.
• Review the manuscript objectively and only in terms of its content and ensure that nationality, gender, religious and political beliefs, and economic apprehension do not influence the review.
• Review the manuscript in a constructive and kind tone, avoid making personal comments including hostility, slander and insult.
• Review the manuscript they have agreed to review on time and in accordance with the ethical rules stated above.

Ethical Responsibilities of Publisher

Publisher of Pediatric Practice and Research Journal
• The Editors and the Editorial Board of PPR Journal are conscious of the fact that they must observe the ethical responsibilities below and act accordingly:
• Editors are responsible for all the processes that the manuscripts submitted to Pediatric Practice and Research Journal will go through. Within this framework, ignoring the economic or political interests, the decision-makers are the editors.
• The publisher undertakes to have an independent editorial decision made.
• The publisher protects the intellectual property rights of all the articles published in J Contemp Med and holds the responsibility to keep a record of each unpublished article.
• The publisher bears all the responsibility to take the precautions against scientific abuse, fraud and plagiarism.
Unethical Behaviour
Should you encounter any unethical act or content in J Contemp Med apart from the ethical responsibilities listed above, please notify the journal by e-mail at cagdastipdergisi@gmail.com.
Briefly:

Authorship Criteria

After accepted for publication, all the authors will be asked to sign “Copyright Transfer Form” which states the following: “ This work is not under active consideration for publication, has not been accepted for publication, nor has it been published, in full or in part (except in abstract form). I confirm that the study has been approved by the ethics committee. ” All authors should agree to the conditions outlined in the form.
Pediatric Practice and Research Journal has agreed to use the standards of the International Committee of Medical Journal Editors. The author(s) should meet the criteria for authorship according to the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publication. It is available at www.icmje.org.

Ethical Responsibility Ethical Responsibility / Rules:

The protocol of clinical research articles must be approved by the Ethics Committee.

In all studies conducted on humans, the “Material and Method” section was approved by the relevant committee or the Helsinki Declaration of Principles (https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/).

It should be stated in the text that all persons included in the study signed the am Informed Consent Form ”.

The articles submitted to the Pediatric Practice and Research Journal will be deemed to have been conducted in accordance with the Helsinki Declaration of Principles, and have received ethical and legal permissions and will not be held responsible.

If the “Animal” item was used in the study, the authors stated that in the Material and Method section of the article, they protect the animal rights in their studies in accordance with the principles of Guide for the Care and Use of Laboratory Animals (https://grants.nih.gov/grants/olaw/guide-for-the-care-and-use-of-laboratory-animals.pdf) and that they have received approval from the ethics committees of their institutions. must specify.

In case reports, Informed Consent a should be obtained from patients regardless of the identity of the patient.

If the article includes the institution (directly or indirectly) providing financial support for the commercial connection or work, the authors; the commercial product used, the drug, the company has no commercial relationship with, or if there is any relationship (consultant, other agreements, etc.), the editor must inform the presentation page.

If Ethics Committee Approval is required in the article; the received document should be sent with the article.

The manuscript should be submitted to the Academic Plagiarism Prevention Program by the authors.

It is the authors' responsibility to ensure that the article complies with the ethical rules

Policy of Screening for Plagiarism
The manuscripts are scanned by the Journal using the iThenticate program for determination of plagiarism and non-ethical situations. Pediatric Practice and Research Journal will immediately reject manuscripts leading to plagiarism

Editorial Board

AG

Ali GÜL

Internal Diseases

Resul YILMAZ

Paediatrics, Pediatric Intensive Care , Internal Diseases, Health Sciences

Atilla ŞENAYLI

Pediatric Surgery

AY

Alaaddin YORULMAZ

Internal Diseases, Health Sciences

Jalil İbrahim AL-EZZI

Infant and Child Health, Neonatology, Health Sciences

Section Editors (Pediatric Critical Care Medicine)

Resul YILMAZ

Paediatrics, Pediatric Intensive Care , Internal Diseases, Health Sciences

Resul YILMAZ

Infant and Child Health, Pediatric Intensive Care , Internal Diseases, Health Sciences

Section Editors (General Pediatrics)

EK

Erhan KARAASLAN

AG

Ali GÜL

Internal Diseases

Section Editors (Pediatric Surgery)

Atilla ŞENAYLI

Pediatric Surgery

Tamer SEKMENLI

Pediatric Surgery, Health Sciences Education and Development of Programs: Medicine, Nursing and Health Sciences, Health Sciences

Section Editors (Pediatric Gastroenterology)

Halil Haldun EMIROĞLU

Pediatric Gastroenterology

Section Editors (Neonatalogy)

ÖE

Ömer ERDEVE

MK

Murat KONAK

Neonatology, Health Sciences

Section Editors (Pediatric Alergy and Immunology)

İB

İlknur BOSTANCI

Pediatric Immunology and Allergic Diseases

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Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents

Evaluation of Knowledge Levels on Asthma Medications among Pediatric Specialists and Residents

Abstract

Keywords

Pediatri Uzman ve Asistanlarının Astım İlaçları Hakkındaki Bilgi Düzeyinin Değerlendirilmesi

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Section Editors (Pediatric Critical Care Medicine)

Section Editors (General Pediatrics)

Section Editors (Pediatric Surgery)

Section Editors (Pediatric Gastroenterology)

Section Editors (Neonatalogy)

Section Editors (Pediatric Alergy and Immunology)