1. Melinda Marshall Asthma Barriers Questionnaire
Questionnaire
Question 1
Often times, caregiver barriers arise during pediatric asthma education?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 2
Most often, parents adhere to proper asthma medication delivery before
admission?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 3
Most often, parents stay after asthma education to ask questions on asthma
management?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 4
Often times, parents are emotional and stressed in class?

2. 1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 5
Most often, parental belief systems aid in asthma education among caregivers?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 6
How many hours per week do you teach asthma education or asthmatic
inpatients?
1 = <0-4 hours
2 = 5 hours
3 = 10 hours
4 = 15 hours
5 = >20 hours
Question 7
Often times, pediatric care givers are knowledgeable of the causes of asthma
compliance?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree

3. Question 8
What is your age?
1 = 20-30 years
2 = 31-35 years
3 = 36-43 years
4 = 55-65 years
5 = >65 years
Question 9
There is a significant association in asthma education and respiratory
therapist occupational burnout?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 10
Most of the time parents are engaged for the duration of asthma education?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 11
Most times, parents inquire about asthma after the hospital’s educational
program?
1 = Strongly Agree
2 = Agree
3 = Neutral

4. 4 = Disagree
5 = Strongly Disagree
Question 12
Often times, parents participate during asthma education?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 13
Most times, parents are absent from asthma education class prior to discharge
with an action plan?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 14
Often times, parents are usually in attendance during asthma education when
you are teaching?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 15
Most times, the hospital’s asthma education often helps parents in than to
managing symptoms?

5. 1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 16
Most times, parents are emotional during asthma education class?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 17
What is your gender?
1 = Male
2 = Female
3 = N/A
Question 18
Most often, patients are out of medication before admission?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 19
Often times, parents view asthma education unfavorable?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 20

6. Most often, patients that participate in asthma education class always return less
to the hospital?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 21
Most often, patients that participate in asthma education class always return less
to the hospital?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 22
How long have you been a respiratory care practitioner?
1=<5 years25
2=6-10 years
3= 11-15 years
4=21-30 years
5=>25 years
Question 23
Most times, patients have access to medication prior to admission to the
hospital?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 24
Often times, family interaction is useful in educating younger asthmatics about
their disease?
1 = Strongly Agree
2 = Agree
3 = Neutral

7. 4 = Disagree
5 = Strongly Disagree
Question 25
In your opinion, most parents could benefit from continued asthma education?
1= Strongly Agree
2=Agree
3=Neutral
4=Disagree
5=Strongly Disagree
Question 26
What is your nationality?
1=Caucasian
2=African American
3= Latino or Hispanic
4=Asian
5= Other Race/Ethnicity
6= Prefer not to state
Question 27
What is the highest level of education you have completed?
1=Certificate
2=Associates Degree
3=Bachelor’s Degree
4=Master’s Degree
5=Ph.D. High School Diploma
Question 28
Are you certified as a neonatal specialist with the American Association of
Respiratory Care?
1 = Yes
2 = No
3 = No, I plan on taking the exam

8. 4 = No, I do not plan on taking the exam
5 = No, I disagree with the exam
Question 29
Most times, parents often allow children to exhibit lackluster attention during
asthma education.
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 30
More than often both parents participate in the asthma program together with
their child?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 31
Most times, the majority of the patients and caregivers in asthma education are
minorities?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 32
Often times asthma action plans are changed among readmitted asthmatics in
your facility?

9. 1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree
Question 33
Most times, patient asthma action plans are given to patients prior to discharge
at Children’s?
1 = Strongly Agree
2 = Agree
3 = Neutral
4 = Disagree
5 = Strongly Disagree