Date Presented 04/21/2023

Asthma affects millions of children, yet there is limited research on the effect of asthma on activity participation. This scoping review investigates the scope of the existing literature on asthma and occupational participation.

Primary Author and Speaker: Avery E. Collier

Additional Authors and Speakers: Kelly Harris, Madelyn Yoo

PURPOSE: Asthma is a chronic lung disease affecting millions of children in the United States. Although occupational therapy has a unique lens to examine how asthma impacts activity, it remains understudied. The aim of this study was to examine the scope of the evidence on the impact of asthma on occupational participation in seven occupational domains: activities of daily living, instrumental activities of daily living, rest and sleep, education, play, social participation, and leisure.

DESIGN: Scoping review.

METHODS: The review followed the JBI Scoping Review Methodology and PRISMA-ScR. An initial search of MEDLINE identified benchmark articles. Terms contained in the titles, abstracts, and index terms of relevant articles were used to develop a full search strategy for PubMed/MEDLINE, Elsevier Embase, CINAHL, SCOPUS, Clarivate Web of Science Core Collection, and APA PsycInfo databases. Title and abstract screening and full text review were completed by two independent reviewers using Covidence. Articles meeting inclusion criteria were identified for extraction.

RESULTS: A search of standardized indexing terms (Asthma, Activities of Daily Living, Activity Participation, Participation*, Child, ‘Adolescent, and Young Adult) yielded 3,274 unique citations for title and abstract screening. Following full text review (N = 36), 17 articles meeting the inclusion criteria were identified for extraction. Results indicate that asthma and occupational participation are vastly understudied and typically limited to physical activity, sports, and sleep.

CONCLUSION: The impact of asthma on occupational participation domains has not been well covered in the research. When investigated, physical activity and sleep are the primary domains examined.

IMPACT STATEMENT: Occupational participation is crucial to well-being and must be investigated. We need to further study this relationship to better understand the impact of asthma on all occupational participation domains.


Jeziorio, J. R., Gutman, S. A., Lovinsky-Desir, S., Rauh, V., Perera, F. P., & Miller, R. L. (2021). A comparison of activity participation between children with and without asthma. The Open Journal of Occupational Therapy, 9(3).

Kouzegaran, S., Samimi, P., Ahanchian, H., Khoshkhui, M., & Behmanesh, F. (2018). Quality of life in children with asthma versus healthy children. Open Access Macedonian Journal of Medical Sciences, 6(8), 1413–1418.