Quality of Life in Children With Asthma: A Developmental Perspective

Miadich, Samantha A.; Everhart, Robin S.; Borschuk, Adrienne P.; Winter, Marcia A.; Fiese, Barbara H.

doi:10.1093/jpepsy/jsv002

Cited by 58 publications

(43 citation statements)

References 41 publications

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“…Since this approach has never been applied to such data, our findings can only partially be compared with previous studies which investigated this relationship marginally. In fact, with regard to asthma severity, some authors have reported significant effects on QoL 21,22 , and an increased risk of behavioural problems when asthma severity increased 1,19,23 . About asthma control, some studies show that uncontrolled status negatively affected only QoL 24,25 , whereas no study has investigated the effect on SDQ.…”

Section: Discussionmentioning

confidence: 99%

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Montalbano

Ferrante

Montella

et al. 2020

Sci Rep

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37 , franca Rusconi 11,37 & the italian pediatric Severe Asthma network (ipSAn) program of italian paediatric Respiratory Society (ipRS) † Knowledge on multiple interdependences between quality of life (QoL) and behavioural problems in relation to asthma severity and control is undetermined. the aims of the study were: (i) to assess the relationship of QoL and behavioural problems with asthma severity and control (ii) to predict children's "abnormal/borderline" status with variation in QoL. for these purposes a multicenter case-control study on 47 Severe Asthma (SA) and 94 Moderate Asthma (MA) children was performed. The MIMIC approach was applied to investigate the effect of SA and non-controlled asthma (NC) on QoL and behavioural disorders. Logistic regression was used to estimate probabilities of having an "abnormal/ borderline" status with variation in QoL. The MIMIC model showed that the magnitude of the effect of SA and nc was larger on QoL (β = −0.37 and β = −0.30, respectively) than on behavioural problems (β = 0.27). With regards to the probability of having a borderline status, in MA a QoL of 1 returned a probability of 0.81, whereas in SA a QoL of 1 returned a probability of 0.89. In conclusion, SA children are highly affected by impaired QoL and behavioural problems. The MIMIC model allowed us to obtain a comprehensive assessment of QoL and behavioural problems with asthma severity and control.Asthma is one of the most common chronic illnesses of childhood. In clinical practice, physicians are generally focused on diagnosis and treating the respiratory aspects of the disease; however, there are other factors, including psychological facets, which contribute to the disease course, including quality of life (QoL). Children with

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Section: Discussionmentioning

confidence: 99%

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Montalbano

Ferrante

Montella

et al. 2020

Sci Rep

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“…Children and adolescents with well-controlled asthma and lower asthma severity, which lead to a reduction in symptoms and medication use, can have a better quality of life. 11 - 13 The present study is warranted because it is necessary to characterize quality of life in children and adolescents with asthma treated at asthma referral centers. The understanding of the extent to which asthma control status and asthma severity can affect quality of life will help establish therapeutic, environmental, and behavioral strategies, resulting in increased awareness within the health care system as a whole, so that interventions allowing a favorable disease outcome are promoted.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life according to asthma control and asthma severity in children and adolescents

et al. 2015

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OBJECTIVE: To evaluate quality of life according to the level of asthma control and degree of asthma severity in children and adolescents. METHODS: We selected children and adolescents with asthma (7-17 years of age) from the Pediatric Pulmonology Outpatient Clinic of the State University of Campinas Hospital de Clínicas, located in the city of Campinas, Brazil. Asthma control and asthma severity were assessed by the Asthma Control Test and by the questionnaire based on the Global Initiative for Asthma, respectively. The patients also completed the Paediatric Asthma Quality of Life Questionnaire (PAQLQ), validated for use in Brazil, in order to evaluate their quality of life. RESULTS: The mean age of the patients was 11.22 ± 2.91 years, with a median of 11.20 (7.00-17.60) years. We selected 100 patients, of whom 27, 33, and 40 were classified as having controlled asthma (CA), partially controlled asthma (PCA), and uncontrolled asthma (UA), respectively. As for asthma severity, 34, 19, and 47 were classified as having mild asthma (MiA), moderate asthma (MoA), and severe asthma (SA), respectively. The CA and the PCA groups, when compared with the NCA group, showed higher values for the overall PAQLQ score and all PAQLQ domains (activity limitation, symptoms, and emotional function; p < 0.001 for all). The MiA group showed higher scores for all of the PAQLQ components than did the MoA and SA groups. CONCLUSIONS: Quality of life appears to be directly related to asthma control and asthma severity in children and adolescents, being better when asthma is well controlled and asthma severity is lower.

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“…8,9 In addition to cost burden, poor quality of life among asthmatic children has been described in the literature, notably on its effect on school performance, absenteeism, and physical activity participation. 10 A systemic review of 66 studies in 2005, focusing on asthma and school attendance, nearly all showed a correlation between asthma and a proportion of student absenteeism. 11 National and international guidelines emphasize asthma education and preventive measures to minimize exacerbations and maximize control of asthma symptoms in adults and children.…”

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confidence: 99%

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

Alhammad

Alajmi

Alenizi

et al. 2020

Pediatric Pulmonology

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Background: Appropriate asthma management in children reduces emergency department visits, hospitalization, and improves the quality of life. We aim to assess the level of children asthma control and its association with parental knowledge. Methods: A prospective study conducted to measure childhood asthma control with a validated childhood asthma control test (C-ACT), and to assess asthma knowledge among the parents of children aged 4-11 years and their parents upon asthma clinic visits. C-ACT score ≤ 19 is considered as uncontrolled child asthma. Results: We have invited 238 parents to participate in the study; 177 (74.4%) completed the survey. The mean age of the parents and their children were 38.8 ± 7.6 and 7.8 ± 2.7 years, respectively; 28.2% of parents were smokers, and 46.3% of them were college graduated. Nearly 61.6% of the parents and children scored ≤ 19 on C-ACT; 54.2% and 37.9% of parents knew how inhaled salbutamol and corticosteroids work, respectively. A quarter of the parents received an asthma action plan. Multinomial logistic regression analysis showed that parents who did not know their children's medications name (OR, 6.1; 95% CI, 2.15-17.29), and when to use inhaled corticosteroid (OR, 2.1; 95% CI, 1.32-3.45) were independent factors predicting uncontrolled asthma in children with score ≤ 19. Conclusions: The study indicated that there is an association between poor asthma control (scored ≤ 19 on C-ACT) and parental knowledge of asthma medications. The parents should be educated thoroughly on asthma care, including medications used to minimize asthma exacerbations in their children. K E Y W O R D S bronchial diseases, lung diseases, pediatric asthma 1 | INTRODUCTION Asthma is a common chronic respiratory disease in children. Uncontrolled asthma increases mortality, morbidity, emergency department (ED) visits, hospitalization, reduces the quality of life as well as increases health care costs. 1 An overall prevalence of asthma in children from Saudi Arabia ranged from 8% to 25%, depending on studies conducted over the past three decades. A recent study in Saudi Arabia reported prevalence of 45% of uncontrolled asthma in children. 2,3 In western countries, the reported prevalence of asthma in children was 8.6% in the United States (uncontrolled asthma 46%, 2010), and 11% in France (uncontrolled asthma 37.6%, 2013). 4-7

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Quality of Life in Children With Asthma: A Developmental Perspective

Cited by 58 publications

References 41 publications

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Evaluation of quality of life according to asthma control and asthma severity in children and adolescents

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

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