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Current Respiratory Medicine Reviews

Editor-in-Chief

ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

Research Article

Quality of Life Questionnaires for Children With Bronchial Asthma at Jordan University Hospital: An Observational Study

Author(s): Enas M. Al-Zayadneh*, Ala’ Dia-Eddin Arafah, Sarah Muwaffag Ibrahim, Maram Abdalla Glessa and Montaha Al-Iede

Volume 16, Issue 2, 2020

Page: [132 - 138] Pages: 7

DOI: 10.2174/1573398X16999201009155509

Price: $65

Abstract

Background: Asthma is a common chronic illness worldwide. Identifying and treating impaired health-related quality of life, is now recognized as an important component of asthma management. A high prevalence of behavioral and emotional difficulties was noticed among children with asthma.

Methods: This is a cross-sectional study that was conducted over 8 weeks involving 45 asthmatic children, between the ages of 7-17 years old, presented to Jordan University Hospital in Amman, Jordan. General demographic characteristics were collected, and two questionnaires were used: asthma control test (ACT), and the pediatric asthma quality of life questionnaire (PAQLQ). We also used the feeling thermometer scale, and a pulmonary function test was done for patients. SAS Software version 9.4 USA and Pearsons coefficient were used to find associations.

Results: Among 45 patients, 53% of the sample had poor asthma control. The mean FEV1 on lung function testing was 80% (± 16.18) of predicted. The mean for clinical asthma scores (ACT) was 18.8 ± 4.53 (out of 25). FEV1 was significantly higher in children with good control compared to those with a low ACT score (P-value <0.05). The mean total PAQLQ score was 5.3 ± 1.06 and it correlated significantly with ACT score (P-value <0.001).

Conclusion: This study highlights the association of poorly controlled asthma with a poor quality of life. It is recommended that the quality of life of children should be assessed and observed during clinic visits, for a better comprehensive approach and effective improvement of outcome.

Keywords: Quality of life, bronchial asthma, pediatric asthma, quality of life questionnaire, asthma control test, symptoms.

[1]
Morowatisharifabad M, Nadrian H, Falahi A, Mohammadi M. Predictors of self-management behaviors in patients with asthma based on green’s model of health education planning. SJSPH 2009; 7(3): 37-49.
[2]
Ministry of Health. Hashemite Kingdom of Jordan. 2018. Available from: http://www.moh.gov.jo
[3]
Abuekteish F, Alwash R, Hassan M, Daoud AS. Prevalence of asthma and wheeze in primary school children in northern Jordan. Ann Trop Paediatr 1996; 16(3): 227-31.
[http://dx.doi.org/10.1080/02724936.1996.11747831]
[4]
Juniper EF, Guyatt GH, Ferrie PJ, Griffith LE, Griffith LE, Townsend M. Measuring quality of life in asthma. Am Rev Respir Dis 1993; 147(4): 832-8.
[http://dx.doi.org/10.1164/ajrccm/147.4.832]
[5]
Townsend M, Feeny DH, Guyatt GH, Furlong WJ, Seip AE, Dolovich J. Evaluation of the burden of illness for pediatric asthmatic patients and their parents. Ann Allergy 1991; 67(4): 403-8.
[6]
Banjari M, Kano Y, Almadani S, Basakran A, Al-Hindi M, Alahmadi T. The Relation between Asthma control and quality of life in children. Int J Pediatr 2018; 20186517329
[http://dx.doi.org/10.1155/2018/6517329]
[7]
Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47(2): 76-83.
[http://dx.doi.org/10.1136/thx.47.2.76]
[8]
Online appendix of global strategy for asthma management and prevention 2018. Available from: http://ginasthma.org
[9]
Hallit S, Raherison C, Waked M, Salameh P. Validation of asthma control questionnaire and risk factors affecting uncontrolled asthma among the Lebanese children’s population. Respir Med 2017; 122: 51-7.
[http://dx.doi.org/10.1016/j.rmed.2016.11.018]
[10]
Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113(1): 59-65.
[http://dx.doi.org/10.1016/j.jaci.2003.09.008]
[11]
Abdel Hai R, Taher E, Abdel Fattah M. Assessing validity of the adapted Arabic paediatric asthma quality of life questionnaire among Egyptian children with asthma. East Mediterr Health J 2010; 16(3): 274-80.
[http://dx.doi.org/10.26719/2010.16.3.274]
[12]
Lahaye M, Van Broeck N, Bodart E, Luminet O. Predicting quality of life in pediatric asthma: the role of emotional competence and personality. Qual Life Res 2013; 22(4): 907-16.
[http://dx.doi.org/10.1007/s11136-012-0194-7]
[13]
Measurement of health-related quality of life & asthma control. The official website. Available from: https://www.qoltech.co.uk/index.htm
[14]
Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis 1991; 144(5): 1202-18.
[http://dx.doi.org/10.1164/ajrccm/144.5.1202]
[15]
Bateman ED, Hurd SS, Barnes PJ, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008; 31(1): 143-78.
[http://dx.doi.org/10.1183/09031936.00138707]
[16]
Torrance GW. Measurement of health state utilities for economic appraisal. J Health Econ 1986; 5(1): 1-30.
[http://dx.doi.org/10.1016/0167-6296(86)90020-2]
[17]
Kwon HS, Lee SH, Yang MS, et al. correlation between the korean version of asthma control test and health-related quality of life in adult asthmatics. J Korean Med Sci 2008; 23(4): 621-7.
[http://dx.doi.org/10.3346/jkms.2008.23.4.621]
[18]
Alpaydin AO, Bora M, Yorgancioglu A, Coskun AS, Celik P. Asthma control test and asthma quality of life questionnaire association in adults. Iran J Allergy Asthma Immunol 2012; 11(4): 301-7.
[19]
Schatz M, Sorkness CA, Li JT, et al. Asthma control test: reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol 2006; 117(3): 549-56.
[http://dx.doi.org/10.1016/j.jaci.2006.01.011]
[20]
Macaden L, John P, Christopher D. Quality of Life using AQLQ (S), ACT and GINA in patients with bronchial asthma in South India. IJNH 2017; 3: 76-84.
[21]
Apter AJ, Reisine ST, Affleck G, Barrows E, ZuWallack RL. The influence of demographic and socioeconomic factors on health-related quality of life in asthma. J Allergy Clin Immunol 1999; 103(1 Pt 1): 72-8.
[http://dx.doi.org/10.1016/S0091-6749(99)70528-2]
[22]
Sarpong SB, Karrison T. Skin test reactivity to indoor allergens as a marker of asthma severity in children with asthma. Ann Allergy Asthma Immunol 1998; 80(4): 303-8.
[http://dx.doi.org/10.1016/S1081-1206(10)62973-0]
[23]
Bracken MB, Belanger K, Cookson WO, Triche E, Christiani DC, Leaderer BP. Genetic and perinatal risk factors for asthma onset and severity: a review and theoretical analysis. Epidemiol Rev 2002; 24(2): 176-89.
[http://dx.doi.org/10.1093/epirev/mxf012]
[24]
ten Brinke A, Sterk PJ, Masclee AA, et al. Risk factors of frequent exacerbations in difficult-to-treat asthma. Eur Respir J 2005; 26(5): 812-8.
[http://dx.doi.org/10.1183/09031936.05.00037905]
[25]
Sonnenschein-van der Voort AMM, Arends LR, de Jongste JC, et al. Preterm birth, infant weight gain, and childhood asthma risk: a meta-analysis of 147,000 European children. J Allergy Clin Immunol 2014; 133(5): 1317-29.
[http://dx.doi.org/10.1016/j.jaci.2013.12.1082]
[26]
Alm B, Erdes L, Möllborg P, et al. Neonatal antibiotic treatment is a risk factor for early wheezing. Pediatrics 2008; 121(4): 697-702.
[http://dx.doi.org/10.1542/peds.2007-1232]
[27]
Zhang J, Ma C, Yang A, Zhang R, Gong J, Mo F. Is preterm birth associated with asthma among children from birth to 17 years old? -A study based on 2011-2012 US National Survey of Children’s Health. Ital J Pediatr 2018; 44(1): 151.
[http://dx.doi.org/10.1186/s13052-018-0583-9]
[28]
Zandieh F, Moin M, Movahedi M. Assessment of quality of life in Iranian asthmatic children, young adults and their caregivers. Iran J Allergy Asthma Immunol 2006; 5(2): 79-83.
[29]
Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res 1996; 5(1): 35-46.
[http://dx.doi.org/10.1007/BF00435967]
[30]
Al-Khateeb AJ, Al Khateeb JM. Research on psychosocial aspects of asthma in the Arab world: a literature review. Multidiscip Respir Med 2015; 10(1): 15.
[http://dx.doi.org/10.1186/s40248-015-0011-6]
[31]
Blackman JA, Gurka MJ. Developmental and behavioral comorbidities of asthma in children. J Dev Behav Pediatr 2007; 28(2): 92-9.
[http://dx.doi.org/10.1097/01.DBP.0000267557.80834.e5]

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