Looking beyond patients: Can parents’ quality of life predict asthma control in children?

Alfredo Cano-Garcinuño, Isabel Mora-Gandarillas, Alberto Bercedo-Sanz, María Teresa Callén-Blecua, José Antonio Castillo-Laita, Irene Casares-Alonso, Dolors Forns-Serrallonga, Eulàlia Tauler-Toro, Luz María Alonso-Bernardo, Águeda García-Merino, Isabel Moneo-Hernández, Olga Cortés-Rico, Ignacio Carvajal-Urueña, Juan José Morell-Bernabé, Itziar Martín-Ibáñez, Carmen Rosa Rodríguez-Fernández-Oliva, María Teresa Asensi-Monzó, Carmen Fernández-Carazo, José Murcia-García, Catalina Durán-IglesiasJosé Luis Montón-Álvarez, Begoña Domínguez-Aurrecoechea, Manuel Praena-Crespo

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

© 2015 Wiley Periodicals, Inc. Background: Social and family factors may influence the probability of achieving asthma control in children. Parents’ quality of life has been insufficiently explored as a predictive factor linked to the probability of achieving disease control in asthmatic children. Objective: Determine whether the parents’ quality of life predicts medium-term asthma control in children. Methods: Longitudinal study of children between 4 and 14 years of age, with active asthma. The parents’ quality of life was evaluated using the specific IFABI-R instrument, in which scores were higher for poorer quality of life. Its association with asthma control measures in the child 16 weeks later was analyzed using multivariate methods, adjusting the effect for disease, child and family factors. Results: The data from 452 children were analyzed (median age 9.6 years, 63.3% males). The parents’ quality of life was predictive for asthma control; each point increase on the initial IFABI-R score was associated with an adjusted odds ratio (95% confidence interval) of 0.56 (0.37–0.86) for good control of asthma on the second visit, 2.58 (1.62–4.12) for asthma exacerbation, 2.12 (1.33–3.38) for an unscheduled visit to the doctor, and 2.46 (1.18–5.13) for going to the emergency room. The highest quartile for the IFABI-R score had a sensitivity of 34.5% and a specificity of 82.2% to predict poorly controlled asthma. Conclusions: Parents’ poorer quality of life is related to poor, medium-term asthma control in children. Assessing the parents’ quality of life could aid disease management decisions. Pediatr Pulmonol. 2016;51:670–677. © 2015 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)670-677
JournalPediatric Pulmonology
Volume51
Issue number7
DOIs
Publication statusPublished - 1 Jul 2016

Keywords

  • asthma
  • child
  • parents
  • quality of life

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