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Uncontrolled asthma: assessing quality of life and productivity of children and their caregivers using a cross-sectional Internet-based survey.

Dean BB, Calimlim BC, Sacco P, Aguilar D, Maykut R, Tinkelman D - Health Qual Life Outcomes (2010)

Bottom Line: Children's health-related quality of life (HRQOL) and caregivers' quality of life (QOL) were assessed using the Child Health Questionnaire Parent Form 28 (CHQ-PF28) and caregiver's work productivity using a modified Work Productivity and Activity Impairment Questionnaire.They were more likely to miss school (5.5 vs 2.2 days), arrive late or leave early (26.7 vs 7.1%), miss school-related activities (40.6 vs 6.2%), use a rescue inhaler at school (64.2 vs 31.0%), and visit the health office or school nurse (22.5 vs 8.8%).Caregivers of children with uncontrolled asthma reported significantly greater work and activity impairment and lower QOL for emotional, time-related and family activities.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cerner LifeSciences, Beverly Hills, CA, USA. bdean@cerner.com

ABSTRACT

Background: Results of a national survey of asthmatic children that evaluated management goals established in 2004 by the National Asthma Education and Prevention Program (NAEPP) indicated that asthma symptom control fell short on nearly every goal.

Methods: An Internet-based survey was administered to adult caregivers of children aged 6-12 years with moderate to severe asthma. Asthma was categorized as uncontrolled when the caregiver reported pre-specified criteria for daytime symptoms, nighttime awakening, activity limitation, or rescue medication based on the NAEPP guidelines. Children's health-related quality of life (HRQOL) and caregivers' quality of life (QOL) were assessed using the Child Health Questionnaire Parent Form 28 (CHQ-PF28) and caregiver's work productivity using a modified Work Productivity and Activity Impairment Questionnaire. Children with uncontrolled vs. controlled asthma were compared.

Results: 360 caregivers of children with uncontrolled asthma and 113 of children with controlled asthma completed the survey. Children with uncontrolled asthma had significantly lower CHQ-PF28 physical (mean 38.1 vs 49.8, uncontrolled vs controlled, respectively) and psychosocial (48.2 vs 53.8) summary measure scores. They were more likely to miss school (5.5 vs 2.2 days), arrive late or leave early (26.7 vs 7.1%), miss school-related activities (40.6 vs 6.2%), use a rescue inhaler at school (64.2 vs 31.0%), and visit the health office or school nurse (22.5 vs 8.8%). Caregivers of children with uncontrolled asthma reported significantly greater work and activity impairment and lower QOL for emotional, time-related and family activities.

Conclusions: Poorly controlled asthma symptoms impair HRQOL of children, QOL of their caregivers, and productivity of both. Proper treatment and management to improve symptom control may reduce humanistic and economic burdens on asthmatic children and their caregivers.

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Related in: MedlinePlus

School Related Measures by Asthma Control. *P < 0.0001. ‡P ≤ 0.005
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Figure 3: School Related Measures by Asthma Control. *P < 0.0001. ‡P ≤ 0.005

Mentions: Approximately half (50.4%) of the caregivers of children with controlled asthma reported that their child had missed a day of school due to asthma in the past year, while 64.4% of caregivers of children with uncontrolled asthma reported asthma-related absenteeism. On average, children with uncontrolled asthma were reported to miss significantly more days of school (5.5 days, SD = 7.7) than children with controlled asthma (2.2 days, SD = 3.7). Furthermore, compared to the caregivers of children with controlled asthma, a significantly greater percentage of caregivers of children with uncontrolled asthma reported that their child arrived late or departed early from school, missed school-related activities, used a rescue inhaler at school, and visited the health office or school nurse because of asthma symptoms (Figure 3).


Uncontrolled asthma: assessing quality of life and productivity of children and their caregivers using a cross-sectional Internet-based survey.

Dean BB, Calimlim BC, Sacco P, Aguilar D, Maykut R, Tinkelman D - Health Qual Life Outcomes (2010)

School Related Measures by Asthma Control. *P < 0.0001. ‡P ≤ 0.005
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2944345&req=5

Figure 3: School Related Measures by Asthma Control. *P < 0.0001. ‡P ≤ 0.005
Mentions: Approximately half (50.4%) of the caregivers of children with controlled asthma reported that their child had missed a day of school due to asthma in the past year, while 64.4% of caregivers of children with uncontrolled asthma reported asthma-related absenteeism. On average, children with uncontrolled asthma were reported to miss significantly more days of school (5.5 days, SD = 7.7) than children with controlled asthma (2.2 days, SD = 3.7). Furthermore, compared to the caregivers of children with controlled asthma, a significantly greater percentage of caregivers of children with uncontrolled asthma reported that their child arrived late or departed early from school, missed school-related activities, used a rescue inhaler at school, and visited the health office or school nurse because of asthma symptoms (Figure 3).

Bottom Line: Children's health-related quality of life (HRQOL) and caregivers' quality of life (QOL) were assessed using the Child Health Questionnaire Parent Form 28 (CHQ-PF28) and caregiver's work productivity using a modified Work Productivity and Activity Impairment Questionnaire.They were more likely to miss school (5.5 vs 2.2 days), arrive late or leave early (26.7 vs 7.1%), miss school-related activities (40.6 vs 6.2%), use a rescue inhaler at school (64.2 vs 31.0%), and visit the health office or school nurse (22.5 vs 8.8%).Caregivers of children with uncontrolled asthma reported significantly greater work and activity impairment and lower QOL for emotional, time-related and family activities.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cerner LifeSciences, Beverly Hills, CA, USA. bdean@cerner.com

ABSTRACT

Background: Results of a national survey of asthmatic children that evaluated management goals established in 2004 by the National Asthma Education and Prevention Program (NAEPP) indicated that asthma symptom control fell short on nearly every goal.

Methods: An Internet-based survey was administered to adult caregivers of children aged 6-12 years with moderate to severe asthma. Asthma was categorized as uncontrolled when the caregiver reported pre-specified criteria for daytime symptoms, nighttime awakening, activity limitation, or rescue medication based on the NAEPP guidelines. Children's health-related quality of life (HRQOL) and caregivers' quality of life (QOL) were assessed using the Child Health Questionnaire Parent Form 28 (CHQ-PF28) and caregiver's work productivity using a modified Work Productivity and Activity Impairment Questionnaire. Children with uncontrolled vs. controlled asthma were compared.

Results: 360 caregivers of children with uncontrolled asthma and 113 of children with controlled asthma completed the survey. Children with uncontrolled asthma had significantly lower CHQ-PF28 physical (mean 38.1 vs 49.8, uncontrolled vs controlled, respectively) and psychosocial (48.2 vs 53.8) summary measure scores. They were more likely to miss school (5.5 vs 2.2 days), arrive late or leave early (26.7 vs 7.1%), miss school-related activities (40.6 vs 6.2%), use a rescue inhaler at school (64.2 vs 31.0%), and visit the health office or school nurse (22.5 vs 8.8%). Caregivers of children with uncontrolled asthma reported significantly greater work and activity impairment and lower QOL for emotional, time-related and family activities.

Conclusions: Poorly controlled asthma symptoms impair HRQOL of children, QOL of their caregivers, and productivity of both. Proper treatment and management to improve symptom control may reduce humanistic and economic burdens on asthmatic children and their caregivers.

Show MeSH
Related in: MedlinePlus