title: A child's asthma quality of life rating does not significantly influence management of their asthma.
abstract: BACKGROUND
  Children of parents who perceive their children have increased asthma severity use more medical services and reliever medication.
  
  
  METHODS
  A randomized control trial of the Roaring Adventures of Puff (RAP) education program was completed among 287 grade 2-5 children with asthma. Parents and children completed a quality of life (QOL) questionnaire pre-intervention, 6 and 12 months post-intervention. We hypothesized that RAP altered how parent's assessed their child's QOL with a resultant change in asthma management.
  
  
  RESULTS
  Pre-intervention, parents rated their child's overall QOL higher than their child (parent 5.41 [95% CI 5.24, 5.58] vs. child 4.54 [95% CI 4.32, 4.75]; P < 0.001: paired t-test). For every point increase in the parent's overall QOL score, the child was 36% less likely to receive inhaled corticosteroids in the prior 2 weeks (OR 0.64, 95% CI 0.46, 0.88; P = 0.024) and 46% less likely to have missed school due to asthma in the prior 6 months (OR 0.54, 95% CI 0.36, 0.82; P = 0.016: logistic regression). The child's QOL assessment, beyond that provided by their parent, was not associated with the asthma management outcomes examined. The RAP program decreased parent's symptoms QOL assessment by an improvement of 0.45 on a 7-point scale greater than control at 6 months (95% CI -0.81, -0.09; P = 0.06). Moreover, the RAP interaction on parent symptoms rating was important in determining whether the child received a short-acting beta-agonist in the prior 2 weeks (P = 0.05).
  
  
  CONCLUSIONS
  Parent's QOL perception, and not the child's, is associated with asthma management. RAP decreased the parent's QOL symptoms assessment and was important in determining the child's asthma management.
authors.affiliation: Division of Respiratory Medicine, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada. mandhane@ualberta.ca
authors.forename: Piush J
authors.initials: PJ
authors.lastname: Mandhane
authors.forename: Shawna L
authors.initials: SL
authors.lastname: McGhan
authors.forename: Heather M
authors.initials: HM
authors.lastname: Sharpe
authors.forename: Eric
authors.initials: E
authors.lastname: Wong
authors.forename: Pat A
authors.initials: PA
authors.lastname: Hessel
authors.forename: A Dean
authors.initials: AD
authors.lastname: Befus
authors.forename: Carina
authors.initials: C
authors.lastname: Majaesic
mesh_terms: D000416:Alberta; D001249:Asthma / Q000503:physiopathology* / Q000628:therapy*; D001294:Attitude to Health; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010353:Patient Education as Topic; D011788:Quality of Life; D012720:Severity of Illness Index; D016896:Treatment Outcome