title: Association between quality of life in parents and components of asthma control in children.
abstract: OBJECTIVE
  Describe the association between parents' quality of life and the two components of asthma control in children: impairment and risk.
  
  
  METHODS
  Cross-sectional study with children between 4 and 14 years of age with active asthma recruited at primary care centers in Spain. Asthma control was assessed according to the Third National Asthma Expert Panel Report, classifying "impairment" in three levels (well-controlled asthma, partially controlled, and poorly controlled), and "risk" as high or low. The parents' quality of life was evaluated using the specific Family Impact of Childhood Bronchial Asthma Questionnaire instrument (IFABI-R). The association between asthma control and the parents' quality of life was analyzed using multivariate regression models adjusted for other social and family variables.
  
  
  RESULTS
  Data from 408 children were analyzed. The parents' quality of life was affected in the partially controlled asthma group when compared with well-controlled asthma, as showed by an increase in IFABI-R scores in all dimensions: functional 17.2% (p < 0.001), emotional 10.4% (p = 0.021), and socio-occupational 6.8% (p = 0.056). The differences were higher in poorly controlled asthma compared with well-controlled asthma: functional 24.3% (p = 0.001), emotional 18.9% (p = 0.008), and socio-occupational 11.5% (p = 0.036). The "risk" component was independently associated with the parents' quality of life. Of all the elements used to assess the control, the only one independently associated with the parents' quality of life was recurrent asthma crisis.
  
  
  CONCLUSIONS
  In asthma control, both "impairment" and "risk" in children are gradually associated with the parents' quality of life. The global assessment of the control surpasses the importance of each individual element used in this assessment.
authors: Centro de Salud Villamuriel de Cerrato , Palencia , Spain .
authors: Alfredo
authors: A
authors: Cano-Garcinuño
authors: Alberto
authors: A
authors: Bercedo-Sanz
authors: Isabel
authors: I
authors: Mora-Gandarillas
authors: María Teresa
authors: MT
authors: Callén-Blecua
authors: José Antonio
authors: JA
authors: Castillo-Laita
authors: Dolors
authors: D
authors: Forns-Serrallonga
authors: Irene
authors: I
authors: Casares-Alonso
authors: Luz María
authors: LM
authors: Alonso-Bernardo
authors: Agueda
authors: A
authors: García-Merino
authors: Isabel
authors: I
authors: Moneo-Hernández
authors: Olga
authors: O
authors: Cortés-Rico
authors: Eulàlia
authors: E
authors: Tauler-Toro
authors: Ignacio Luís
authors: IL
authors: Carvajal-Urueña
authors: Juan José
authors: JJ
authors: Morell-Bernabé
authors: Itziar
authors: I
authors: Martín-Ibáñez
authors: Carmen Rosa
authors: CR
authors: Rodríguez-Fernández-Oliva
authors: María Teresa
authors: MT
authors: Asensi-Monzó
authors: Carmen
authors: C
authors: Fernández-Carazo
authors: José
authors: J
authors: Murcia-García
authors: Catalina
authors: C
authors: Durán-Iglesias
authors: José Luís
authors: JL
authors: Montón-Álvarez
authors: Begoña
authors: B
authors: Domínguez-Aurrecoechea
authors: Manuel
authors: M
authors: Praena-Crespo
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000503:physiopathology* / Q000517:prevention & control / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D011788:Quality of Life; D013030:Spain; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
keywords: Control/management; morbidity and mortality; pediatrics; quality of life