title: Looking beyond patients: Can parents' quality of life predict asthma control in children?
abstract: 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.
  
  
  
  Determine whether the parents' quality of life predicts medium-term asthma control in children.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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.
authors.affiliation: CS Villamuriel de Cerrato, Palencia, Spain.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Cano-Garcinuño
authors.affiliation: CS Infiesto, Asturias, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Mora-Gandarillas
authors.affiliation: CS Buelna, Cantabria, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Bercedo-Sanz
authors.affiliation: CS Bidebieta, San Sebastián, Spain.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Callén-Blecua
authors.affiliation: CS Fuentes de Ebro, Zaragoza, Spain.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Castillo-Laita
authors.affiliation: CS Venta de Baños, Palencia, Spain.
authors.forename: Irene
authors.initials: I
authors.lastname: Casares-Alonso
authors.affiliation: Department of Clinical Psychology and Health, Barcelona Autonomous University, Barcelona, Spain.
authors.forename: Dolors
authors.initials: D
authors.lastname: Forns-Serrallonga
authors.affiliation: ABS Martorell, Barcelona, Spain.
authors.forename: Eulàlia
authors.initials: E
authors.lastname: Tauler-Toro
authors.affiliation: CS La Ería, Oviedo, Spain.
authors.forename: Luz María
authors.initials: LM
authors.lastname: Alonso-Bernardo
authors.affiliation: CS Vallobín-La Florida, Oviedo, Spain.
authors.forename: Águeda
authors.initials: Á
authors.lastname: García-Merino
authors.affiliation: CS Las Fuentes Norte, Zaragoza, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Moneo-Hernández
authors.affiliation: CS Canillejas, Madrid, Spain.
authors.forename: Olga
authors.initials: O
authors.lastname: Cortés-Rico
authors.affiliation: CS La Ería, Oviedo, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Carvajal-Urueña
authors.affiliation: CS Zona Centro, Badajoz, Spain.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Morell-Bernabé
authors.affiliation: CAP La Mina, Barcelona, Spain.
authors.forename: Itziar
authors.initials: I
authors.lastname: Martín-Ibáñez
authors.affiliation: CS La Cuesta, Tenerife, Spain.
authors.forename: Carmen Rosa
authors.initials: CR
authors.lastname: Rodríguez-Fernández-Oliva
authors.affiliation: CS Serrería, Valencia, Spain.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Asensi-Monzó
authors.affiliation: CS El Valle, Jaén, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Fernández-Carazo
authors.affiliation: CS San Felipe, Jaén, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Murcia-García
authors.affiliation: CS Arroyo de la Luz, Cáceres, Spain.
authors.forename: Catalina
authors.initials: C
authors.lastname: Durán-Iglesias
authors.affiliation: CS Mar Báltico, Madrid, Spain.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Montón-Álvarez
authors.affiliation: CS Otero, Oviedo, Spain.
authors.forename: Begoña
authors.initials: B
authors.lastname: Domínguez-Aurrecoechea
authors.affiliation: CS La Candelaria, Sevilla, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Praena-Crespo
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010290:Parents; D011788:Quality of Life; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: asthma; child; parents; quality of life