1. Four of a kind: asthma control, FEV1, FeNO, and psychosocial problems in adolescents
- Author
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Anneke M. Landstra, Cindy Hugen, Marianne L. Brouwer, Marijke Tibosch, Jolt Roukema, René van Gent, Peter Merkus, Jannemarie A. M. de Ridder, Christianne M. Verhaak, and Peter Gerrits
- Subjects
Pulmonary and Respiratory Medicine ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,Asthma management ,Severity of Illness Index ,Genomic disorders and inherited multi-system disorders [IGMD 3] ,immune system diseases ,Asthma control ,Surveys and Questionnaires ,Medicine ,Humans ,Anti-Asthmatic Agents ,Psychiatry ,Child ,Glucocorticoids ,Asthma ,business.industry ,Effective primary care and public health [NCEBP 7] ,Psychological determinants of chronic illness [NCEBP 8] ,Strengths and Difficulties Questionnaire ,medicine.disease ,Respiratory Function Tests ,respiratory tract diseases ,Pathogenesis and modulation of inflammation [N4i 1] ,Human Reproduction [NCEBP 12] ,Treatment Outcome ,Caregivers ,Asthma Control Questionnaire ,Pediatrics, Perinatology and Child Health ,Exhaled nitric oxide ,Observational study ,Female ,business ,Psychosocial ,Clinical psychology - Abstract
Item does not contain fulltext BACKGROUND: Many adolescents have poor asthma control and are at high risk for psychosocial problems. However, structured assessment of asthma control or psychosocial problems is still not implemented in routine asthma care. Pediatricians typically rely on their clinical view and physiological measurements. To date, it is unknown whether clinical and patient reported outcomes are interrelated. Furthermore, there is no consensus on who should be the informant; the adolescent or his caregiver. STUDY AIM(S): This study aimed to assess the relationship between patient and caregiver reported outcomes [Asthma Control Questionnaire and Strengths and Difficulties Questionnaire (SDQ)] and physiological parameters (FEV1 and Fractional exhaled Nitric Oxide) in adolescents (aged 11-16) with asthma. METHODS: A multicenter observational study was performed in four Dutch pediatric outpatient departments. Association between asthma control, physiological parameters, and results of psychosocial questionnaires completed by both adolescent and caregiver was analyzed. RESULTS: Forty-eight adolescents and their caregivers participated in this study. Asthma was uncontrolled in about 30%. Asthma control was not associated with age, gender, FEV1, FeNO, or psychosocial problems. Agreement between adolescents and caregivers about how well asthma was controlled was moderate (kappa = 0.577, P < 0.01). DISCUSSION: Asthma control, physiological parameters, and psychosocial problems are different domains of health status. It could be suggested to use validated patient and caregiver reported outcomes in routine adolescent asthma care. CONCLUSION: Patient and caregiver reported outcomes on asthma control and the presence of psychosocial problems add valuable, unique information to physiological parameters in adolescent asthma management.
- Published
- 2012