APPLICABILITY OF A GENERIC QUESTIONNAIRE FOR QUALITY OF LIFE ASSESSMENT FOR ASTHMATIC CHILDREN.

Ana Aline Marcelino Da Silva,Renata Ramos Tomaz,Álvaro Campos Cavalcanti Maciel,Karla Morganna Pereira Pinto De Mendonça,Priscilla Rique Furtado,Thalita Medeiros Fernandes De Macêdo

doi:10.1590/1984-0462/;2018;36;2;00006

Ana Aline Marcelino Da Silva, Renata Ramos Tomaz + Show 4 more

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https://doi.org/10.1590/1984-0462/;2018;36;2;00006

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Abstract

ABSTRACTObjective: To determine the applicability of the generic instrument Pediatric Quality of Life Inventory (PedsQL 4.0) to assess health-related quality of life of asthmatic children compared to the specific instrument Pediatric Asthma Quality of Life Questionnaire (PAQLQ). Methods: This research involved the evaluation of 30 children aged seven to eleven years, who had been diagnosed with asthma for at least six months prior to research. Both quality of life questionnaires were applied to children by an interviewer over the period of one day. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) 20.0, with significance level set at 5%. Results: No differences in quality of life was found when genders were compared. Asthmatic children classified as practitioners and non-practitioners of physical activity had different scores in the physical health-related domain (PedsQL 4.0). The scores of children with different levels of asthma severity and control were significantly different in two out of three domains evaluated by PAQLQ. When assessed by PedsQL 4.0, no significant difference was observed as to quality of life of children with different levels of asthma control and severity. Quality of life measurements of asthmatic children by PedsQL 4.0 and PAQLQ instruments had a moderate and significant correlation (r=0.415, p=0.02). Conclusions: PedsQL 4.0 could distinguish children practicing different levels of physical activity, but it was not sensitive enough to distinguish health-related quality of life among children with different levels of asthma severity and control.

Highlights

The World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life considering the context of culture and value systems in which they live and regarding their goals, expectations, standards and concerns.[1]
The diagnosis of asthma was made by a pulmonologist, based on children’s clinical history and symptoms presented and according to the criteria recommended by the Global Initiative for Asthma (GINA).[4]
The findings of this study show that PedsQL 4.0, through scores obtained in physical health domain (d-Fis, eight items) distinguished practice and non-practice of physical activity

Summary

Introduction

The World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life considering the context of culture and value systems in which they live and regarding their goals, expectations, standards and concerns.[1] In addition to the generic term “quality of life”, there is the notion of health-related quality of life (HRQoL) This word is very recurrent in the literature and has been used with objectives similar to the more general concept. Asthma accounts for 350,000 hospitalizations per year in the Brazilian public health system (Sistema Único de Saúde – SUS).[5]

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