Health-Related Quality of Life (HRQoL) Among Filipino Children Aged 12-18 Years with Asthma Managed Using the Global Initiative for Asthma (GINA) Two-Track Approach
DOI:
https://doi.org/10.70552/pjaai.25.2.15921Keywords:
asthma, asthma management, children, quality of life, GINA Treatment TracksAbstract
Background: Children with uncontrolled asthma have a significantly poorer quality of life. Consequently, the Global Initiative for Asthma (GINA) provided two-track options for personalized asthma management to keep symptoms under control.
Objective: This study evaluated the asthma Health-related QOL (HRQoL) by comparing the GINA two-track approach among Filipino children aged 12-18 years in the community setting.
Methods: This community-based cross-sectional study surveyed 132 children aged 12 to 18 years in Santa Barbara, Iloilo, using the Filipino-translated KINDL questionnaire to assess HRQoL across GINA treatment tracks.
Results: At baseline, treatment groups were similar in terms of age, sex, weight-for-age, socioeconomic status, and comorbidities but varied significantly in terms of history of smoking, history of alcohol consumption, and duration of illness since diagnosis. GINA Track 1 was significantly associated with well-controlled asthma symptoms (p <0.001). HRQoL scores were significantly correlated with GINA treatment tracks (r = 0.473; p <0.001). Accordingly, children treated with GINA Track 1 had significantly higher overall mean HRQoL score (p <0.001) and the following domains of HRQoL: physical wellbeing (p<0.001), emotional wellbeing (p <0.001), self-esteem (p = 0.046), family (p = 0.005), friends (p = 0.007), and school (p <0.001).
Conclusion: Children with asthma have compromised HRQoL due to sociodemographic, clinical, and environmental factors; hence, leveraging GINA Track 1 can improve HRQoL.
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