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Asthma insights from Jordan: cross-sectional observational study
Basima A Almomani1, Nour A Al-Sawalha1, Shaher M Samrah2,3
1a Department of Clinical Pharmacy , Faculty of Pharmacy, Jordan University of Science and Technology , Irbid , Jordan .
Summary
Most Jordanian asthma patients have uncontrolled asthma, significantly impacting their quality of life. Simple tools like the Asthma Control Test (ACT) can improve management and outcomes.
Area of Science:
- Pulmonary Medicine
- Clinical Research
- Health Outcomes
Background:
- Uncontrolled asthma poses a significant health burden globally.
- Data on asthma control and its impact in Jordan are limited.
- Understanding asthma control is crucial for effective patient management.
Purpose of the Study:
- To assess asthma control levels in Jordanian patients.
- To examine the correlation between asthma control and quality of life.
- To identify predictors of poor asthma control.
Main Methods:
- Conducted face-to-face interviews with 255 adult asthma patients in north Jordan (2013-2014).
- Utilized the Asthma Control Test (ACT), mini asthma quality of life questionnaire (mini-AQLQ), and EQ-5D for assessments.
- Employed Spearman's correlation and multivariable logistic regression for analysis.
Main Results:
- Only 30.6% of patients achieved controlled asthma (ACT ≥ 20).
- Strong correlations were found between asthma control and quality of life (mini-AQLQ, EQ-5D; p < 0.001).
- Need for stepped-up treatment and acute exacerbations were predictors of poor asthma control (p < 0.01).
Conclusions:
- A majority of Jordanian asthma patients experience suboptimal control, linked to reduced quality of life.
- The Asthma Control Test (ACT) is a valuable tool for screening and categorizing asthma control, even in resource-limited settings.
- Improved asthma control strategies can enhance patient quality of life.
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