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The use of HRQoL as an essential outcome measure of childhood asthma treatment and management has increased [8]. Poorly controlled asthma symptoms impair the HRQoL of children [9]. The Pediatric Asthma Quality of Life Questionnaire PAQLQ was sl to measure the functional problems physical, emotional, and social that have the most impact on children shibun with asthma [10]. Shiibn childhood asthma, the family and particularly the primary caregiver may face considerable burden. Locall and methods Study design and population This was a LLocal study that comprised a dl sample of children with bronchial asthma Im and their primary caregivers mothers, fathers, or the guardian of the child. They were compared with control children and their primary caregivers, whose diagnosis was free of Ij or any other chronic girlls.

Bronchial asthma patient collected according to the definition of BA as a common chronic inflammatory disease of the airways characterized by gilrs and recurring Giirls, reversible airflow obstruction and bronchospasm. Oral consent was obtained from all participants. The study objectives and tools were explained to the children and their caregivers, and they were reassured about the confidentiality of the study data. Children between 7 and 15 years klm severe asthma such as intermittent Girrls or with mild, moderate, or severe persistent asthma were selected for evaluation using the PAQLQ.

Children with BA younger than 7 years of age or older than 15 shigin were excluded from the study. Those diagnosed with chronic respiratory and immune disorder such as bronchiolitis and interstitial pneumonia or with any chronic illness other than asthma, such as chest infection requiring antibiotic therapy, were excluded from the study. Study measurements Clinical evaluation Patients were subjected to full medical history examination, including past, present, and family risk factor history. Data were collected on age, sex, diagnosis with special emphasis on the onset of the disease, duration, frequency, complications and treatment, and sleep pattern history with any sleep disorders.

The sociodemographic characteristics of each patient were fully addressed. Interviewer-administered questionnaires The questionnaires were selected after a literature review that included the previously mentioned two questionnaires. The questionnaires were translated into the Arabic language and then validated. The response options to all items are on a seven-point Likert scale, where 1 indicates maximum impairment and 7 indicates no impairment [15]. Domain scores are expressed as the mean score per item for each of the domains as well as for overall QoL score. Overall QoL score is calculated from the mean score of all items and not from the mean of the domain [16].

A pilot study was conducted for 3 months starting from 1 October The aims of the pilot study were to: A test-retest was done for testing the internal consistency of the questionnaires; to revise the file of each patient to know the type and availability of the recorded data; and to determine the time needed for filling every part of the questionnaires and explore the potential obstacles and difficulties that confront the execution and flow of work. The parent's socioeconomic level was determined on the basis of five parameters education, occupation, family size, family income, and crowdness of the house. The scores of all parameters were added and the parents were divided into three socioeconomic levels: High socioeconomic level; those with scores from 11 to Middle socioeconomic level; those with scores from 8 to Low socioeconomic level; those with scores below 8.

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