Background
A written asthma action plan (WAAP) is one of the treatment strategies to achieve good asthma control in children.
Methods
This randomized controlled trial was conducted to observe the effect of WAAP on asthma control and quality of life using the Asthma Control Questionnaire and Pediatric Asthma Quality of Life Questionnaire (PAQLQ) at baseline and after 3 months. A repeated measure analysis of variance was used to analyze the mean score difference between the two groups.
Results
There was no significant difference in mean score for asthma control at baseline between groups (F[degree of freedom (df)]=1.17 [1, 119], P=0.282). However, at 3 months, a significant difference in mean scores between groups was observed (F[df]=7.32 [1, 119], P=0.008). The mean±standard deviation (SD) scores in the intervention and control groups were 0.96±0.53 and 1.21±0.49, respectively. For the analysis of the PAQLQ, no significant difference was observed in the mean score for the quality of life baseline in both groups. There were significant mean score changes for the quality of life (F[df]=10.9 [1, 119], P=0.001) at 3 months follow-up, where those in the intervention group scored a mean±SD score of 6.19±0.45, and those in the control group scored 5.94±0.38. A time-group interaction analysis using repeated-measures analysis of variance showed significant differences in mean score changes (F[df]=5.03 [1, 116], P=0.027) and (F[df]=11.55 [1, 116], P=0.001) where a lower mean score was observed in the intervention group, indicating better asthma control and quality of life, respectively. A significant (P<0.001) negative Pearson correlation between asthma control and quality of life (-0.65) indicated a moderate correlation.
Conclusion
WAAP, along with standard asthma treatment, improves asthma care.

Citations

• Accessibility of health and preventive care for patients with bronchial asthma
  L.Yu. Nikitina, O.S. Mishina, V.V. Gainitdinova, T.Yu. Gneusheva, O.V. Nagatkina, R.M. Aynetdinov, G.V. Lukyanova, I.A. Bogdanov, I.A. Deev, S.N. Avdeev
  Journal of Respiratory Medicine.2025; 1(1): 15.     CrossRef
• The impact of asthma education grounded in virtual reality technology upon the quality of life of pediatric patients with bronchial asthma
  Huijuan Wang, Qing Dong, Xiaowei Wang
  Frontiers in Pediatrics.2025;[Epub]     CrossRef
• The utility of the necessity-concerns framework (NCF) in explaining adherence and parental beliefs about controller medication in Saudi Arabian children with asthma
  Marja A. Alyami, Mohammed M. Alyami, Ahmed H Alasimi, Jaber S. Alqahtani, Abdullah A. Alqarni, Abdulelah M. Aldhahir
  Journal of Asthma.2024; 61(5): 436.     CrossRef