Effects of Asthma on the Performance of Activities of Daily Living: A Retrospective Study

Abstract

The study aim was to identify the most problematic self-­reported activities of daily living (ADLs). In a retrospective study, 1935 problematic ADLs were reported by 538 clients with 95% experiencing two or more problematic ADLs. Problematic ADLs were assessed by occupational therapists using the Canadian Occupational Performance Measure with walking (67%), household activities (41%), and climbing the stairs (41%) identified as the most prevalent problematic ADLs. Significant but weak associations were found between clinical determinants (e.g. physical, psychosocial) and problematic ADLs. The wide variety of problematic ADLs and the absence of a strong association with clinical determinants emphasizes the need for using individualized interview-based performance measures in clients with asthma.

Keywords:

• Activities of daily life
• Canadian occupational performance measure
• obstructive pulmonary disease
• occupational therapy
• patient-reported outcomes
• performance
• pulmonary function
• satisfaction

Declaration of interest statement

Frits M.E. Franssen reports grants and personal fees from AstraZeneca, personal fees from Boehringer Ingelheim, personal fees from Chiesi, personal fees from GlaxoSmithKline, grants and personal fees from Novartis, personal fees from TEVA, outside the submitted work. Daisy J.A. Janssen reports lecture fees from Boehringer Ingelheim (personal), Chiesi (non-personal), AstraZeneca (non-personal) and Abbott (non- personal), all outside the submitted work. Bram van den Borst reports personal fees from Genzyme Europe B.V. and Boehringer Ingelheim, consulting fees from Boehringer Ingelheim and support for attending meetings and/or travel from Chiesi Pharmaceuticals B.V., all outside the submitted work. Martijn A. Spruit has received grants from the Netherlands Lung Foundation, Stichting Asthma Bestrijding, AstraZeneca, Boehringer Ingeheim, TEVA, Sanofi, and Chiesi outside the submitted work. All payments were made to his employer. All other authors report no conflicts of interest.

Additional information

Funding

The scientific work of Drs. Roy Meys and Drs. Anouk A.F. Stoffels is financially supported by Lung Foundation Netherlands (grant #5.1.18.232.) and Longfonds