Daily Diaries vs Retrospective Questionnaires to Assess Asthma Control and Therapeutic Responses in Asthma Clinical Trials

Okupa, Adesua Y.; Sorkness, Christine A.; Mauger, David T.; Jackson, Daniel J.; Lemanske, Robert F.

doi:10.1378/chest.12-1055

Cited by 40 publications

(29 citation statements)

References 22 publications

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“…Continuous asthma control scores (higher scores = better control) were maintained for selected analyses, an approach used in our prior work. 48 …”

Section: Participant and Methodsmentioning

confidence: 99%

“…At the beginning of each session, research assistants (RAs) oriented both the parent and child to the proper use of the device as well as how to perform a forced, sustained expiration into the device, using standard procedures from our previous research. 48 Participants were instructed to complete three “blows” each morning and each evening prior to taking any asthma or allergy medications. Device data were downloaded by RAs during a brief research visit at the mid-point and end of each monitoring period.…”

Section: Participant and Methodsmentioning

confidence: 99%

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Asthma-related lung function, sleep quality, and sleep duration in urban children

et al. 2017

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Objectives Examine 1) the extent to which changes in objectively measured asthma-related lung function (FEV1 % predicted) within a sleep period are associated with sleep quality and sleep duration during that sleep period, in a group of urban children with persistent asthma; and 2) associations between morning and evening asthma-related lung function and sleep quality and duration on the adjacent night, and 3) whether these associations differ by ethnic group. Design Cross-sectional, multi-method approach. Children completed a clinic assessment of asthma and allergy status and used home-based objective measurements of asthma-related lung function and sleep. Setting Children and their caregivers participated in a clinic assessment at an asthma and allergy clinic and completed additional assessments at home. Participants Two hundred and sixteen African American, Latino, and non-Latino white urban children, ages 7–9 years, and their primary caregivers. Measurements Participants took part in a clinic assessment of asthma and allergy status, completed interview-based questionnaires including a diary to track asthma symptoms and sleep patterns, and used actigraphy and home-based spirometry daily across a 4-week period to assess sleep and lung function. Results and Conclusions Results from analyses using structural equation modeling revealed an association between worsening FEV1 and poor sleep quality in the full sample, as well as better asthma-related lung function at night and more optimal sleep efficiency that night. Ethnic group differences emerged in the association with morning or nighttime lung function measurements and sleep quality. Urban minority children with asthma may be at heightened risk for poorer quality sleep. Timing of lung function worsening may be important when considering when and how to improve both asthma health outcomes and sleep quality within specific groups.

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“…Continuous asthma control scores (higher scores = better control) were maintained for selected analyses, an approach used in our prior work. 48 …”

Section: Participant and Methodsmentioning

confidence: 99%

Section: Participant and Methodsmentioning

confidence: 99%

Asthma-related lung function, sleep quality, and sleep duration in urban children

et al. 2017

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show abstract

“…AR and asthma control were entered as continuous variables versus being dichotomized into “well controlled” and “not well controlled” AR/asthma subgroups. 37,38 For associations in which AR and asthma control each emerged as significant predictors of AR QOL, regression analyses were used to determine whether AR control predicted AR QOL beyond the effects of asthma control. Covariates were entered as the first step in the model, asthma control as the second step, and AR control as the final step.…”

Section: Methodsmentioning

confidence: 99%

Allergic rhinitis quality of life in urban children with asthma

Everhart

Kopel

Esteban

et al. 2014

Annals of Allergy, Asthma & Immunology

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“…To document a change in the frequency and severity of symptoms between and during asthma-like exacerbations, we encourage prospective parental monitoring of key elements of asthma control, including daytime and nighttime symptoms, rescue SABA use, effort limitation, absenteeism from usual activities, and exacerbations requiring unscheduled medical visits, oral corticosteroids and/or hospital admission. Recording in a diary is suggested to avoid inaccurate recall (31), although it may be subject to missing or falsified data (32,33). The reliability of parental report of treatment response to ICS has not been formally examined nor has the ability of this approach been formally tested to accurately distinguish children with asthma from those without asthma in the community setting; however, parental report is widely used in clinical trials of ICS showing efficacy in preschoolers.…”

Section: Documenting Symptomatic Response To Therapymentioning

confidence: 99%

Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper

Ducharme

Dell

Radhakrishnan³

et al. 2015

Paediatrics &Amp; Child Health

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Daily Diaries vs Retrospective Questionnaires to Assess Asthma Control and Therapeutic Responses in Asthma Clinical Trials

Cited by 40 publications

References 22 publications

Asthma-related lung function, sleep quality, and sleep duration in urban children

Asthma-related lung function, sleep quality, and sleep duration in urban children

Allergic rhinitis quality of life in urban children with asthma

Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper

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