Development and validation of asthma questionnaire for assessing and achieving best control in preschool‐age children

Sato, Kazuki; Sato, Yasunori; Nagao, Mizuho; Shimojo, Naoki; Yoshihara, Shigemi; Adachi, Yuichi; Kameda, Makoto; Terada, Akihiko; Fujisawa, Takao

doi:10.1111/pai.12523

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…This study emphasizes the need to look at a combination of acute and recurrent asthma symptoms in diagnosis of asthma [9]. A study based on Japanese Pediatric Asthma Guidelines and best asthma control test for preschoolers reported the assessment accuracy as area under the ROC curve of 0.8873 (95% CI 0.8485-0.9199) and 0.8604 (95% CI 0.8049-0.9159) for development and validation datasets, respectively [10]. Another study reported prevalence of asthma as 15.7% by questionnaire and 21.4% by health claims data.…”

Section: Discussionmentioning

confidence: 95%

Validation of screening tool for diagnosis of childhood asthma by exclusion method

Kondekar¹,

Dange²,

Rathi³

2022

Indian J Child Health

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Introduction: In the 21st century, with growing concerns over over-diagnosis of asthma in children; the diagnosis of asthma is left as diagnosis by exclusion. On the same lines, an attempt had been made to device a criteria to exclude diagnosis of asthma. The criteria are labeled as other than asthma (OTA) criteria. It is assumed that if a case does not satisfy OTA tool, then it is likely to be asthma. This study had objectives of validation of screening tool by expert and validation of OTA tool by direct application on patients. Materials and Methods: This was an observational and prospective study only. Total 120 cases were enrolled. Questionnaire applied on all cases and all of the 120 cases were followed up on day 30 with clinical diagnosis and were included in results estimation. Results: According to the screening tool, out of 120 cases, 83 cases (69.2%) were found to have OTA while 37 cases (30.8%) werefound to have non-OTA. However, among this study population, 94 cases (78.3%) had non-asthma and 26 cases (21.7%) had clinical diagnosis of asthma taken as gold standard. The association between clinical diagnosis and total score based diagnosis was found to bestatistically significant (p=1.96E-07). Sensitivity was 91.57% and specificity was 51.35% which helps detect OTA cases effectively. Predictive value of positive test is 80.85% and predictive value of negative test was 73.08%. OTA category has relative risk of 3.003 for diagnosis of non-asthma as compared to 0.262 for non-OTA category being almost 3 times in comparison to non-OTA category. Thus, OTA was consistent with non-asthma diagnosis. Conclusion: On direct application of patients in prospective study, this tool has proven its value as an effective screening tool. This was the first such study to diagnose asthma by exclusion, devising a criterion for other than asthma conditions.

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Section: Discussionmentioning

confidence: 95%

Validation of screening tool for diagnosis of childhood asthma by exclusion method

Kondekar¹,

Dange²,

Rathi³

2022

Indian J Child Health

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“…A Japanese pediatric society recently built a new questionnaire, the Best Asthma Control Test for Preschoolers (BEST ACT-P), for children aged < 6 years. They weighed the virtue of Japanese-specific optimization for younger Japanese children 22. However, our study focused more on the universal adaptability that enables us to collaborate internationally.…”

Section: Discussionmentioning

confidence: 99%

The Korean Version of the Test for Respiratory and Asthma Control in Kids (TRACK): Reliability and Validity

et al. 2019

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BackgroundTest for Respiratory and Asthma Control in Kids (TRACK) questionnaires were developed and validated in various languages to monitor respiratory control in preschool-aged children. We aimed to assess the reliability and validity of the Korean version of the TRACK questionnaire.MethodsWe administered the linguistically validated TRACK questionnaires to caregivers of asthmatic preschool children on two separate visits 4–6 weeks apart. Each physician graded the level of the guideline-based asthma control, assessed the timing of symptoms, and adjusted the therapeutic level at each visit.ResultsA total of 137 children were enrolled in the study. Cronbach's alpha was 0.65 for a questionnaire as a whole. The test-retest reliability was 0.72. The median TRACK scores were significantly different between asthma control status categories, with the lowest scores in children classified as poorly controlled and the highest in the well-controlled group (P < 0.001). They were different among groups classified according to the physician adjusted therapeutic levels, with the lowest values in children prescribed step-up therapy (P < 0.001), and according to the recency of respiratory symptoms (P < 0.001). Finally, the changes in TRACK scores between visits were highest in subjects showing improved control, followed by unchanged, and worsened control. When we applied the traditional cut-off of 80 for a well-controlled condition, a sensitivity of 75.6% and a specificity of 70.9% were calculated.ConclusionThe Korean translated version of the TRACK questionnaire is valid and reliable to assess respiratory and asthma control in Korean preschool children with asthma symptoms.

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“…Moreover, self-administration of questionnaires avoids interviewer bias. 17 , 18 , 26 , 27 On the other hand, the main issue in the validation process of self-administered questionnaires is the capability to understand the items and to appropriately answer them. To facilitate this process, the ChAt questionnaire has been developed with well-defined, objective, and easily understandable questions for parent self-administration.…”

Section: Discussionmentioning

confidence: 99%

Development and preliminary validation of a new screening questionnaire for identifying atopic children

Sacchetti

Baiardini

Chini

et al. 2017

PHMT

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BackgroundAllergic diseases represent a frequent and increasing condition affecting children. A screening questionnaire allowing an easy identification of children with symptoms of allergic diseases may improve management and clinical outcome. The aim of this study was to develop and validate an easy-to-use screening questionnaire to detect children requiring further allergological evaluations.MethodsA 10-item questionnaire, evaluating the presence and the history of the most frequent allergic conditions affecting children, including allergic asthma, allergic rhinitis and conjunctivitis, food allergy, and atopic dermatitis, was developed and administered to 214 parents of children from 5 to 10 years of age (163 with allergic disease and 51 healthy, nonallergic children). Validation was performed by Pearson’s correlation between the clinical diagnosis and the responses to the questionnaire. Internal consistency was computed by Cronbach’s alpha correlation coefficient. Sensitivity and specificity of the novel questionnaire were assessed by the receiver operating characteristic (ROC) curve.ResultsValidation analysis of the new children atopy (ChAt) questionnaire showed good internal consistency with a Cronbach’s alpha of 0.757. Responses to the items evaluating the presence of individual allergic conditions significantly correlated with the clinical diagnosis (p<0.001). The ROC curve showed an area of 0.956 and identified a cutoff value >2 of the ChAt questionnaire total score for detection of allergy (sensitivity =0.92 and specificity =0.902).ConclusionThe novel ChAt questionnaire represents a simple tool able to detect the presence of all major allergic diseases in a pediatric population allowing an early identification of allergic multimorbidity and potentially facilitating clinical management.

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Development and validation of asthma questionnaire for assessing and achieving best control in preschool‐age children

Cited by 8 publications

References 19 publications

Validation of screening tool for diagnosis of childhood asthma by exclusion method

Validation of screening tool for diagnosis of childhood asthma by exclusion method

The Korean Version of the Test for Respiratory and Asthma Control in Kids (TRACK): Reliability and Validity

Development and preliminary validation of a new screening questionnaire for identifying atopic children

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