Validation of a single survey that can be used for case identification and assessment of asthma control: the Breathmobile Program

Kachru, Rita; Morphew, Tricia; Kehl, Sarah; Clement, Loran T.; Hanley-Lopez, Jean; Kwong, K.; Guterman, Jeffrey J.; Jones, Craig

doi:10.1016/s1081-1206(10)60969-6

Cited by 19 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Test for Asthma Respiratory Control in Kids (TRACK) 18 is the latest assessment tool that is designed for or is inclusive of children less than 5 years of age; others include the Pediatric Asthma Control Test, 11 the Pediatric Asthma Symptom Scale, 19 the Asthma Quiz for Kidz, 12 the Breathmobile Case Identification Survey, 43 and Asthma Control in Asthma. 44 Only PACT and QUIZ offer the combination of allowing assessment across the pediatric age spectrum, as well as assessing impairment and risk.…”

Section: Discussionmentioning

confidence: 99%

The Pediatric Asthma Control and Communication Instrument asthma questionnaire: For use in diverse children of all ages

Okelo

Eakin²,

Patino

et al. 2013

Journal of Allergy and Clinical Immunology

View full text Add to dashboard Cite

Background National Institutes of Health asthma guidelines recommend questionnaires to assess asthma control, but these questionnaires are not useable across the entire pediatric age spectrum and have not been validated among significant numbers of minority or Spanish-speaking children. Objective We sought to evaluate a questionnaire designed to assess asthma control across a broad age range of minority and Spanish-speaking children cared for in an outpatient setting. Methods Between July 1, 2007, and September 30, 2010, we collected information using the Pediatric Asthma Control and Communication Instrument (PACCI), the Asthma Control Test (ACT; or the childhood ACT for children 4–11 years old), the Pediatric Asthma Caregiver Quality of Life Questionnaire, and lung function and clinicians’ ratings of asthma status among a population of children presenting for routine asthma specialist care. The PACCI measure of asthma control was validated by evaluating accuracy, internal reliability, and concurrent, discriminative, and known-groups validity. Results We collected information on 265 English- and 52 Spanish-speaking children (mean age, 8.2 years; 58% male; 44% African American). Across all age groups and in both languages, PACCI control showed good internal reliability and strong concurrent, discriminative, and known-groups validity with ACT and Pediatric Asthma Caregiver Quality of Life Questionnaire scores and clinicians’ ratings of asthma control. The accuracy of the PACCI in classifying children with uncontrolled asthma was good (area under the curve, 0.83; 95% CI, 0.79–0.88). Conclusions The PACCI accurately measures asthma control in English- and Spanish-speaking children. The PACCI should be useful to clinicians to assess and classify asthma according to National Institutes of Health asthma guidelines.

show abstract

Section: Discussionmentioning

confidence: 99%

The Pediatric Asthma Control and Communication Instrument asthma questionnaire: For use in diverse children of all ages

Okelo

Eakin²,

Patino

et al. 2013

Journal of Allergy and Clinical Immunology

View full text Add to dashboard Cite

show abstract

“…The asthma identification algorithm was validated against blinded physician assessment 11 and showed 87% sensitivity and 84% specificity for correctly identifying children with asthma (sensitivity of 91% for persistent asthma). As previously published, 11–13 the 7-model, tiered scoring algorithm uses a combination of asthma symptoms, activity limitations, emergency health care utilization, and medication use. The survey was distributed by and returned to the local school nurse.…”

Section: Methodsmentioning

confidence: 99%

A comparison of asthma prevalence and morbidity between rural and urban schoolchildren in Arkansas

Pesek

Vargas

Halterman

et al. 2010

Annals of Allergy, Asthma & Immunology

View full text Add to dashboard Cite

Background Asthma disproportionately affects minority and low-income children. Investigations that focus on high-risk pediatric populations outside the inner city are limited. Objective To compare asthma prevalence and morbidity in urban and rural children in Arkansas. Methods We administered a validated survey to parents of children enrolled in urban and rural school districts in Arkansas. Rates of asthma diagnosis, asthma symptoms, medication use, and health care utilization were compared between urban and rural groups. Results Age and sex distributions were similar; however, 85% of rural and 67% of urban children were black and 78% of rural and 37% of urban children had state-issued medical insurance (P <.001 for both). Provider-diagnosed asthma was similar in the rural vs urban groups (19% vs 20%); however, rural children were more commonly diagnosed as having chronic bronchitis (7% vs 2%, P <.001). Rural children had more asthma morbidity compared with urban children, including recurrent trouble breathing (odds ratio [OR], 1.9; 95% confidence interval [CI], 1.5–2.2), recurrent cough (OR, 2.2; 95% CI, 1.9–2.6), recurrent chest tightness (OR, 1.8; 95% CI, 1.5–2.2), and repeated episodes of bronchitis (OR, 2.2; 95% CI, 1.7–2.8) during the preceding 2 years. Rural children were more likely to report symptoms consistent with moderate to severe asthma compared with urban children (46% vs 35%, P <.001). There were no differences in health care utilization between groups. Conclusion Asthma prevalence was similar between representative rural and urban groups in Arkansas, but asthma morbidity was significantly higher in the rural group.

show abstract

“…Generally, test-retest reliability ICC or κ values of ≥0.70 are considered acceptable. 20 ‡ Number of independent samples in which indicated responsiveness 16 (the ability of the instrument to detect changes in asthma control over time or in response to treatment) was demonstrated. § Number of independent samples in which an MCID (the smallest difference in score on the instrument that represents a clinically significant change or difference) was defined. ** Patient self-report unless otherwise indicated (eg, caregiver for children). †† The number of studies indicated in this column also were identified by the literature search; these are studies in which the instrument was used as a validated measure of asthma control. Sources: Listed for instruments and validation references (not including clinical trials and epidemiologic studies without validation data): Asthma Control and Communication Instrument (ACCI) 21 Asthma Therapy Assessment Questionnaire (ATAQ) 22–30 Breathmobile Assessment of Asthma Control (Breathmobile) 31 Asthma Control in Children (CAN) 32 Functional Severity of Asthma Scale (FSAS) 33 Lara Asthma Symptom Scale (LASS) 15, 34 Pediatric Asthma Control Tool (PACT) 35 Asthma Quiz 36 Royal College of Physicians “3 Questions” (RCP) 37 Seattle Asthma Severity and Control Questionnaire (SASCQ) 38 Test for Respiratory and Asthma Control in Kids (TRACK) 39 ATAQ for Children and Adolescents (cATAQ) 7, 40 Asthma Control Scoring System (ACSS) 8, 41 Childhood Asthma Control Test (cACT) 11, 42–46 Asthma Control Questionnaire (ACQ) 5, 9, 13, 17, 18, 21, 47–54 Asthma Control Test (ACT) 6, 12, 14, 17–19, 27, 37, 45, 55–85 30-Second Asthma Test (30-Second) 18, 86 …”

Section: Table Imentioning

confidence: 99%

Asthma outcomes: Composite scores of asthma control

Cloutier

Schätz

Castro

et al. 2012

Journal of Allergy and Clinical Immunology

182

145

View full text Add to dashboard Cite

Background Current asthma guidelines recommend assessing the level of a patient’s asthma control. Consequently, there is increasing use of asthma control as an outcome measure in clinical research studies. Several composite assessment instruments have been developed to measure asthma control. Objective National Institutes of Health (NIH) institutes and federal agencies convened an expert group to propose the most appropriate standardized composite score of asthma control instruments to be used in future asthma studies. Methods We conducted a comprehensive search of PubMed, using both the National Library of Medicine’s Medical Subject Headings (MeSH) and key terms to identify studies that attempted to develop and/or test composite score instruments for asthma control. We classified instruments as core (required in future studies), supplemental (used according to study aims and standardized), or emerging (requiring validation and standardization). This work was discussed at an NIH-organized workshop convened in March 2010 and finalized in September 2011. Results We identified 17 composite score instruments with published validation information; all had comparable content. Eight instruments demonstrated responsiveness over time; 3 demonstrated responsiveness to treatment. A minimal clinically important difference has been established for 3 instruments. The instruments have demographic limitations; some are proprietary, and their use could be limited by cost. Conclusion Two asthma composite score instruments are sufficiently validated for use in adult populations, but additional research is necessary to validate their use in nonwhite populations. Gaps also exist in validating instruments for pediatric populations.

show abstract

Validation of a single survey that can be used for case identification and assessment of asthma control: the Breathmobile Program

Cited by 19 publications

References 19 publications

The Pediatric Asthma Control and Communication Instrument asthma questionnaire: For use in diverse children of all ages

The Pediatric Asthma Control and Communication Instrument asthma questionnaire: For use in diverse children of all ages

A comparison of asthma prevalence and morbidity between rural and urban schoolchildren in Arkansas

Asthma outcomes: Composite scores of asthma control

Contact Info

Product

Resources

About