Test for Respiratory and Asthma Control in Kids (TRACK): A caregiver-completed questionnaire for preschool-aged children

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:123

Article

Murphy, Kevin R.¹  Zeiger, Robert S.²  Kosinski, Mark³  Chipps, Bradley⁴  Mellon, Michael²  Schatz, Michael²  Lampl, Kathy⁵  Hanlon, Jennifer T.³  Ramachandran, Sulabha⁵ 

[1] Boys Town Natl Res Hosp, Omaha, NE 68010 USA

[2] So Calif Permanente Med Grp, San Diego, CA 92120 USA

[3] QualityMetric Inc, Lincoln, RI USA

[4] Capital Allergy & Resp Dis Ctr, Sacramento, CA USA

[5] AstraZeneca LP, Wilmington, DE USA

关键词: Asthma;    respiratory symptoms;    asthma control;    TRACK;    validated questionnaire;    asthma guidelines;    Young children;   

DOI  :  10.1016/j.jaci.2009.01.058

来源: Elsevier

【 摘 要 】

Background: A validated questionnaire is needed to monitor respiratory control in preschool-aged children. Objective: We sought to develop and validate a caregiver-completed questionnaire that measures respiratory control in young children. Methods: A 33-item questionnaire that included asthma impairment and risk items was administered to 486 caregivers of children aged younger than 5 years with a current, recent, or past history of respiratory symptoms. Stepwise regression was used to select a subset of items with the greatest discriminant validity in relation to guidelines-defined asthma control in a random two-thirds development sample. Reliability, validity, and ability to screen for respiratory control problems were tested in development and validation samples (remaining one-third sample). Results: The content of the 5 items selected, the Test for Respiratory and Asthma Control in Kids (TRACK), included frequency of respiratory symptoms (wheeze, cough, shortness of breath), activity limitation, and nighttime awakenings in the past 4 weeks; rescue medication use in the past 3 months; and oral corticosteroid use in the previous year. Reliability was greater than 0.70 in both samples. ANOVA showed that mean scores differed significantly (P < .001) in the expected direction across both samples for 3 levels of guidelines-based respiratory control, physician-recommended change in therapy, and symptom status. In the development and validation samples, screening analyses revealed areas under the receiver operating characteristic curve of 0.88 and 0.82, respectively; control status was correctly classified in 81% and 78% of cases. Conclusion: TRACK is a valid, easy-to-administer, caregiver-completed questionnaire of respiratory control in preschool-aged children with symptoms consistent with asthma. (J Allergy Clin Immunol 2009;123:833-39.)

【 授权许可】

Free