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

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:132

Article

Okelo, Sande O.¹  Eakin, Michelle N.²  Patino, Cecilia M.⁴  Teodoro, Alvin P.⁵  Bilderback, Andrew L.²  Thompson, Darcy A.³  Loiaza-Martinez, Antonio⁶  Rand, Cynthia S.²  Thyne, Shannon⁷  Diette, Gregory B.²  Riekert, Kristin A.² 

[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Los Angeles, CA 90095 USA

[2] Johns Hopkins Sch Med, Dept Med, Baltimore, MD USA

[3] Johns Hopkins Sch Med, Dept Pediat, Baltimore, MD USA

[4] Univ So Calif, Dept Prevent Med, Los Angeles, CA 90089 USA

[5] Cornell Univ, New York Presbyterian Weill Med Coll, Dept Pediat, New York, NY 10021 USA

[6] Hosp Infantil Las Calif, Tijuana, Mexico

[7] UC San Francisco, Dept Pediat, San Francisco, CA USA

关键词: Impairment;    control;    children;    assessment;    accuracy;    survey;    validation;    Pediatric Asthma Control and Communication Instrument;    Spanish;   

DOI  :  10.1016/j.jaci.2013.01.007

来源: Elsevier

【 摘 要 】

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.

【 授权许可】

Free