Pediatric Asthma Therapy Assessment Questionnaire for the Brazilian population: Cross-cultural adaptation and measurement properties.

Autor: Santino TA; Department of Physical Therapy, State University of Paraiba, Campina Grande, Paraíba, Brazil.; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Holanda HS; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.; Brazilian Company of Hospital Services (EBSERH), Natal, Rio Grande do Norte, Brazil., de Souza JCS; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Jácome MCA; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Menescal FEPDS; Graduate Program of Rehabilitation Science, McGill University, Montreal, Quebec, Canada., Barbosa JVS; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Jácome AC; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Amaral CTD; Department of Pediatric Pulmonology, Child and Adolescent Health Care Unit of the University Hospital Onofre Lopes, Natal, Rio Grande do Norte, Brazil., Alchieri JC; Department of Psychology, Graduate Program in Science, Technology, and Innovation, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., de Mendonça KMPP; Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Jazyk: angličtina
Zdroj: Pediatric pulmonology [Pediatr Pulmonol] 2024 Jun; Vol. 59 (6), pp. 1596-1605. Date of Electronic Publication: 2024 Feb 27.
DOI: 10.1002/ppul.26941
Abstrakt: Objective: To cross-culturally adapt the Pediatric Asthma Therapy Assessment Questionnaire (ATAQ) into Brazilian Portuguese and analyze its measurement properties.
Methods: This exploratory methodological study included eight experts and 30 caregivers in the translation and cross-cultural adaptation steps. Thereafter, 118 caregivers of pediatric patients with asthma aged between 5 and 17 years were involved in the analysis of measurement properties. We analyzed the content, structural (exploratory and confirmatory factorial), construct (convergent and discriminant), and known-groups validities; floor and ceiling effects; and determined the cut-off point (receiver operator characteristic curve) to identify pediatric patients with uncontrolled asthma. Intraclass correlation coefficient (ICC) analyzed test-retest reliability with 54 caregivers, whereas Cronbach's α and composite reliability verified the internal consistency of the items.
Results: The committee of experts and caregivers found the instructions and response options relevant, understandable, and clear (K > 0.75). During the cross-cultural adaptation, three items (2, 4, and 12) were slightly modified by including terms to facilitate understanding. A two-factor structure (asthma control and patient-provider communication) was identified. Internal consistency (α > .67; composite reliability > 0.73) and test-retest reliability (ICC > 0.80) were acceptable. For construct and know-groups validities, 85.71% of the hypothesis were confirmed. A cut-off point of >3 for the control domain was considered adequate to identify pediatric patients with uncontrolled asthma (sensitivity: 86.21%; specificity: 80.90%).
Conclusion: The Pediatric ATAQ was adequately adapted for Brazilian pediatric patients with asthma and produced valid and reliable measures for assessing asthma control. Therefore, it may be considered an adequate instrument for monitoring asthma control in the Brazilian pediatric population.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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