Validation of app and telephonic versions of the Control of Allergic Rhinitis and Asthma Test (CARAT)

Autor: Paula Leiria Pinto, Ana M. V. M. Pereira, Carlos Alves, Ana Arrobas, Cristina Lopes, Georgeta Oiveira, Rute Almeida, Fernanda Teixeira, Nicole Pinto, Rita Câmara, Cláudia Chaves Loureiro, J. Azevedo, Carlos Lozoya, Lilia Maia Santos, Fernando Menezes, Filipa Todo Bom, Aurora Carvalho, Rodrigo Rodrigues Alves, Natacha Santos, Ana Todo Bom, Maria José Cálix, João Fonseca, Ana Castro Neves, Luís Taborda-Barata, Diana Bordalo, Rita Gerardo, Pedro Vieira-Marques, Mariana Couto, Madalena Emiliano, Margarida Valério, Ana Mendes, João Luís Cardoso, José Alberto Ferreira, Cristina Jácome, Alberto Costa, José Carlos Cidrais Rodrigues, Diana Silva, Ricardo Gomes
Rok vydání: 2019
Předmět:
Zdroj: M-health/e-health.
Popis: The paper version of CARAT (pCARAT) is valid to assess asthma control over a 4-week period. For follow-up purposes, assessment through mobile apps (aCARAT) or telephone (tCARAT) may be useful alternatives. We explored the psychometric properties of the aCARAT and tCARAT. Patients with asthma were recruited at secondary care outpatient clinics. During medical visits, patients filled in the pCARAT and were invited to complete the aCARAT in the following days using the app of project Inspirers (InspirerMundi). After 1 week, tCARAT was collected. Patients completing the 3 CARAT versions within 28 days were analysed. CARAT scores (0-worst, 30-best) were calculated. The internal consistency (Cronbach’s α), convergent validity (Spearman correlation-rs) and reliability (intraclass correlation coefficient-ICC, Bland-Altman analysis) were determined. 55 patients (21 male; median 19 [interquartile range 17-37]y) were included. The aCARAT was completed by 82% of patients within 1 week of pCARAT; and by 78% within 1 week of tCARAT. The median pCARAT score was 21[17-24], the aCARAT 21[18-26], and the tCARAT 23[21-26]. Internal consistency was good for all versions (α=.73-.77). pCARAT was more strongly correlated with aCARAT than with tCARAT. Reliability was better for aCARAT than for tCARAT (table 1). App and telephonic CARAT versions are valid and reliable, exhibiting comparable psychometric properties to the paper version. These new CARAT versions are promising alternatives for assessing control in patients with asthma.
Databáze: OpenAIRE