Validation of parental reports of asthma trajectory, burden, and risk by using the pediatric asthma control and communication instrument
| Autor: | Kristin A. Riekert, Darcy A. Thompson, Michelle N. Eakin, Shannon Thyne, Sande O. Okelo, Alvin P. Teodoro, Gregory B. Diette, Andrew Bilderback, Antonio Loiaza-Martinez, Cynthia S. Rand, Cecilia Maria Patino |
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| Rok vydání: | 2014 |
| Předmět: |
Parents
Male Cross-sectional study Trajectory Quality of life Cost of Illness immune system diseases Risk Factors Forced Expiratory Volume Surveys and Questionnaires Validation Immunology and Allergy Child Survey Children Lung Lung function African american Pediatric Communication Child Preschool Respiratory Female Adult Risk medicine.medical_specialty Pediatric Research Initiative Adolescent Control (management) Burden Asthma care Article Clinical Research medicine Humans PACCI Preschool Pediatric asthma Asthma Patient-reported outcomes business.industry Prevention Infant medicine.disease respiratory tract diseases Cross-Sectional Studies Physical therapy Quality of Life business |
| Zdroj: | The journal of allergy and clinical immunology. In practice, vol 2, iss 2 |
| Popis: | BackgroundDespite a growing interest, few pediatric asthma questionnaires assess multiple dimensions of asthma morbidity, as recommended by national asthma guidelines, or use patient-reported outcomes.ObjectiveTo evaluate a questionnaire that measures multiple dimensions of parent-reported asthma morbidity (Direction, Bother, and Risk).MethodsWe administered the Pediatric Asthma Control and Communication Instrument (PACCI) and assessed asthma control (PACCI Control), quality of life, and lung function among children who presented for routine asthma care. The PACCI was evaluated for discriminative validity.ResultsA total of 317 children participated (mean age, 8.2 years; 58% boys; 44% African American). As parent-reported PACCI Direction changed from "better" to "worse," we observed poorer asthma control (P < .001), mean Pediatric Asthma Caregiver Quality of Life Questionnaire (PACQLQ) scores (P < .001), and FEV1% (P= .025). Linear regression showed that, for each change in PACCI Direction, the mean PACQLQ score decreased by-0.6 (95% CI,-0.8 to-0.4). As parent-reported PACCI Bother changed from "not bothered" to "very bothered," we observed poorer asthma control (P < .001) and lower mean PACQLQ scores (P < .001). Linear regression showed that, for each change in PACCI Bother category, the mean PACQLQ score decreased by-1.1 (95% CI,-1.3 to-0.9). Any reported PACCI Risk event (emergency department visit, hospitalization, or use of an oral corticosteroid) was associated with poorer asthma control (P |
| Databáze: | OpenAIRE |
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