Validation of the Spanish version of the childhood asthma control test (cACT) in a population of Hispanic children

被引:16
作者
Rodriguez-Martinez, Carlos E. [1 ,2 ,3 ]
Melo-Rojas, Andrea [1 ]
Restrepo-Gualteros, Sonia M. [3 ,4 ,7 ]
Sossa-Briceno, Monica P. [5 ]
Nino, Gustavo [6 ]
机构
[1] Univ Nacl Colombia, Sch Med, Dept Pediat, Bogota, Colombia
[2] Mil Hosp Colombia, Res Unit, Bogota, Colombia
[3] Univ El Bosque, Sch Med, Dept Pediat Pulmonol & Pediat Crit Care Med, Bogota, Colombia
[4] Fdn Hosp La Misericordia, Dept Pediat, Bogota, Colombia
[5] Univ Nacl Colombia, Sch Med, Dept Internal Med, Bogota, Colombia
[6] George Washington Univ, Childrens Natl Med Ctr, Ctr Genet Res, Div Pediat Pulm Sleep Med & Integrat Syst Biol, Washington, DC USA
[7] Univ Los Andes, Sch Med, Fdn Santa Fe Bogota, Dept Pediat, Bogota, Colombia
基金
美国国家卫生研究院;
关键词
Asthma control; child; reliability; validation studies; validity; QUALITY-OF-LIFE; RELIABILITY; QUESTIONNAIRE; SYMPTOMS; VALIDITY;
D O I
10.3109/02770903.2014.921197
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: There is a critical need for additional validation studies of questionnaires designed to assess the level of control of asthma in pediatric patients. Objective: To validate the Spanish version of the Childhood Asthma Control Test (cACT) in children aged between 4 and 11 years with physician-diagnosed asthma. Methods: In a prospective cohort validation study, asthmatic children aged between 4 and 11 years and their parents, attended both a baseline and a follow-up visit 2 to 6 weeks later. In these two visits, they completed the information required to assess the criterion validity, construct validity, test-retest reliability, sensitivity to change, internal consistency and usability of the cACT. Results: At baseline, cACT scores were significantly different between patients with controlled, partly controlled and uncontrolled asthma [24.0 (23.0-26.0), 18.0 (18.0-22.0), and 17.5 (13.0-20.0), respectively, p<0.001], and also between patients for whom this visit resulted in a step-up, no change or step-down in therapy [18.0 (15.0-21.0), 24.0 (23.0-24.0) and 26.0 (23.5-26.0) respectively, p<0.001]. The score of the cACT correlated positively and significantly with the score of the Pediatric Asthma Caregivers Quality of life Questionnaire - PACQLQ (Spearman's rho = 0.50, p<0.001). The intraclass correlation coefficient of the measurements in patients with no change in clinical status was 0.849 (95% CI: 0.752-0.908). There were statistical significant differences between baseline and follow-up cACT scores in patients with an improvement in clinical status [19.0 (18.0-22.0) versus 24.5 (24.0-25.0), p<0.001]. Cronbach's alpha was 0.8276 for the questionnaire as a whole. Conclusion: The Spanish version of the cACT has adequate criterion validity, adequate construct validity, adequate sensitivity to change, good internal consistency, good test-retest reliability and excellent usability when administered to asthmatic children aged between 4 and 11 years.
引用
收藏
页码:855 / 862
页数:8
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