Asthma Control Assessment Tools

Alzahrani, Yahya; Becker, Ellen A

doi:10.4187/respcare.04341

Cited by 37 publications

(23 citation statements)

References 75 publications

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“…Although some asthma control assessment tools that are validated or adapted for use in children assess the child's perception of their own asthma control (cACT for those <12 years and the ACT for those ≥12 years), only two ascertain the caregiver's perception of the child's asthma control (adapted ATAQ and Lara Asthma Symptom Score, or LASS). 12 ATAQ, which was developed for, and validated in, adults, has been adapted and validated for use in children and includes the following question, which is asked of caregivers: "Do you believe that your child's asthma was well controlled in the past 4 weeks?" 13 Though the ATAQ is one of two tools that captures caregiver perception of the child's control, it has not been validated in low-income, minority populations.…”

Section: Discussionmentioning

confidence: 99%

Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures

Kochis

Grant

Phipatanakul

et al. 2019

The Journal of Allergy and Clinical Immunology: In Practice

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Background: It is unknown whether caregiver perception of a child's asthma control, independent of guideline-based asthma control assessment, is a predictor of future acute visits. Objective: To determine if caregiver-reported asthma control is an indicator of future risk of acute visit. Methods: Two study populations of low income, minority 5-17 year old children with persistent asthma were included. Questionnaires administered at baseline, 3, 6, 9, and 12 months captured symptoms, short-acting beta-agonist use, acute visits in the previous 3 months, and caregiverreported asthma control. Well controlled, not well controlled, and very poorly controlled asthma were defined using National Asthma Education and Prevention Program (NAEPP) guideline-based assessment. Relationships between caregiver-reported control and acute visits in the subsequent 3 months were examined. Results: At baseline, both populations were predominantly Black/African American (91% and 79%) with public insurance (85% and 88%) and very poorly controlled asthma (47% and 50%). In both populations, the majority of caregivers reported that their child's asthma was well controlled (73% and 69%). In both populations, participants whose caregivers reported that their child had

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Section: Discussionmentioning

confidence: 99%

Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures

Kochis

Grant

Phipatanakul

et al. 2019

The Journal of Allergy and Clinical Immunology: In Practice

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“…Several instruments have been developed for measuring asthma control. In their review, Alzahrami and Becker [1] identified: the Asthma Control Test (ACT), the Asthma Control Questionnaire (ACQ), the Asthma Therapy Assessment Questionnaire (ATAQ), the Lara Asthma Symptom Scale (LASS) and the Childhood Asthma Control Ttest (CACT). The authors also identify a number of limitations for each tool.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the psychometric properties of the Greek version of the Active Life with Asthma (Gr-ALMA) review: a descriptive methodological study

Livadiotis

Lambrinou

Raftopoulos

et al. 2019

BMC Health Serv Res

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Background Regular asthma reviews are recommended by international guidelines to improve the quality of life of asthma patients. To facilitate these reviews in primary care practice, there is a need for structured asthma review tools. Aim The aim of this study was to assess the metric properties of the Greek-translated version of the Active Life with Asthma (ALMA) review. Methods A convenience sample of 156 asthmatic patients from three public hospitals participated in this methodological study with a descriptive cross-sectional correlation design. Participants responded to the 19-item ALMA questionnaire and provided socio-demographic and clinical information. The construct validity of the tool was explored in exploratory factor analysis and the internal consistency of scale and sub-scales was estimated using Cronbach’s α. Convergence validity was assessed using the Asthma Control Questionnaire (ACQ), a commonly used asthma control measure, and concurrent criterion validity was assessed using the MiniAQoL, an asthma-specific quality of life questionnaire. Known-group validity was assessed based on observed differences in terms of frequency of hospitalizations or emergency visits in the past year. Results Amongst 156 participants, 95 (60.9%) were women and the median age was 50–65 years old. Exploratory factor analysis (KMO = 0.83 and Bartlett test < 0.001) with principal component extraction and orthogonal rotation revealed a clear structure of three factors with little cross-loading: physical, environmental and mental domains, as in the original study. Cronbach’s alpha coefficient for internal consistency for the whole scale was 0.85, while for the sub-scales, these were: environmental a = 0.69, mental a = 0.76 and physical a = 0.85. Test-retest reliability based on the correlation between scores of 20 participants responding twice two weeks apart was r = 0.92. There was stong correlation in the expected direction between ALMA and ACQ (r = − 0.70) as well as miniAQoL (r = 0.71). Finally, there were statistically significant higher ALMA scores in participants who reported emergency visits and hospital admissions in the past year. Conclusion In general, the ALMA showed good metric properties. It appears to be a reliable and valid tool which can be used as a measure for asthma control and self-management in clinical practice as well as future descriptive or intervention research studies.

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“…A narrower search for reviews of asthma control assessment tools in pediatric care (using the terms “asthma control” and “assessment” and “pediatric” and “review”) yielded 32 results. While these articles addressed multiple aspects of pediatric asthma symptom control across various settings of care and geographic regions, one recently published article, sought to provide a comprehensive review of asthma control assessment tools for both adult and pediatric asthma, making it highly relevant to this integrative review [42]. Section 3.3 discusses key gleanings from the selected article.…”

Section: Methodology For the Integrative Reviewmentioning

confidence: 99%

“…Asthma symptom control (stream #3c). As discussed in Section 2.5, the review process for measures of pediatric asthma symptom control identified a recently published comprehensive article on asthma control assessment tools [42]. This review examined tools that have been validated, found to have established psychometric properties, and have been extensively studied in terms of their ability to reflect the overall status of asthma control.…”

Section: Key Findings From the Integrative Reviewmentioning

confidence: 99%

Measurement of Key Constructs in a Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma

Rangachari

May

Stepleman

et al. 2019

IJERPH

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The 2007 U.S. National Institutes of Health EPR-3 guidelines emphasize the importance creating a provider-patient partnership to enable patients/families to monitor and take control of their asthma, so that treatment can be adjusted as needed. However, major shortfalls continue to be reported in provider adherence to EPR-3 guidelines. For providers to be more engaged in asthma management, they need a comprehensive set of resources for measuring self-management effectiveness of asthma, which currently do not exist. In a previously published article in the Journal of Asthma and Allergy, the authors conducted a literature review, to develop a holistic framework for understanding self-management effectiveness of pediatric asthma. The essence of this framework, is that broad socioecological factors can influence self-agency (patient/family activation), to impact self-management effectiveness, in children with asthma. A component of socio-ecological factors of special relevance to providers, would be the quality of provider-patient/family communication on asthma management. Therefore, the framework encompasses three key constructs: (1) Provider-patient/family communication; (2) Patient/family activation; and (3) Self-management effectiveness. This paper conducts an integrative review of the literature, to identify existing, validated measures of the three key constructs, with a view to operationalizing the framework, and discussing its implications for asthma research and practice.

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Asthma Control Assessment Tools

Cited by 37 publications

References 75 publications

Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures

Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures

Evaluation of the psychometric properties of the Greek version of the Active Life with Asthma (Gr-ALMA) review: a descriptive methodological study

Measurement of Key Constructs in a Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma

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