Cross-sectional study assessing the performance of the Arabic translated childhood asthma control test

AlTeneiji, Majid; Alkalbani, Alia M.; Nasser, Huda; Iram, Durdana; Alblooshi, Afaf; Narchi, Hassib

doi:10.1038/s41533-018-0109-3

Cited by 6 publications

(11 citation statements)

References 20 publications

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“…We assessed the level of asthma control using a validated Arabic version of the childhood asthma control test (C‐ACT) questionnaire, 17 on parents and their children with asthma who attended the scheduled outpatient pediatric asthma care clinics. The study was conducted at two governmental tertiary care medical centers and one private general hospital in Riyadh, Saudi Arabia, that offer follow‐up services to all discharged patients who are receiving asthma care.…”

Section: Methodsmentioning

confidence: 99%

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

Alhammad

Alajmi

Alenizi

et al. 2020

Pediatric Pulmonology

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Background: Appropriate asthma management in children reduces emergency department visits, hospitalization, and improves the quality of life. We aim to assess the level of children asthma control and its association with parental knowledge. Methods: A prospective study conducted to measure childhood asthma control with a validated childhood asthma control test (C-ACT), and to assess asthma knowledge among the parents of children aged 4-11 years and their parents upon asthma clinic visits. C-ACT score ≤ 19 is considered as uncontrolled child asthma. Results: We have invited 238 parents to participate in the study; 177 (74.4%) completed the survey. The mean age of the parents and their children were 38.8 ± 7.6 and 7.8 ± 2.7 years, respectively; 28.2% of parents were smokers, and 46.3% of them were college graduated. Nearly 61.6% of the parents and children scored ≤ 19 on C-ACT; 54.2% and 37.9% of parents knew how inhaled salbutamol and corticosteroids work, respectively. A quarter of the parents received an asthma action plan. Multinomial logistic regression analysis showed that parents who did not know their children's medications name (OR, 6.1; 95% CI, 2.15-17.29), and when to use inhaled corticosteroid (OR, 2.1; 95% CI, 1.32-3.45) were independent factors predicting uncontrolled asthma in children with score ≤ 19. Conclusions: The study indicated that there is an association between poor asthma control (scored ≤ 19 on C-ACT) and parental knowledge of asthma medications. The parents should be educated thoroughly on asthma care, including medications used to minimize asthma exacerbations in their children. K E Y W O R D S bronchial diseases, lung diseases, pediatric asthma 1 | INTRODUCTION Asthma is a common chronic respiratory disease in children. Uncontrolled asthma increases mortality, morbidity, emergency department (ED) visits, hospitalization, reduces the quality of life as well as increases health care costs. 1 An overall prevalence of asthma in children from Saudi Arabia ranged from 8% to 25%, depending on studies conducted over the past three decades. A recent study in Saudi Arabia reported prevalence of 45% of uncontrolled asthma in children. 2,3 In western countries, the reported prevalence of asthma in children was 8.6% in the United States (uncontrolled asthma 46%, 2010), and 11% in France (uncontrolled asthma 37.6%, 2013). 4-7

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Section: Methodsmentioning

confidence: 99%

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

Alhammad

Alajmi

Alenizi

et al. 2020

Pediatric Pulmonology

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“…Of the 28 studies included, five were conducted in the United States, 11,18–21 eight in Asia (East, South, or Southeast Asia), 23–29 eight in Europe, 30–37,44 four in the Middle East, 38–41 two in South America, 12,42 and one in Africa 43 . Twenty‐two studies reported the language used to administer the C‐ACT, and the languages varied 11,12,18,19,22–26,29,31,32,34–43 . Only nine studies reported the race or ethnicity of participants 11,12,18–21,39,42,43 .…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies compared C‐ACT score to the level of asthma control defined by GINA guidelines and/or physician assessment (Table 4). 11,12,18,20,22,23,28,31,32,38,40,41,43 Of these, 11 studies examined agreement or correlation between C‐ACT and GINA/physician assessment and nine reported a p ‐value < 0.05 (Green et al did not report p value 43 ; Todoric et al reported p ‐value = 0.10 20 ). Four papers performed receiver‐operating characteristic (ROC) analysis of this comparison, and the resulting areas under the curve ranged from 0.647 to 0.898 18,28,31,41 …”

Section: Resultsmentioning

confidence: 99%

“…The included studies (Table 1) were published between 2007 and 2018. Of the 28 studies included, five were conducted in the United States, 11,[18][19][20][21] eight in Asia (East, South, or Southeast Asia), [23][24][25][26][27][28][29] eight in Europe, [30][31][32][33][34][35][36][37]44 four in the Middle East, [38][39][40][41] two in South America, 12,42 and one in Africa. 43 Twenty-two studies reported the language used to administer the C-ACT, and the languages varied.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Validity of the Childhood Asthma Control Test in diverse populations: A systematic review

Chu

Kappel

Akel

et al. 2023

Pediatric Pulmonology

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Purpose: We examined the validity of the Childhood Asthma Control Test (C-ACT) and identified recommended thresholds for uncontrolled asthma in children from varying backgrounds.Methods: A systematic literature review was performed utilizing PubMed, Ovid Medline, SCOPUS, CINAHL, and conference proceedings. Studies were included if they enrolled children, had a primary outcome of asthma control, examined test validity or psychometrics, and utilized the C-ACT. Along with study design and demographic data, we extracted all outcomes and comparisons used to validate the C-ACT. We evaluated risk of bias using the COSMIN Risk of Bias tool. Our protocol was registered with PROSPERO (CRD42020211119). Results: Of 4924 records screened, 28 studies were included. Studies were conducted internationally and published between 2007 and 2018. Average number of enrolled participants was 193 (SD = 155, range = 22-671). Ten studies calculated Cronbach's α (mean [SD] = 0.78(0.05), range = 0.677-0.83). Thirteen studies recommended cut-offs for uncontrolled asthma (≤18-≤24). Nine studies found significant agreement or correlation between C-ACT and Global Initiative for Asthma guidelines/physician assessment of asthma control (correlation coefficients range = 0.219-0.65). Correlation coefficients between C-ACT and spirometry were <0.6 in five of six studies that included spirometry. Kappa values for C-ACT and various spirometry measurements ranged 0.00-0.34. Conclusions:The C-ACT showed good internal consistency and mixed levels of agreement and correlation with various clinical asthma measures. Recommended cut-offs for asthma control varied and had no consistent relationship with nationality, race, ethnicity, or language. Few studies examined cross-cultural validity and multiple populations remain under-studied.

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“…The level of asthma control was assessed by requesting participants to complete the previously validated translated Arabic C-ACT to assess asthma control. 9 The Arabic childhood asthma control test C-ACT is composed of seven questions (four child-reported and three parent-reported). A score >19 and a score ≤19 indicates controlled asthma, and uncontrolled asthma respectively.…”

Section: Questionnaire Developmentmentioning

confidence: 99%

Inhaled Corticosteroid phobia among parents of Egyptian asthmatic children

Said

Hussain

Abdelaty

et al. 2021

Clinical Epidemiology and Global Health

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Background: Inhaled Corticosteroid therapy is the cornerstone of asthma treatment. Yet, the reported prevalence of steroid phobia among parents of asthmatic children has been concerning. This study aimed to assess the impact of steroid phobia on ICS adherence, and asthma management. Method: A multicenter, cross-sectional study was held among 500 parents of asthmatic children over 12-months. Each participant completed a structured questionnaire that recorded patients' demographic data, and explored participants' main concerns regarding ICS. Additionally, participants level of asthma control was assessed by the Arabic childhood asthma control test C-ACT. Result: Of 500 interviewed asthmatic children, up to 66.6% reported having ICS fears, yet only 25.8% reported discussing their concerns with their healthcare providers. In addition, over 50% of parents reported requesting ICS sparing. Regarding ICS adherence, a significant difference (<0.001) was reported as 33.3% vs 40.1% for concerned and non-concerned parents respectively. Participants with ICS fears had children with significantly (<0.001) lower mean C-ACT scores of 33.3% versus 46.7% for those with no fear, respectively. In addition, Request for ICS sparing was reported as 61.5% vs 53.9% for concerned and non-concerned parents respectively. However, asthma severity and discussing ICS concerns was not significantly affected by ICS fear. Conclusion: This study suggests that steroid phobia is a significant factor that influence ICS adherence and asthma control. Proper asthma education should be targeted to alleviate unjustifiable steroid use concerns. Future research should be more oriented to crafting proper interventional strategies to better address the ICS negative perceptual barriers

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Cross-sectional study assessing the performance of the Arabic translated childhood asthma control test

Cited by 6 publications

References 20 publications

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia

Validity of the Childhood Asthma Control Test in diverse populations: A systematic review

Inhaled Corticosteroid phobia among parents of Egyptian asthmatic children

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