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Santino TA, Holanda HDS, de Souza JCS, Jácome MCA, Menescal FEPDS, Barbosa JVDS, Jácome AC, Amaral CTD, Alchieri JC, de Mendonça KMPP. Pediatric Asthma Therapy Assessment Questionnaire for the Brazilian population: Cross-cultural adaptation and measurement properties. Pediatr Pulmonol 2024; 59:1596-1605. [PMID: 38411380 DOI: 10.1002/ppul.26941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 02/02/2024] [Accepted: 02/14/2024] [Indexed: 02/28/2024]
Abstract
OBJECTIVE To cross-culturally adapt the Pediatric Asthma Therapy Assessment Questionnaire (ATAQ) into Brazilian Portuguese and analyze its measurement properties. METHODS This exploratory methodological study included eight experts and 30 caregivers in the translation and cross-cultural adaptation steps. Thereafter, 118 caregivers of pediatric patients with asthma aged between 5 and 17 years were involved in the analysis of measurement properties. We analyzed the content, structural (exploratory and confirmatory factorial), construct (convergent and discriminant), and known-groups validities; floor and ceiling effects; and determined the cut-off point (receiver operator characteristic curve) to identify pediatric patients with uncontrolled asthma. Intraclass correlation coefficient (ICC) analyzed test-retest reliability with 54 caregivers, whereas Cronbach's α and composite reliability verified the internal consistency of the items. RESULTS The committee of experts and caregivers found the instructions and response options relevant, understandable, and clear (K > 0.75). During the cross-cultural adaptation, three items (2, 4, and 12) were slightly modified by including terms to facilitate understanding. A two-factor structure (asthma control and patient-provider communication) was identified. Internal consistency (α > .67; composite reliability > 0.73) and test-retest reliability (ICC > 0.80) were acceptable. For construct and know-groups validities, 85.71% of the hypothesis were confirmed. A cut-off point of >3 for the control domain was considered adequate to identify pediatric patients with uncontrolled asthma (sensitivity: 86.21%; specificity: 80.90%). CONCLUSION The Pediatric ATAQ was adequately adapted for Brazilian pediatric patients with asthma and produced valid and reliable measures for assessing asthma control. Therefore, it may be considered an adequate instrument for monitoring asthma control in the Brazilian pediatric population.
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Affiliation(s)
- Thayla Amorim Santino
- Department of Physical Therapy, State University of Paraiba, Campina Grande, Paraíba, Brazil
- Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Hesli de Sousa Holanda
- Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Brazilian Company of Hospital Services (EBSERH), Natal, Rio Grande do Norte, Brazil
| | | | - Maria Clara Almeida Jácome
- Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | - Ada Cristina Jácome
- Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Cleia Teixeira do Amaral
- Department of Pediatric Pulmonology, Child and Adolescent Health Care Unit of the University Hospital Onofre Lopes, Natal, Rio Grande do Norte, Brazil
| | - João Carlos Alchieri
- Department of Psychology, Graduate Program in Science, Technology, and Innovation, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Karla Morganna Pereira Pinto de Mendonça
- Graduate Program of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
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Shi M, Liang L, Wang Y, Yu Y. Risk factors associated with health-related quality of life in pediatric asthma. Sci Prog 2021; 104:368504211013657. [PMID: 33970048 PMCID: PMC10358580 DOI: 10.1177/00368504211013657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To evaluate the quality of life (QOL) of children with asthma and analyze the related factors. A total of 360 children diagnosed with asthma were enrolled. We conducted the pediatric asthma quality of life questionnaire (PAQLQ). The differences in clinical characteristics between the two groups were compared. Clinical characteristics were compared between high and low QOL. More female was observed in low QOL group (p = 0.013). Patients with higher income (p = 0.003) were shown with higher QOL. Female patients presented significantly lower values for activity limitation (p = 0.016) and emotional function (p = 0.016) as compared to male patients. For patients who have low income, the QOL scores for dimensions of activity limitation was significantly worse than those have higher income (p = 0.001). Univariable results showed that gender (p = 0.013) and income (p = 0.001) were factors associated with QOL in asthma children. However, multivariate analysis suggested that only gender (OR = 0.558, p = 0.008) and income (OR = 1.762, p < 0.001) were the independent factors that affected the QOL levels. In this study, we found that the QOL dimensions of pediatric asthma differed between various subpopulations. For patients with risk factors of poor QOL, target intervention is advised in order to increase QOL.
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Affiliation(s)
- Miaomiao Shi
- Department of Respiratory Medicine, Anhui Provincial Children’s Hospital, Anhui, China
| | - Lei Liang
- Department of Respiratory Medicine, Anhui Provincial Children’s Hospital, Anhui, China
| | - Yu Wang
- Department of Respiratory Medicine, Anhui Provincial Children’s Hospital, Anhui, China
| | - Yangze Yu
- Department of Respiratory Medicine, Anhui Provincial Children’s Hospital, Anhui, China
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Gomes DC, Dantas DDS, Rodrigues Regalado IC, Longo E, Galante Sousa K, Alves Pereira S. Linking quality of life questionnaires for asthma to the International Classification of Functioning. Pediatr Pulmonol 2020; 55:1908-1915. [PMID: 32437057 DOI: 10.1002/ppul.24857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 04/02/2020] [Accepted: 05/09/2020] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To link the content of the most common quality of life instruments for children with asthma to the International Classification of Functioning, Disability and Health (ICF). METHODS The study was conducted in two stages. The first involved a review of the literature to select quality of life questionnaires and in the second, two independent reviewers identified questionnaire items, and categories corresponding to the ICF, according to approved methodology. The degree of agreement was calculated using the kappa coefficient. RESULTS Two questionnaires were selected: the Pediatric Asthma Quality of Life (PAQLQ) and Pediatric Quality of Life Asthma Module (PedsQL-Asthma), self and proxy versions. The degree of agreement was strong for all the instruments: PAQLQ (k = 0.624), PedsQL- Asthma self (k = 0.610), and PedsQL-Asthma proxy (k = 0.673). A total of 114 concepts were identified in the 77 items. Thirty-five different ICF categories were linked, 16 (45.7%) related "body function," 13 (37.1%) "activity and participation," and 6 (17.1%) "environmental factors." Two items (1.7%) could not be linked because they represent personal factors or are not covered by the ICF. CONCLUSION The categories linked to the PAQLQ contained primarily "body function" and "activity and participation," but not "environmental factors." Those linked to the PedsQL-Asthma versions encompass three of the four ICF components, where the highest content frequency was associated with "body function," followed by "environmental factors" and "activities and participation."
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Affiliation(s)
- Danielle Cristina Gomes
- Postgraduate Program in Rehabilitation Sciences, Faculdade de Ciências da Saúde do Trairi-Universidade Federal do Rio Grande do Norte FACISA/UFRN, Santa Cruz, RN, Brazil
| | - Diego de Sousa Dantas
- Postgraduate Program in Rehabilitation Sciences and Postgraduate Program in Public Health, Faculdade de Ciências da Saúde do Trairi-Universidade Federal do Rio Grande do Norte FACISA/UFRN, Santa Cruz, RN, Brazil
| | | | - Egmar Longo
- Postgraduate Program in Rehabilitation Sciences and Postgraduate Program in Public Health, Faculdade de Ciências da Saúde do Trairi-Universidade Federal do Rio Grande do Norte FACISA/UFRN, Santa Cruz, RN, Brazil
| | - Klayton Galante Sousa
- Postgraduate Program in Rehabilitation Sciences and Postgraduate Program in Public Health, Faculdade de Ciências da Saúde do Trairi-Universidade Federal do Rio Grande do Norte FACISA/UFRN, Santa Cruz, RN, Brazil
| | - Silvana Alves Pereira
- Postgraduate Program in Rehabilitation Sciences and Postgraduate Program in Public Health, Faculdade de Ciências da Saúde do Trairi-Universidade Federal do Rio Grande do Norte FACISA/UFRN, Santa Cruz, RN, Brazil
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Lim MC, Baiardini I, Molinengo G, Navarro-Locsin CG, Canonica GW, Braido F. The cross-cultural validation of the English version of RhinAsthma patient's perspective (RAPP). J Asthma 2019; 57:680-686. [PMID: 30907184 DOI: 10.1080/02770903.2019.1590595] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Objective: No validated instrument is currently available in English for use in daily practice to assess Health Related Quality of Life (HRQoL) in asthma and comorbid allergic rhinitis (AR). The aim of this study was to validate and assess the psychometric characteristics of an English language version of RhinAsthma Patient Perspective (RAPP).Methods: The study was performed in the Philippines. The RAPP was translated into English. Adult patients, diagnosed with asthma and AR, were recruited. Clinical and functional data were collected on two occasion with a 4-week interval between visits. At both visits patients completed the following questionnaires: RAPP, Short Form Heath Survey-12 (SF-12), asthma control test (ACT), and rhinitis symptom Visual Analog Scale (VAS). Scale dimensions, internal consistency and convergent validity, reliability, discriminant ability, responsiveness, and minimal important difference (MID) were evaluated.Results: About 150 patients (mean age 39.3 years) completed the study. Exploratory and confirmatory factor analysis identified a uni-dimensional structure of the questionnaire. Internal consistency was satisfactory (0.87 at visit 1; 0.89 at visit 2). The tool showed good discriminant and convergent validity at both visits (p < 0.01). High reliability was confirmed by an ICC of 0.97 and a CCC of 0.95. Responsiveness was shown by a significant association with VAS (r = 0.34, p < 0.01) and ACT (r = -0.35, p < 0.01). The MID value was 2.Conclusions: The English version of RAPP was shown to have good psychometric properties and is a valid tool for assessing asthma and AR HRQoL in clinical practice.
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Affiliation(s)
- Margaret C Lim
- Department of Otorhinolaryngology-Head and Neck Surgery, St. Luke's Medical Center, Quezon City, Philippines
| | - Ilaria Baiardini
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | | | - Cecilia G Navarro-Locsin
- Department of Otorhinolaryngology-Head and Neck Surgery, St. Luke's Medical Center, Quezon City, Philippines
| | - Giorgio W Canonica
- Department of Biomedical Sciences, Humanitas University, Milan, Italy.,Personalized Medicine, Asthma and Allergy Clinic, Humanitas Research Hospital, Milan, Italy
| | - Fulvio Braido
- Department of Internal Medicine, IRCCS San Martino di Genova University Hospital, Genoa, Italy
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