AI Article Synopsis
- The Childhood Asthma Control Test (c-ACT) was adapted into Spanish (Sc-ACT) to assess asthma control in children aged 4 to 11 in Spain, as it had not been previously validated in that language.
- A national study involving 394 children showed that Sc-ACT scores correlated well with assessments of asthma control by physicians, patients, and caregivers, demonstrating its feasibility and reliability, with a Cronbach alpha of 0.81.
- The study concluded that the Sc-ACT is a valid tool, with a cutoff score of 21 or higher indicating good asthma control, which can facilitate better management of pediatric asthma in Spanish-speaking populations.
Article Abstract
Objective: The Childhood Asthma Control Test (c-ACT) is a validated tool for determining pediatric asthma control. However, it is not validated in the Spanish language in Spain. We evaluated the psychometric properties of the Spanish version of the Childhood Asthma Control Test (Sc-ACT) for assessing asthma control in children ages 4 to11.
Methods: This national, multicentre, prospective study was conducted in Spain with asthmatic children and their caregivers. Patients were assessed at 3 visits (Baseline, 2 Weeks, and 4 Months). Clinical variables included: symptoms, exacerbations, FEV1, asthma classification, PAQLQ and PACQLQ questionnaire scores, and asthma control as perceived by physicians, patients and caregivers. The Sc-ACT feasibility, validity, reliability, and sensitivity to change were assessed.
Results: A total of 394 children were included; mean (SD) time to complete the Sc-ACT was 5.3 (4.4) minutes. Sc-ACT score was correlated with asthma control as perceived by physician (-0.52), patient (-0.53), and caregiver (-0.51) and with the PAQLQ (0.56) and PACQLQ (0.55) scores. Sc-ACT was found to be significantly related to intensity and frequency of asthma symptoms. Cronbach alpha coefficient α was 0.81 and intraclass correlation coefficient was ≥0.85 for all of the items. The global effect size of Sc-ACT was 0.55. The cutoff point scores of 21 or higher indicated a good asthma control and their MCID was 4 points.
Conclusion: The Spanish version of the c-ACT was found to be a reliable and valid questionnaire for evaluating asthma control in Spanish-speaking children ages 4 to 11 in Spain.
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| http://dx.doi.org/10.1016/j.anpedi.2014.10.031 | DOI Listing |
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