Related Experiment Videos

Development and validation of a questionnaire to assess asthma control in pediatrics

E G Pérez-Yarza1, X Badía, C Badiola

  • 1Department of Pediatrics, Division of Respiratory Medicine, Hospital Donostia, San Sebastián, Spain.

Pediatric Pulmonology
|December 9, 2008
PubMed

Insights

The new Asthma Control in Children (CAN) questionnaire effectively assesses asthma control in pediatric patients. Its validated versions for carers and children demonstrate acceptable sensitivity and specificity for research and clinical use.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Assessment Tools
  • Asthma Management

Background:

  • Asthma control assessment in children is crucial for effective management.
  • Existing tools may have limitations in capturing comprehensive control levels.
  • Development of a validated questionnaire is needed for pediatric asthma.

Purpose of the Study:

  • To develop and validate the Asthma Control in Children (CAN) questionnaire.
  • To create versions for both child and carer perspectives.
  • To establish the screening accuracy and utility of the CAN questionnaire.

Main Methods:

  • A prospective, multicenter observational study involving 414 children with asthma.
  • Development of two CAN questionnaire versions: one for carers and one for children (aged 9-14).
  • Validation against clinician ratings of asthma control, assessing sensitivity, specificity, PPV, and NPV.

Main Results:

  • The CAN questionnaire demonstrated acceptable screening accuracy.
  • The patient version showed 76.3% sensitivity and 62.9% specificity at a cut-off score of 8.
  • The carer version showed 73% sensitivity and 69.7% specificity at a cut-off score of 8.

Conclusions:

  • The CAN questionnaire is a valid and reliable tool for assessing asthma control in children.
  • Its screening accuracy supports its use in both clinical practice and research settings.
  • The CAN questionnaire provides an acceptable measure for evaluating pediatric asthma control levels.
Abstract

Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.