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Development and validation of a nighttime sleep diary in asthmatic children

Shigemi Yoshihara1, Noriko Kanno, Hironobu Fukuda

  • 1Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan. shigemi@dokkyomed.ac.jp

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|September 29, 2011
PubMed

Insights

A new nighttime sleep diary effectively monitors asthma control in young children. This validated tool simplifies tracking symptoms like nighttime awakenings and coughs, aiding clinical management.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Trial Methodology

Background:

  • Asthma management in infants and young children requires reliable monitoring tools.
  • Traditional asthma diaries can be lengthy and burdensome for parents and children.
  • Assessing clinical control necessitates tracking both nighttime and daytime symptoms.

Purpose of the Study:

  • To develop and validate a concise "nighttime sleep diary" for pediatric asthma.
  • To evaluate the practicality and validity of the shortened diary for monitoring asthma control.
  • To establish the correlation between nighttime awakenings and overall asthma symptom severity.

Main Methods:

  • A prospective 6-week study involving 40 children (6 months to 6 years) with asthma.
  • Participants were treated with nebulized budesonide or cromolyn sodium.
  • The "nighttime sleep diary" focused on nighttime awakenings and was validated against traditional diary metrics.

Main Results:

  • The nighttime sleep diary demonstrated validity and practicality for monitoring pediatric asthma.
  • Nighttime awakening scores positively correlated with nighttime and daytime asthma symptom scores.
  • A significant association was found between nighttime awakenings and the number of coughing days.

Conclusions:

  • The "nighttime sleep diary" is a simple, useful instrument for tracking daily asthma symptom fluctuations in young children.
  • This shortened diary aids in monitoring clinical control of asthma in pediatric populations.
  • The findings support the use of the nighttime sleep diary in routine pediatric asthma care.

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