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A systematic review of the psychometric properties of bronchiolitis assessment tools

Clare J Davies1, Donna Waters2, Andrea Marshall3

  • 1Royal North Shore Hospital, St. Leonards, New South Wales, Australia.

Journal of Advanced Nursing
|August 11, 2016
PubMed

Insights

Reliability and validity of infant bronchiolitis assessment tools are poorly established. Further research is needed to develop and validate reliable tools for assessing infants with bronchiolitis.

Area of Science:

  • Pediatrics
  • Clinical Assessment
  • Respiratory Medicine

Background:

  • Bronchiolitis is a primary cause of infant hospitalization.
  • Existing assessment tools for bronchiolitis are often used in clinical trials.
  • The psychometric properties of many bronchiolitis assessment tools are not well-documented.

Purpose of the Study:

  • To evaluate the psychometric properties of tools designed for assessing infants with bronchiolitis.
  • To determine the reliability and validity of existing bronchiolitis assessment instruments.

Main Methods:

  • Systematic review of studies published between 1960 and 2015.
  • Searched CINAHL, MEDLINE, EMBASE, and PubMed databases.
  • Utilized the COSMIN checklist to assess psychometric properties.

Main Results:

  • Reviewed 14 studies assessing 11 different instruments.
  • Found that the reliability and validity of most bronchiolitis assessment tools are poorly established.
  • The Respiratory Distress Assessment Index showed the most rigorous testing but had moderate construct validity and test-retest error.

Conclusions:

  • Current tools for assessing infants with bronchiolitis lack established reliability and validity.
  • These tools may not be sensitive to clinically significant patient outcomes.
  • There is a need for improved and validated assessment tools in pediatric bronchiolitis.
Abstract

Keywords:
bronchiolitisbronchiolitis assessment toolspsychometric testingreliabilitysystematic reviewvalidity

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