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The Korean Version of the Test for Respiratory and Asthma Control in Kids (TRACK): Reliability and Validity
Yun Jung Choi1,2, Gwang Cheon Jang3, Hyeon-Jong Yang4
1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
Insights
The Korean version of the Test for Respiratory and Asthma Control in Kids (TRACK) questionnaire is reliable and valid for assessing asthma control in preschool children. This tool helps monitor respiratory health and treatment effectiveness in young patients.
Area of Science:
- Pediatric Pulmonology
- Clinical Assessment Tools
- Asthma Management
Background:
- The Test for Respiratory and Asthma Control in Kids (TRACK) questionnaires are established tools for monitoring respiratory control in preschool children.
- Previous versions have been validated in multiple languages.
Purpose of the Study:
- To evaluate the reliability and validity of the Korean translation of the TRACK questionnaire.
- To assess its utility in Korean preschool children with asthma.
Main Methods:
- The Korean TRACK questionnaire was administered to caregivers of preschool children with asthma at two visits, 4-6 weeks apart.
- Physicians assessed asthma control, symptom timing, and adjusted therapy at each visit.
- Statistical analyses included Cronbach's alpha for internal consistency and test-retest reliability.
Main Results:
- The Korean TRACK questionnaire demonstrated acceptable internal consistency (Cronbach's alpha = 0.65) and good test-retest reliability (0.72).
- Scores significantly correlated with physician-assessed asthma control, treatment adjustments, and symptom recency (P < 0.001).
- The questionnaire showed sensitivity of 75.6% and specificity of 70.9% for identifying well-controlled asthma.
Conclusions:
- The Korean version of the TRACK questionnaire is a valid and reliable instrument for assessing respiratory and asthma control in Korean preschool children.
- It can aid clinicians in monitoring disease control and guiding treatment decisions.
Background:
Test for Respiratory and Asthma Control in Kids (TRACK) questionnaires were developed and validated in various languages to monitor respiratory control in preschool-aged children. We aimed to assess the reliability and validity of the Korean version of the TRACK questionnaire.
Methods:
We administered the linguistically validated TRACK questionnaires to caregivers of asthmatic preschool children on two separate visits 4-6 weeks apart. Each physician graded the level of the guideline-based asthma control, assessed the timing of symptoms, and adjusted the therapeutic level at each visit.
Results:
A total of 137 children were enrolled in the study. Cronbach's alpha was 0.65 for a questionnaire as a whole. The test-retest reliability was 0.72. The median TRACK scores were significantly different between asthma control status categories, with the lowest scores in children classified as poorly controlled and the highest in the well-controlled group (P < 0.001). They were different among groups classified according to the physician adjusted therapeutic levels, with the lowest values in children prescribed step-up therapy (P < 0.001), and according to the recency of respiratory symptoms (P < 0.001). Finally, the changes in TRACK scores between visits were highest in subjects showing improved control, followed by unchanged, and worsened control. When we applied the traditional cut-off of 80 for a well-controlled condition, a sensitivity of 75.6% and a specificity of 70.9% were calculated.
Conclusion:
The Korean translated version of the TRACK questionnaire is valid and reliable to assess respiratory and asthma control in Korean preschool children with asthma symptoms.
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