Asthma and lower airway diseaseThe Pediatric Asthma Control and Communication Instrument asthma questionnaire: For use in diverse children of all ages
Section snippets
Questionnaire development and content
The PACCI was developed in conjunction with the adult Asthma Control Communication Instrument (ACCI).21 Both asthma assessment tools are written at a fifth-grade reading level, were designed for use across diverse patient populations, and are intended to help clinicians better use patient/parent-reported information to guide asthma treatment.
The conceptual domains incorporated into the PACCI were derived from a variety of patient and physician focus groups,21, 22 including inner-city, African
Results
There were a total of 265 English-speaking and 52 Spanish-speaking participants. Seventy-nine percent of the English-speaking subjects were recruited from JHCC, whereas all of the Spanish-speaking participants were recruited from SFGH. Table I provides an overview of the participants. A higher percentage of boys and a lower percentage of African Americans were observed among patients less than 5 years of age (P < .01 for both comparisons). Parental education levels were quite varied. Compared
Discussion
The present study demonstrates that the PACCI is a valid measure of control in pediatric patients with self-reported doctor-defined asthma who are treated at an asthma clinic. Specifically, the PACCI (1) effectively measures asthma control status in children, (2) distinguishes clinically important differences of disease status, (3) accurately categorizes patients with controlled or uncontrolled asthma compared with the clinician's assessment, (4) can be used in children of different ages and
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Cited by (40)
Parent-Centered Perspectives on a Validated Asthma Questionnaire in the Emergency Department
2024, Academic PediatricsParent Perceptions of a Validated Asthma Questionnaire in the Emergency Department
2024, Academic PediatricsThe Asthma Impairment and Risk Questionnaire enhances the assessment of asthma control
2023, Annals of Allergy, Asthma and ImmunologyThe Asthma Impairment and Risk Questionnaire (AIRQ) Control Level Predicts Future Risk of Asthma Exacerbations
2022, Journal of Allergy and Clinical Immunology: In PracticeCitation Excerpt :Both expert opinion groups recommend using assessment tools, including questionnaires, to evaluate asthma control as a component of determining treatment decisions. However, widely available tools, including the Asthma Control Test (ACT),4 Asthma Control Questionnaire (ACQ),5 Asthma Control and Communications Instrument (ACCI),6 Pediatric Asthma Control and Communications Instrument (PACCI),7 Test for Respiratory and Asthma Control in Kids (TRACK),8 and Composite Asthma Severity Index (CASI),9 either assess impairment only or are not validated as single control measures for both adults and adolescents. The Asthma Impairment and Risk Questionnaire (AIRQ) is a 10-item, yes/no asthma control tool that assesses both symptom impairment and exacerbation risk.
Evaluating construct validity of the Asthma Impairment and Risk Questionnaire using a 3-month exacerbation recall
2022, Annals of Allergy, Asthma and ImmunologyCitation Excerpt :Frequently used tools, such as the Asthma Control Test (ACT)4 and Asthma Control Questionnaire,5 only evaluate impairment. Although other instruments, such as the Asthma Control and Communications Instrument,6 Pediatric Asthma Control and Communications Instrument,7 Test for Respiratory and Asthma Control in Kids,8 and Composite Asthma Severity Index,9 evaluate impairment and risk, they are not single control measures validated for both adults and adolescents. The Asthma Impairment and Risk Questionnaire (AIRQ) is a 10-item, yes or no, composite asthma control tool that evaluates symptoms in the previous 2 weeks and exacerbations in the previous 12 months.
Supported by National Heart, Lung, and Blood Institute grant HL089410.
Disclosure of potential conflict of interest: The authors declare that they have no relevant conflicts of interest.