Psychometric evaluation of the Brazilian version of the pediatric asthma control and communication instrument

Thayla Amorim Santino; Raquel Emanuele de França Mendes Alves; Karolinne Souza Monteiro; Sande O. Okelo; Cecília M. Patino; João Carlos Alchieri; Karla Morganna P.P. Mendonça

doi:10.1002/ppul.24851

Psychometric evaluation of the Brazilian version of the pediatric asthma control and communication instrument

Thayla Amorim Santino, Raquel Emanuele de França Mendes Alves, Karolinne Souza Monteiro, Sande O. Okelo, Cecília M. Patino, João Carlos Alchieri, Karla Morganna P.P. Mendonça

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Background: There is a lack of questionnaires capable of evaluating the clinical control of Brazilian children and adolescents with asthma over a wide age range. The Pediatric Asthma Control and Communication Instrument (PACCI) has been validated, but only with English- and Spanish-speaking children in the United States. Objectives: To evaluate the psychometric properties of the Brazilian version of the PACCI questionnaire. Methods: A cross-sectional psychometric study conducted with children and adolescents aged 01 to 19 years with a clinical diagnosis of asthma, and their respective parents/guardians. The following assessments were conducted: socioeconomic status; clinical control using the Childhood Asthma Control Test (c-ACT), Asthma Control Test (ACT); caregiver quality of life using the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ); and pulmonary function test (spirometry). Validity was evaluated as follows: exploratory and confirmatory factor analysis; Cronbach's alpha analysis (α); floor and ceiling effects; receiver operator characteristic curve analysis. Results: A total of 128 participants were included, most of them male (54.7%). The Brazilian version of PACCI had adequate internal consistency (α =.76) and moderate floor and ceiling effects. The internal structure presented acceptable adjustment indices, considering the extraction of four factors. The factors presented adequate α values. Asthma control factor 1 correlated with c-ACT/ACT and PACQLQ. Control domain scores greater than four points (sum of score) and above 1 point (problem index) were indicative of uncontrolled asthma. Conclusion: The Brazilian version of PACCI was able to provide valid and reliable measures in evaluating the clinical control of asthma in Brazilian children and adolescents.

Original language	English (US)
Pages (from-to)	1900-1907
Number of pages	8
Journal	Pediatric pulmonology
Volume	55
Issue number	8
DOIs	https://doi.org/10.1002/ppul.24851
State	Published - Aug 1 2020

Keywords

adolescent
asthma
child
surveys and questionnaires
validation studies

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pulmonary and Respiratory Medicine

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10.1002/ppul.24851

Cite this

@article{22834da7689a411987f0eeccd432d6be,

title = "Psychometric evaluation of the Brazilian version of the pediatric asthma control and communication instrument",

abstract = "Background: There is a lack of questionnaires capable of evaluating the clinical control of Brazilian children and adolescents with asthma over a wide age range. The Pediatric Asthma Control and Communication Instrument (PACCI) has been validated, but only with English- and Spanish-speaking children in the United States. Objectives: To evaluate the psychometric properties of the Brazilian version of the PACCI questionnaire. Methods: A cross-sectional psychometric study conducted with children and adolescents aged 01 to 19 years with a clinical diagnosis of asthma, and their respective parents/guardians. The following assessments were conducted: socioeconomic status; clinical control using the Childhood Asthma Control Test (c-ACT), Asthma Control Test (ACT); caregiver quality of life using the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ); and pulmonary function test (spirometry). Validity was evaluated as follows: exploratory and confirmatory factor analysis; Cronbach's alpha analysis (α); floor and ceiling effects; receiver operator characteristic curve analysis. Results: A total of 128 participants were included, most of them male (54.7%). The Brazilian version of PACCI had adequate internal consistency (α =.76) and moderate floor and ceiling effects. The internal structure presented acceptable adjustment indices, considering the extraction of four factors. The factors presented adequate α values. Asthma control factor 1 correlated with c-ACT/ACT and PACQLQ. Control domain scores greater than four points (sum of score) and above 1 point (problem index) were indicative of uncontrolled asthma. Conclusion: The Brazilian version of PACCI was able to provide valid and reliable measures in evaluating the clinical control of asthma in Brazilian children and adolescents.",

keywords = "adolescent, asthma, child, surveys and questionnaires, validation studies",

author = "Santino, {Thayla Amorim} and {de Fran{\c c}a Mendes Alves}, {Raquel Emanuele} and Monteiro, {Karolinne Souza} and Okelo, {Sande O.} and Patino, {Cec{\'i}lia M.} and Alchieri, {Jo{\~a}o Carlos} and Mendon{\c c}a, {Karla Morganna P.P.}",

note = "Funding Information: We would like to thank all the participants, and the collaboration by the medical doctor Cleia Teixeira do Amaral from the Federal University of Rio Grande do Norte for her cooperation in recruiting the sample. This study was presented as part of a Master's degree thesis in Physiotherapy from the Federal University of Rio Grande do Norte, Brazil, on 22nd February 2018. This study was financed in part by the Coordena{\c c}{\~a}o de Aperfei{\c c}oamento de Pessoal de N{\'i}vel Superior—Brasil (CAPES)—Finance Code 001. Funding Information: We would like to thank all the participants, and the collaboration by the medical doctor Cleia Teixeira do Amaral from the Federal University of Rio Grande do Norte for her cooperation in recruiting the sample. This study was presented as part of a Master's degree thesis in Physiotherapy from the Federal University of Rio Grande do Norte, Brazil, on 22nd February 2018. This study was financed in part by the Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior?Brasil (CAPES)?Finance Code 001. Publisher Copyright: {\textcopyright} 2020 Wiley Periodicals LLC",

year = "2020",

month = aug,

day = "1",

doi = "10.1002/ppul.24851",

language = "English (US)",

volume = "55",

pages = "1900--1907",

journal = "Pediatric pulmonology",

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}

TY - JOUR

T1 - Psychometric evaluation of the Brazilian version of the pediatric asthma control and communication instrument

AU - Santino, Thayla Amorim

AU - de França Mendes Alves, Raquel Emanuele

AU - Monteiro, Karolinne Souza

AU - Okelo, Sande O.

AU - Patino, Cecília M.

AU - Alchieri, João Carlos

AU - Mendonça, Karla Morganna P.P.

N1 - Funding Information: We would like to thank all the participants, and the collaboration by the medical doctor Cleia Teixeira do Amaral from the Federal University of Rio Grande do Norte for her cooperation in recruiting the sample. This study was presented as part of a Master's degree thesis in Physiotherapy from the Federal University of Rio Grande do Norte, Brazil, on 22nd February 2018. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001. Funding Information: We would like to thank all the participants, and the collaboration by the medical doctor Cleia Teixeira do Amaral from the Federal University of Rio Grande do Norte for her cooperation in recruiting the sample. This study was presented as part of a Master's degree thesis in Physiotherapy from the Federal University of Rio Grande do Norte, Brazil, on 22nd February 2018. This study was financed in part by the Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior?Brasil (CAPES)?Finance Code 001. Publisher Copyright: © 2020 Wiley Periodicals LLC

PY - 2020/8/1

Y1 - 2020/8/1

N2 - Background: There is a lack of questionnaires capable of evaluating the clinical control of Brazilian children and adolescents with asthma over a wide age range. The Pediatric Asthma Control and Communication Instrument (PACCI) has been validated, but only with English- and Spanish-speaking children in the United States. Objectives: To evaluate the psychometric properties of the Brazilian version of the PACCI questionnaire. Methods: A cross-sectional psychometric study conducted with children and adolescents aged 01 to 19 years with a clinical diagnosis of asthma, and their respective parents/guardians. The following assessments were conducted: socioeconomic status; clinical control using the Childhood Asthma Control Test (c-ACT), Asthma Control Test (ACT); caregiver quality of life using the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ); and pulmonary function test (spirometry). Validity was evaluated as follows: exploratory and confirmatory factor analysis; Cronbach's alpha analysis (α); floor and ceiling effects; receiver operator characteristic curve analysis. Results: A total of 128 participants were included, most of them male (54.7%). The Brazilian version of PACCI had adequate internal consistency (α =.76) and moderate floor and ceiling effects. The internal structure presented acceptable adjustment indices, considering the extraction of four factors. The factors presented adequate α values. Asthma control factor 1 correlated with c-ACT/ACT and PACQLQ. Control domain scores greater than four points (sum of score) and above 1 point (problem index) were indicative of uncontrolled asthma. Conclusion: The Brazilian version of PACCI was able to provide valid and reliable measures in evaluating the clinical control of asthma in Brazilian children and adolescents.

AB - Background: There is a lack of questionnaires capable of evaluating the clinical control of Brazilian children and adolescents with asthma over a wide age range. The Pediatric Asthma Control and Communication Instrument (PACCI) has been validated, but only with English- and Spanish-speaking children in the United States. Objectives: To evaluate the psychometric properties of the Brazilian version of the PACCI questionnaire. Methods: A cross-sectional psychometric study conducted with children and adolescents aged 01 to 19 years with a clinical diagnosis of asthma, and their respective parents/guardians. The following assessments were conducted: socioeconomic status; clinical control using the Childhood Asthma Control Test (c-ACT), Asthma Control Test (ACT); caregiver quality of life using the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ); and pulmonary function test (spirometry). Validity was evaluated as follows: exploratory and confirmatory factor analysis; Cronbach's alpha analysis (α); floor and ceiling effects; receiver operator characteristic curve analysis. Results: A total of 128 participants were included, most of them male (54.7%). The Brazilian version of PACCI had adequate internal consistency (α =.76) and moderate floor and ceiling effects. The internal structure presented acceptable adjustment indices, considering the extraction of four factors. The factors presented adequate α values. Asthma control factor 1 correlated with c-ACT/ACT and PACQLQ. Control domain scores greater than four points (sum of score) and above 1 point (problem index) were indicative of uncontrolled asthma. Conclusion: The Brazilian version of PACCI was able to provide valid and reliable measures in evaluating the clinical control of asthma in Brazilian children and adolescents.

KW - adolescent

KW - asthma

KW - child

KW - surveys and questionnaires

KW - validation studies

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EP - 1907

JO - Pediatric pulmonology

JF - Pediatric pulmonology

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ER -

Psychometric evaluation of the Brazilian version of the pediatric asthma control and communication instrument

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Keywords

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