Evidence map›Paper›PMID 18848721›Full record

ArticleThe Journal of allergy and clinical immunology2008

The Asthma Control and Communication Instrument: a clinical tool developed for ethnically diverse populations.

Cecilia M Patino, Sande O Okelo, Cynthia S Rand, Kristin A Riekert, Jerry A Krishnan, Kathy Thompson, Ruth I Quartey, Deanna Perez-Williams, Andrew Bilderback, Barry Merriman and 3 more

Abstract readValidation Study
In one paragraph

Article in The Journal of allergy and clinical immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Pediatric Asthma Control and Communication Instrument: translation into Portuguese and cross-cultural adaptation for use in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2019
    Article
  5. Article
  6. Association of consistently suboptimal quality of life with consistently poor asthma control in children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Article
  7. Determinants of longitudinal health-related quality-of-life change in children with asthma from low-income families: a report from the PROMISClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2017
    Article
  8. An item-level response shift study on the change of health state with the rating of asthma-specific quality of life: a report from the PROMIS(®) Pediatric Asthma Study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
    Article
  9. Article
  10. The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes.Pediatric allergy, immunology, and pulmonology · 2015
    Article
  11. Article
  12. Article
  13. Article
  14. Asthma outcomes: composite scores of asthma control.The Journal of allergy and clinical immunology · 2012
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Responsiveness to Change in PROMIS(®) Measures among Children with Asthma: A Report from the PROMIS(®) Pediatric Asthma Study.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Cecilia M PatinoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.
Sande O Okelo
Cynthia S Rand
Kristin A Riekert
Jerry A Krishnan
Kathy Thompson
Ruth I Quartey
Deanna Perez-Williams
Andrew Bilderback
Barry Merriman
Laura Paulin
Nadia Hansel
Gregory B Diette

Funding

HOWARD/HOPKINS CENTER FOR REDUCING ASTHMA DISPARTIESU01HL072455 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI RAND, CYNTHIA S · 2002 to 2006
$3.6M
NHLBI NIH HHS 5UO1HL072455NHLBI NIH HHS U01 HL072455
6 · The paper itself

Abstract

backgroundLower levels of quality asthma care among racially diverse populations might be due to inaccurate disease status assessments. The Asthma Control and Communication Instrument (ACCI) is a new tool that captures patient report of disease status during routine care.

objectiveWe sought to test the ACCI's psychometric properties in a racially diverse population.

methodsWe performed a cross-sectional study. Subjects were recruited from specialist and generalist urban outpatient clinics. The ACCI and measures of asthma control, quality of life, lung function, and specialist rating of asthma status were collected. Four ACCI domains were separately validated: Acute Care, Bother, Control, and Direction. Principal component analysis, internal consistency, concurrent, discriminative, known-groups validity, and accuracy were evaluated.

resultsTwo hundred seventy asthmatic patients (77% female subjects, 55% black) participated. ACCI Control domain internal consistency was 0.80. ACCI Bother, Control, and Direction domains showed strong concurrent validity with asthma control and quality-of-life measures (all P < .001). ACCI Acute Care and Direction domains showed strong concurrent validity with individual validation items (all P < .001). The ACCI Control domain discriminated clinically important levels of disease status measured by asthma control, quality of life (both P < .001), and percent predicted peak expiratory flow rate (P = .005) and was associated with specialist rating of disease status (P < .001), confirming known-groups validity. The accuracy of the ACCI Control domain in classifying patients with uncontrolled asthma was very good (area under the curve, 0.851; 95% CI, 0.742-0.95870). Results were similar for both black and white subjects.

conclusionThe ACCI is a promising clinical tool that measures asthma disease status during routine health care and is valid for use in both black and white populations.

Indexed as

Healthcare DisparitiesHealth Status IndicatorsQuality of Health CareAsthmaBlack PeopleCross-Sectional StudiesFemaleHumansMaleOutpatientsPsychometricsQuality of LifeRespiratory Function TestsUrban PopulationWhite People

Identifiers

PMID18848721
PMCPMC5516631

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.