Evidence map›Paper›PMID 23434285›Full record

ArticleThe Journal of allergy and clinical immunology2013

The Pediatric Asthma Control and Communication Instrument asthma questionnaire: for use in diverse children of all ages.

Sande O Okelo, Michelle N Eakin, Cecilia M Patino, Alvin P Teodoro, Andrew L Bilderback, Darcy A Thompson, Antonio Loiaza-Martinez, Cynthia S Rand, Shannon Thyne, Gregory B Diette and 1 more

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Quality of life of primary caregivers by severity and control of children's asthma: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Impact of varying childhood asthma definitions on incidence and clinical outcomes.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Th17 Lymphocytes in Children with Asthma: Do They Influence Control?Pediatric allergy, immunology, and pulmonology · 2021
    Article
  7. Article
  8. 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
  9. Article
  10. Advances in pediatric asthma in 2013: coordinating asthma care.The Journal of allergy and clinical immunology · 2014
    Article
  11. 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
  12. 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

11 authors.

Sande O OkeloDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA. sandeokelo@jhmi.edu
Michelle N Eakin
Cecilia M Patino
Alvin P Teodoro
Andrew L Bilderback
Darcy A Thompson
Antonio Loiaza-Martinez
Cynthia S Rand
Shannon Thyne
Gregory B Diette
Kristin A Riekert

Funding

Mentoring and Patient Oriented Research in AsthmaK24ES021098 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI DIETTE, GREGORY B · 2012 to 2016
$927k
Development of a Pediatric Asthma Control and Communication InstrumentK23HL089410 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI OKELO, SANDE O · 2008 to 2012
$715k
Parenting regarding TV viewing and overweight in Latino preschool childrenK23HD060666 · NICHD · UNIVERSITY OF COLORADO DENVER · PI THOMPSON, DARCY ANN · 2009 to 2013
$672k
NHLBI NIH HHS HL089410NHLBI NIH HHS K23 HL089410NICHD NIH HHS K23 HD060666NIEHS NIH HHS K24 ES021098
6 · The paper itself

Abstract

backgroundNational Institutes of Health asthma guidelines recommend questionnaires to assess asthma control, but these questionnaires are not useable across the entire pediatric age spectrum and have not been validated among significant numbers of minority or Spanish-speaking children.

objectiveWe sought to evaluate a questionnaire designed to assess asthma control across a broad age range of minority and Spanish-speaking children cared for in an outpatient setting.

methodsBetween July 1, 2007, and September 30, 2010, we collected information using the Pediatric Asthma Control and Communication Instrument (PACCI), the Asthma Control Test (ACT; or the childhood ACT for children 4-11 years old), the Pediatric Asthma Caregiver Quality of Life Questionnaire, and lung function and clinicians' ratings of asthma status among a population of children presenting for routine asthma specialist care. The PACCI measure of asthma control was validated by evaluating accuracy, internal reliability, and concurrent, discriminative, and known-groups validity.

resultsWe collected information on 265 English- and 52 Spanish-speaking children (mean age, 8.2 years; 58% male; 44% African American). Across all age groups and in both languages, PACCI control showed good internal reliability and strong concurrent, discriminative, and known-groups validity with ACT and Pediatric Asthma Caregiver Quality of Life Questionnaire scores and clinicians' ratings of asthma control. The accuracy of the PACCI in classifying children with uncontrolled asthma was good (area under the curve, 0.83; 95% CI, 0.79-0.88).

conclusionsThe PACCI accurately measures asthma control in English- and Spanish-speaking children. The PACCI should be useful to clinicians to assess and classify asthma according to National Institutes of Health asthma guidelines.

Indexed as

Surveys and QuestionnairesAsthmaChildChild, PreschoolCommunicationFemaleHumansInfantMale

Identifiers

PMID23434285
PMCPMC4297654

What OpenQuestion holds

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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.