ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2014
Validation of the Spanish version of the childhood asthma control test (cACT) in a population of Hispanic children.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity of the Childhood Asthma Control Test in diverse populations: A systematic review.Pediatric pulmonology · 2023Pooled it
- Early and longitudinal response to sublingual immunotherapy across pediatric allergic multimorbidity patterns: A 3-year real-world cohort study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026Article
- Th17 Lymphocytes in Children with Asthma: Do They Influence Control?Pediatric allergy, immunology, and pulmonology · 2021Article
- Design and baseline characteristics of a low-income urban cohort of children with asthma: The Asthma Action at Erie Trial.Contemporary clinical trials · 2019Article
- Clinical differences between children with asthma and rhinitis in rural and urban areas.Colombia medica (Cali, Colombia) · 2018Article
- Asthma in Latin America.Thorax · 2015Review
- Parent Nativity and Child Asthma Control in Families of Mexican Heritage: The Effects of Parent Depression and Social Support.Academic pediatricsArticle
- GEMA 5.3. Spanish Guideline on the Management of Asthma.Open respiratory archivesArticle
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere is a critical need for additional validation studies of questionnaires designed to assess the level of control of asthma in pediatric patients.
objectiveTo validate the Spanish version of the Childhood Asthma Control Test (cACT) in children aged between 4 and 11 years with physician-diagnosed asthma.
methodsIn a prospective cohort validation study, asthmatic children aged between 4 and 11 years and their parents, attended both a baseline and a follow-up visit 2 to 6 weeks later. In these two visits, they completed the information required to assess the criterion validity, construct validity, test-retest reliability, sensitivity to change, internal consistency and usability of the cACT.
resultsAt baseline, cACT scores were significantly different between patients with controlled, partly controlled and uncontrolled asthma [24.0 (23.0-26.0), 18.0 (18.0-22.0), and 17.5 (13.0-20.0), respectively, p < 0.001], and also between patients for whom this visit resulted in a step-up, no change or step-down in therapy [18.0 (15.0-21.0), 24.0 (23.0-24.0) and 26.0 (23.5-26.0) respectively, p < 0.001]. The score of the cACT correlated positively and significantly with the score of the Pediatric Asthma Caregivers Quality of life Questionnaire--PACQLQ (Spearman's rho = 0.50, p < 0.001). The intraclass correlation coefficient of the measurements in patients with no change in clinical status was 0.849 (95% CI: 0.752-0.908). There were statistical significant differences between baseline and follow-up cACT scores in patients with an improvement in clinical status [19.0 (18.0-22.0) versus 24.5 (24.0-25.0), p < 0.001]. Cronbach's α was 0.8276 for the questionnaire as a whole.
conclusionThe Spanish version of the cACT has adequate criterion validity, adequate construct validity, adequate sensitivity to change, good internal consistency, good test-retest reliability and excellent usability when administered to asthmatic children aged between 4 and 11 years.
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