Validating an asthma case detection instrument in a head start sample.
Although specific tests screen children in preschool programs for vision, hearing, and dental conditions, there are no published validated instruments to detect preschool-age children with asthma, one of the most common pediatric chronic conditions affecting children in economically disadvantaged co...
| Publicado en: | Journal of School Health Vol. 76; no. 9; pp. 471 - 479 |
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| Autores principales: | , , , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106298554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106298554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Nov2006 vid: 76 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106298554 22577616 2009325588 10.1111/j.1746-1561.2006.00144.x NLM17026641 106298554 ppf: 471 ppct: 8 formats: tig: atl: Validating an asthma case detection instrument in a head start sample. aug: au: Bonner S Matte T Rubin M Sheares BJ Fagan JK Evans D Mellins RB affil: Center for Urban Epidemiologic Studies, New York City Department of Health and Mental Hygiene, New York, NY 10029, USA. sbonner@nyam.org sug: subj: Asthma Prevention and Control Clinical Assessment Tools In Infancy and Childhood Health Screening In Infancy and Childhood Instrument Validation Questionnaires In Infancy and Childhood Algorithms Asthma Therapy Black Persons Child, Preschool Chronic Disease Confidence Intervals Descriptive Statistics Funding Source Hispanic Americans kappa Statistic New York Parents Physicians Predictive Value of Tests Project Head Start Sensitivity and Specificity Structured Interview Test-Retest Reliability Validation Studies Human Child, Preschool: 2-5 years ab: Although specific tests screen children in preschool programs for vision, hearing, and dental conditions, there are no published validated instruments to detect preschool-age children with asthma, one of the most common pediatric chronic conditions affecting children in economically disadvantaged communities of color. As part of an asthma education intervention, a 15-item Brief Respiratory Questionnaire (BRQ) was developed to detect children with probable asthma in Head Start and subsidized preschool settings in communities with high asthma prevalence and associated morbidity. Preschool personnel administered the BRQ to consenting parents of 419 enrolled children. Trained interviewers administered validation interviews (VALs) to parents of 149 case-positive children and 51 case-negative children. Three physicians independently assessed deidentified summaries of the VALs that captured responses about signs and symptoms of asthma, diagnosis and treatment, and use of medical services. The physicians' assessments of the summarized VALs were the validated standard to which the BRQ classifications were compared. A simple algorithm of 4 items was identified that can be administered and scored by nonmedical preschool personnel in less than 5 minutes. The chance-corrected agreement between these 4 items of the BRQ and the VAL was good: kappa, .73 (95% confidence interval, 0.62-0.84); specificity, 96%; sensitivity, 73%; and positive predictive value, 97%. The BRQ appears to be a valid instrument for detecting children with probable asthma in Head Start and other subsidized preschool settings in communities with high prevalence of asthma. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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