Validation of an asthma symptom diary for interventional studies

OBJECTIVE The Pediatric Asthma Diary was developed and validated to assess efficacy of interventions in children with asthma. DESIGN, PATIENTS, AND SETTING Diary validation was performed in a three week, prospective study of 106 children aged 6–14 years with asthma. Children were classified at basel...

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Bibliographic Details
Published in:Archives of disease in childhood 1999-05, Vol.80 (5), p.414-420
Main Authors: Santanello, Nancy C, Davies, Glenn, Galant, Stanley P, Pedinoff, Andrew, Sveum, Richard, Seltzer, James, Seidenberg, Beth C, Knorr, Barbara A
Format: Article
Language:English
Subjects:
Absenteeism
Adolescent
Adolescents
Airway management
Asthma
Asthma - drug therapy
Asthma - physiopathology
Biological and medical sciences
Child
Children & youth
Chronic obstructive pulmonary disease, asthma
Clinical trials
Diaries
Forced Expiratory Volume
Health Status Indicators
Humans
Measurement Techniques
Medical Records
Medical sciences
Medical Services
Original
Outcome Measures
outcomes research
Parents
Parents & parenting
Pediatric Asthma Diary
Pediatrics
Physicians
Pneumology
Prospective Studies
Quality of Life
questionnaire
reliability and validity
Reproducibility of Results
Self Efficacy
Self Management
Severity of Illness Index
Supervision
Teenagers
Treatment Outcome
United States
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Summary:OBJECTIVE The Pediatric Asthma Diary was developed and validated to assess efficacy of interventions in children with asthma. DESIGN, PATIENTS, AND SETTING Diary validation was performed in a three week, prospective study of 106 children aged 6–14 years with asthma. Children were classified at baseline as either stable (requiring no additional asthma treatment) or new onset/worse (requiring either addition of or increase in anti-inflammatory treatment). RESULTS A daytime symptom scale and “day without asthma” were defined from diary questions. Both measures demonstrated significant validity and responsiveness to anti-inflammatory treatment. The stable group experienced a higher percentage of days without asthma during week 1 compared with the new onset/worse group (39.6%v 11.6%, respectively). The new onset/worse patients experienced significant improvement in days without asthma (24.5%) compared with stable patients (6.4%). CONCLUSIONS The Pediatric Asthma Diary daytime symptom scale and day without asthma are acceptable measures for use in asthma intervention studies of children aged 6–14 years.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.80.5.414