Validating an Asthma Case Detection Instrument in a Head Start Sample

Autor/inn/en	Bonner, Sebastian; Matte, Thomas; Rubin, Mitchell; Sheares, Beverley J.; Fagan, Joanne K.; Evans, David; Mellins, Robert B.
Titel	Validating an Asthma Case Detection Instrument in a Head Start Sample
Quelle	In: Journal of School Health, 76 (2006) 9, S.471-478 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/j.1746-1561.2006.00144.x
Schlagwörter	Diseases; Preschool Education; Preschool Children; Screening Tests; Intervention; Test Items; Questionnaires; Interviews; Parent Participation; Physicians; Clinical Diagnosis; Comparative Analysis; Economically Disadvantaged; Validity + Suchen Sie Ihr Suchwort? Disease; Krankheit; Pre-school education; Vorschulerziehung; Pre-school age; Preschool age; Child; Children; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschule; Screening-Verfahren; Test content; Testaufgabe; Fragebogen; Interviewing; Interviewtechnik; Elternmitwirkung; Physician; Doctor; Arzt; Gültigkeit
Abstract	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, 0.73 (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. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10