TY - JOUR
T1 - Quantification of asthma control
T2 - Validation of the Asthma Control Scoring System
AU - LeBlanc, A.
AU - Robichaud, P.
AU - Lacasse, Y.
AU - Boulet, L. P.
PY - 2007/2
Y1 - 2007/2
N2 - Background: We developed an instrument for quantifying asthma control, the Asthma Control Scoring System (ACSS), based on the criteria proposed by the Canadian Asthma Consensus Guidelines. Objective: To assess the measurement properties of the ACSS. Methods: The ACSS and two other questionnaires were completed by 44 asthmatic patients on a first visit and 2 weeks later. The ACSS evaluates three types of parameters: clinical, physiologic, and inflammatory. These parameters are each quantified to obtain a maximal score of 100% and a global score is calculated as the mean of these scores. Results: The analysis showed sufficient internal consistency for every section of the ACSS (Cronbach's-α ranging from 0.72 to 0.88). Pearson's correlations indicated good test-retest reliability for the clinical score (r = 0.59, P = 0.005), the physiologic score (r = 0.86, P < 0.0001), the inflammatory score (r = 0.71, P = 0.049), and the global score (r = 0.65, P = 0.001). Cross-sectional and longitudinal construct validity were supported by moderate correlations between the ACSS scores and corresponding instruments. Conclusions: The ACSS is a valid tool for quantifying asthma control parameters, using a percent score. Further research should determine the usefulness of such an instrument as a means to improve asthma management and reduce related morbidity.
AB - Background: We developed an instrument for quantifying asthma control, the Asthma Control Scoring System (ACSS), based on the criteria proposed by the Canadian Asthma Consensus Guidelines. Objective: To assess the measurement properties of the ACSS. Methods: The ACSS and two other questionnaires were completed by 44 asthmatic patients on a first visit and 2 weeks later. The ACSS evaluates three types of parameters: clinical, physiologic, and inflammatory. These parameters are each quantified to obtain a maximal score of 100% and a global score is calculated as the mean of these scores. Results: The analysis showed sufficient internal consistency for every section of the ACSS (Cronbach's-α ranging from 0.72 to 0.88). Pearson's correlations indicated good test-retest reliability for the clinical score (r = 0.59, P = 0.005), the physiologic score (r = 0.86, P < 0.0001), the inflammatory score (r = 0.71, P = 0.049), and the global score (r = 0.65, P = 0.001). Cross-sectional and longitudinal construct validity were supported by moderate correlations between the ACSS scores and corresponding instruments. Conclusions: The ACSS is a valid tool for quantifying asthma control parameters, using a percent score. Further research should determine the usefulness of such an instrument as a means to improve asthma management and reduce related morbidity.
KW - Asthma
KW - Asthma control
KW - Asthma management
KW - Measurement
KW - Questionnaire
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U2 - 10.1111/j.1398-9995.2006.01194.x
DO - 10.1111/j.1398-9995.2006.01194.x
M3 - Article
C2 - 17298419
AN - SCOPUS:33846152325
SN - 0105-4538
VL - 62
SP - 120
EP - 125
JO - Allergy: European Journal of Allergy and Clinical Immunology
JF - Allergy: European Journal of Allergy and Clinical Immunology
IS - 2
ER -