title: The Pediatric Asthma Control and Communication Instrument asthma questionnaire: for use in diverse children of all ages.
abstract: BACKGROUND
  National Institutes of Health asthma guidelines recommend questionnaires to assess asthma control, but these questionnaires are not useable across the entire pediatric age spectrum and have not been validated among significant numbers of minority or Spanish-speaking children.
  
  
  OBJECTIVE
  We sought to evaluate a questionnaire designed to assess asthma control across a broad age range of minority and Spanish-speaking children cared for in an outpatient setting.
  
  
  METHODS
  Between July 1, 2007, and September 30, 2010, we collected information using the Pediatric Asthma Control and Communication Instrument (PACCI), the Asthma Control Test (ACT; or the childhood ACT for children 4-11 years old), the Pediatric Asthma Caregiver Quality of Life Questionnaire, and lung function and clinicians' ratings of asthma status among a population of children presenting for routine asthma specialist care. The PACCI measure of asthma control was validated by evaluating accuracy, internal reliability, and concurrent, discriminative, and known-groups validity.
  
  
  RESULTS
  We collected information on 265 English- and 52 Spanish-speaking children (mean age, 8.2 years; 58% male; 44% African American). Across all age groups and in both languages, PACCI control showed good internal reliability and strong concurrent, discriminative, and known-groups validity with ACT and Pediatric Asthma Caregiver Quality of Life Questionnaire scores and clinicians' ratings of asthma control. The accuracy of the PACCI in classifying children with uncontrolled asthma was good (area under the curve, 0.83; 95% CI, 0.79-0.88).
  
  
  CONCLUSIONS
  The PACCI accurately measures asthma control in English- and Spanish-speaking children. The PACCI should be useful to clinicians to assess and classify asthma according to National Institutes of Health asthma guidelines.
authors: Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA. sandeokelo@jhmi.edu
authors: Sande O
authors: SO
authors: Okelo
authors: Michelle N
authors: MN
authors: Eakin
authors: Cecilia M
authors: CM
authors: Patino
authors: Alvin P
authors: AP
authors: Teodoro
authors: Andrew L
authors: AL
authors: Bilderback
authors: Darcy A
authors: DA
authors: Thompson
authors: Antonio
authors: A
authors: Loiaza-Martinez
authors: Cynthia S
authors: CS
authors: Rand
authors: Shannon
authors: S
authors: Thyne
authors: Gregory B
authors: GB
authors: Diette
authors: Kristin A
authors: KA
authors: Riekert
mesh_terms: D001249:Asthma / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D003142:Communication; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011795:Surveys and Questionnaires