A Health-Related Quality of Life Measure for Older Adolescents With Asthma: Child Health Survey for Asthma-T (Teen Version).
BACKGROUND
Although adolescent substance use can have direct effects on asthma symptoms and interact with medications used to treat asthma, no validated health-related quality of life (HRQL) instrument exists for adolescents 17 to 19 years of age with asthma.


OBJECTIVE
The American Academy of Pediatric's HRQL instrument, the Child Health Survey for Asthma (CHSA)-Child version, was modified with a substance use subscale to address outcomes specific to adolescents ages 17 to 19 years with asthma.


METHODS
Two cohorts (N = 70) were recruited for instrument testing at pediatric primary care practices and two university clinics. A small methodological study with 24 adolescents was conducted to obtain initial support of the psychometric properties for the CHSA-Teen version at baseline, day 14, and day 16. A follow-up study included 46 teens to provide further support.


RESULTS
The psychometric properties of the CHSA-Teen version were good and comparable with the CHSA-Child version for feasibility, reliability, and validity.


CONCLUSIONS
Health care providers need to be aware of each adolescent's substance use to personalize counseling related to asthma medications.
Mary C
MC
O'Laughlen
Patricia J
PJ
Hollen
Karen
K
Rance
Virginia
V
Rovnyak
Ivora
I
Hinton
Martha A
MA
Hellems
Linda
L
Radecki
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001249:Asthma / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D015203:Reproducibility of Results; D012648:Self Care / Q000523:psychology*; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D014481:United States / Q000453:epidemiology
Asthma; adolescent substance use; health-related quality of life