title: Asthma Control Test.
abstract: We compared results of a modified version of the Asthma Control Test using parent proxy report (PP-ACT) with results reported by children and parents using the validated Childhood-Asthma Control Test (C-ACT). 104 parent-child dyads with a child aged 6 to 12 years with asthma were randomized to complete PP-ACT followed by C-ACT or C-ACT followed by PP-ACT. Scores ≤19 indicated uncontrolled asthma. We calculated sensitivity, specificity, positive predictive value, and negative predictive value for the PP-ACT in comparison with the C-ACT, and calculated concordance between the 2 scales. The PP-ACT had sensitivity of 86% and negative predictive value of 88% for detecting uncontrolled asthma. More than 75% of surveys were concordant (κ = 0.54, moderate agreement). Our results suggest that while the PP-ACT missed few children with uncontrolled asthma and may simplify reporting of asthma control in circumstances when child report is not feasible or creates barriers to survey receipt, limitations of proxy reporting should be considered.
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Nathalie
authors: N
authors: duRivage
authors: 2 University of Pennsylvania, Philadelphia, PA, USA.
authors: Michelle
authors: M
authors: Ross
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Stephanie L
authors: SL
authors: Mayne
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Andrew
authors: A
authors: Suh
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Daniel
authors: D
authors: Weng
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.|2 University of Pennsylvania, Philadelphia, PA, USA.
authors: Robert W
authors: RW
authors: Grundmeier
authors: 1 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.|2 University of Pennsylvania, Philadelphia, PA, USA.|3 American Academy of Pediatrics, Elk Grove Village, IL, USA.
authors: Alexander G
authors: AG
authors: Fiks
mesh_terms: D001249:Asthma / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D015203:Reproducibility of Results; D012648:Self Care / Q000379:methods*; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
keywords: Asthma Control Test; asthma; parent proxy reporting