Reliability and predictive validity of the Asthma Control Test administered by telephone calls using speech recognition technology
Reliability and predictive validity of the Asthma Control Test administered by telephone calls using speech recognition technology
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DOI：
10.1016/j.jaci.2006.08.042
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发表时间：
2007-02-01
影响因子：
14.2
通讯作者：
Kosinski, Mark
中科院分区：
文献类型：
--
作者：
Schatz, Michael;Zeiger, Robert S.;Kosinski, Mark
背景：哮喘控制测试（ACT）已通过纸笔测试，但尚未通过电话测试。目的：本研究的目的是为使用语音识别技术的交互式电话进行ACT提供验证数据。方法：对确诊为医生诊断哮喘的患者进行ACT，并在电话中获得有关种族/民族、吸烟和哮喘病程的信息。评估每位患者就诊后12个月的哮喘急诊科就诊、住院情况以及口服皮质类固醇和β激动剂的配药情况。评估内部一致性、信度和预测效度。结果：2244例患者完成了哮喘控制测试分数（越高表明控制越好），与黑人或西班牙裔种族/民族和吸烟呈负相关。信度为0.83。在随后的6个月和12个月期间，ACT分数与医院急诊护理和口服皮质类固醇和p激动剂配药显著相关。在调整人口统计学特征后，得分= 20。结论：这些数据支持使用语音识别技术的交互式电话呼叫进行ACT的可靠性和预测有效性。临床意义：ACT可以通过使用语音识别技术的交互式电话进行外展或随访。
Background: The Asthma Control Test (ACT) has been validated in a paper and pencil version but has not been validated for use by telephone.Objective: The purpose of this study was to provide validation data for the ACT administered by interactive telephone calls using speech recognition technology.Methods: The ACT was administered to patients who confirmed a diagnosis of physician-diagnosed asthma, and information regarding race/ethnicity, smoking, and asthma course was also obtained during the call. Asthma emergency department visits, hospitalizations, and oral corticosteroid and beta-agonist canister dispensings were assessed for the 12 months after the date of each patient's call. Internal consistency reliability and predictive validity were assessed.Results: Asthma Control Test scores (higher indicates better control) were completed by 2244 patients and were inversely related to black or Hispanic race/ethnicity and smoking. Reliability was 0.83. ACT scores were significantly related to emergency hospital care and oral corticosteroid and P-agonist dispensings over the period of the subsequent 6 and 12 months. After adjusting for demographic characteristics, a score = 20.Conclusion: These data support the reliability and predictive validity of the ACT administered by interactive telephone calls using speech recognition technology.Clinical implications: The ACT can be used for outreach or follow-up by means of interactive telephone calls using speech recognition technology.