Comparison of parent and student responses to asthma surveys: students grades 1-4 and their parents from an urban public school setting.
Comparison of parent and student responses to asthma surveys: students grades 1-4 and their parents from an urban public school setting.
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家长和学生对哮喘调查的反应比较：来自城市公立学校的 1-4 年级学生及其家长。
DOI：
10.1111/j.1746-1561.2006.0104_1.x
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Gerald,LynnB
中科院分区：
文献类型：
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作者：
Wittich,AngelinaR;Li,Yufeng;Gerald,LynnB
这项研究比较了父母和孩子对症状问卷的反应，以此确定儿童和父母的反应在病例检测程序中是否具有同等价值。我们完成了一项验证多阶段病例检测程序的研究。病例检测程序根据家长的问卷回答将学生分为 3 类（疑似哮喘、可能哮喘和哮喘阴性）。通过问卷调查被归类为可能哮喘的人接受了进一步的测试，包括肺活量测定和运动挑战。检测结果异常的儿童被认为可能患有哮喘。 McNemar 检验和 kappa 系数用于检验亲子一致性。使用父母或孩子对调查问卷的回答来比较病例检测程序的敏感性和特异性。数据表明，父母和孩子对有关先前哮喘诊断和过去哮喘治疗的问题的回答具有中等程度的一致性（p < .001，kappa 系数分别为 0.6030 和 0.5966）。当使用父母或儿童对问卷的回答时，多阶段病例检测程序的敏感性、特异性和预测值相似。在假阴性中，无论使用儿童还是家长的反应，哮喘严重程度的分布都是一致的。亲子协议并没有因孩子的性别、年龄或孩子之前是否患有哮喘而有显着差异。这些结果表明，使用儿童反应是病例检测的一个可行选择，特别是在识别那些既往诊断为哮喘的患者方面。(J Sch Health. 2006;76(6):236‐240)
This study compared parent and child responses to a symptom questionnaire as a means of determining whether child and parent responses are equally valuable in case‐detection procedures. We completed a study validating a multistage case‐detection procedure. The case‐detection procedure classified students into 3 categories based on their parents’ questionnaire responses (probable asthma, possible asthma, and negative for asthma). Those who were classified as possible asthma by questionnaire underwent further testing, including spirometry and exercise challenge. The children with abnormal testing results were considered to have probable asthma. McNemar’s test and kappa coefficients were used to examine parent‐child agreement. Sensitivity and specificity of the case‐detection procedure were compared using either the parent’s or the child’s responses to the questionnaire. The data indicated moderate agreement between parent and child responses to questions regarding previous diagnosis of asthma and past asthma therapy (p < .001, kappa coefficients of 0.6030 and 0.5966, respectively). Sensitivity, specificity, and predictive values in the multistage case‐detection procedure were similar when using either parent or child responses to the questionnaire. Among the false negatives, the distribution of asthma severity was consistent whether using child or parent responses. Parent‐child agreement did not differ significantly by gender or age of the child or whether the child had a previous diagnosis of asthma. These results suggest that the use of child responses is a viable option for case detection, particularly in identifying those with a previous diagnosis of asthma.(J Sch Health. 2006;76(6):236‐240)