Asthma and lower airway diseaseMonitoring childhood asthma: Web-based diaries and the asthma control test
Section snippets
Methods
This study is part of the multicenter study BATMAN (Better Asthma Treatment: Monitoring with ACT and Nitric Oxide), a prospective, randomized controlled trial in the Netherlands on new monitoring strategies in children with asthma, with a follow-up of 1 year (trial no. NTR 1995). At baseline (t = 0), parents and children completed a C-ACT or an ACT (if ≥12 years), and fractional exhaled nitric oxide (FENO) was measured (Fig 1). Subsequently, the patients and/or their parents filled in a daily
Results
Two hundred twenty-eight patients (67% boys) participated; their mean (SD) age was 10.5 ± 3.0 years. Baseline characteristics are shown in Table I. Seven patients dropped out because they did not complete 50% of all diaries or they did not show up at their second visit.
Discussion
In this study, we established the feasibility and validity of a Web-based asthma diary to monitor asthma control in children. The correlation between diary scores and C-ACT and ACT was high, and the Web-based diaries were able to detect changes in asthma control. We determined the optimal cutoff for defining well-controlled asthma and the clinically relevant changes in C-ACT score, ACT score, and diary score. Evaluation of symptoms should be a core asthma outcome measure in clinical research,
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2019, Jornal de PediatriaCitation Excerpt :In 2008, Strunk et al.25 evaluated the quality of life of asthmatic children and their respective parents and relatives, demonstrating that both parents and direct relatives of asthmatic children score higher (6.8) on the quality of life questionnaire than asthmatic children (6.6). Bergen et al. (2014)31 evaluated the quality of life of children and their families, and also identified that parents and family members had a better quality of life than the children (6.5 vs. 6.2). Children with well-controlled asthma had a quality of life score (PAQLQ and PACQLQ) that showed a significant difference between children with partially controlled or uncontrolled asthma (p < 0.001).
This study is part of the BATMAN study (Better Asthma Treatment: Monitoring with ACT and Nitric Oxide), which was funded by ZonMW Netherlands, Dutch Lung Fund, and Fund Nuts Ohra.
Disclosure of potential conflict of interest: A. A. Vaessen-Verberne has received one or more payments for educational lectures for general practitioners. H. J. Brackel is a member of the pediatric pulmonology advisory board of GlaxoSmithKline, has received one or more payments for educational lectures for primary physicians and pediatricians on asthma, and has received one or more payments for the development of online educational presentations on asthma. M. W. Pijnenburg has been supported by one or more grants from ZonMW, the Dutch Lung Fund, and Fund NutsOhra, and has received one or more payments for lecturing from GlaxoSmithKline and AbbVie. The rest of the authors declare that they have no relevant conflicts of interest.