Psychometric properties of the Brazilian Pediatric Asthma Control and
Communication Instrument - electronic version
Abstract
Introduction: Validated instruments assess asthma control,
improving its management. Most are available only in electronic
versions, which may limit the assessment of children who live far from
reference centers. Nevertheless, electronic instruments for assessing
asthma control in the Brazilian population are scarce.
Objective: To assess the psychometric properties of the
electronic version of the Pediatric Asthma Control and Communication
Instrument (e-PACCI). Methods: This exploratory psychometric
study included caregivers of children or adolescents diagnosed with
asthma. Those who dropped out or had difficulties understanding and
communicating were excluded. A two-week interval was adopted between the
standard interview and e-PACCI assessments. Results: A total of
62 individuals were included in the study; 95.1% were women. The
e-PACCI presented good internal consistency (Cronbach’s α = 0.84) and
agreement (ICC = 0.87; CI = 0.81 to 0.91; p < 0.001). The
t-test demonstrated equality between versions (p = 0.94). The criterion
validity for the asthma control domain presented a moderate correlation
between versions (r = 0.52; p = 0.01), and the Spearman test correlated
the Pediatric Quality of Life Inventory with the asthma control domain
of the e-PACCI for construct validity. The asthma symptoms and treatment
problems domains presented moderate (r = 0.63; p < 0.001) and
weak correlations (r = 0.28; p = 0.02), respectively. In addition, the
worry and communication domains did not correlate. Conclusion:
The e-PACCI demonstrated reliable and valid psychometric properties.