Validation of the Brief Pediatric Asthma Screen

Raoul L. Wolf, Carolyn Berry, Trimina O'Connor, Lenore Coover

Research output: Contribution to journalArticle

Abstract

Study objectives: The purpose of this study was to confirm the validity of a brief screen for pediatric asthma in schools. Background: Asthma is the most common chronic disease of childhood, yet the frequency with which this condition is recognized among school-aged children varies widely. Several methods are used to increase the accuracy of detection of asthma, but many are cumbersome and difficult to apply on a large scale. Design: We elected to validate a five-question instrument, the Brief Pediatric Asthma Screen (BPAS), to screen for the presence of asthma among children attending school in Region 5 of the Chicago school district, where the schools report a 2.7% frequency of asthma. The questionnaire was distributed to the parents of grade-school children at the time of report-card pick-up. Setting: A clinical assessment was performed on a selected group of children whose parents completed the questionnaire in a school and in a hospital outpatient clinic. Participants: Of 4,147 questionnaires that we distributed, 1,796 (43%) were returned. We excluded 341 children (19% of the total sample) whose parents reported that they had been diagnosed with asthma. The remaining pool indicated that the children of 183 responders (10%) had symptoms suggestive of asthma, while 1,272 parents (71%) indicated that their children did not have symptoms of asthma. Measurements and results: We selected 90 of the respondents who did not indicate that their children had a diagnosis of asthma. Of this group, 81 completed the validation, in which their responses suggested symptoms of asthma (n = 34) or no asthma symptoms (n = 47). The children of these respondents were given a blinded clinical evaluation consisting of history, physical examination, and spirometry. The survey demonstrated a sensitivity of 75% and a specificity of 81.2% for the presence of asthma among those who were unaware of the diagnosis. Conclusions: The BPAS is brief, can be filled out by parents, and appears accurate in detecting asthma.

Original languageEnglish (US)
JournalChest
Volume116
Issue number4 SUPPL. 1
StatePublished - 1999

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Asthma
Pediatrics
Parents
Hospital Outpatient Clinics
Spirometry
Physical Examination
Surveys and Questionnaires
Chronic Disease
History

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Wolf, R. L., Berry, C., O'Connor, T., & Coover, L. (1999). Validation of the Brief Pediatric Asthma Screen. Chest, 116(4 SUPPL. 1).

Validation of the Brief Pediatric Asthma Screen. / Wolf, Raoul L.; Berry, Carolyn; O'Connor, Trimina; Coover, Lenore.

In: Chest, Vol. 116, No. 4 SUPPL. 1, 1999.

Research output: Contribution to journalArticle

Wolf, RL, Berry, C, O'Connor, T & Coover, L 1999, 'Validation of the Brief Pediatric Asthma Screen', Chest, vol. 116, no. 4 SUPPL. 1.
Wolf RL, Berry C, O'Connor T, Coover L. Validation of the Brief Pediatric Asthma Screen. Chest. 1999;116(4 SUPPL. 1).
Wolf, Raoul L. ; Berry, Carolyn ; O'Connor, Trimina ; Coover, Lenore. / Validation of the Brief Pediatric Asthma Screen. In: Chest. 1999 ; Vol. 116, No. 4 SUPPL. 1.
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