Asking the correct questions to assess asthma symptoms

Michael D. Cabana, Kathryn K. Slish, Bin Nan, Xihong Lin, Noreen M. Clark

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

A national survey of 896 parents of children with asthma was performed and responses to 2 types of inquiry were compared: global assessment versus specific assessment of symptoms. Almost all parents, 860 (96%), described their child's asthma as under "good control" when asked a global assessment question. However, 306 (34%) - when asked specific questions - actually described poor asthma control with frequent symptoms. Medicaid insurance (OR: 1.59; 95% CI: 1.03, 2.44) and parental smoking (OR: 1.60; 95% CI: 1.06, 2.43) increased the likelihood that parents' responses would be at risk for misinterpretation. Increased education (OR 0.41: 95% CI: 0.18, 0.91) and English as the primary language (OR 0.39; 95% CI 0.16, 0.96) were associated with decreased likelihood of misinterpretation. Vague, global assessment questions lead to incomplete clinical information and places the patient at risk for inadequate asthma therapy. A better approach is to use specific questions to determine the frequency of daytime or nighttime symptoms.

Original languageEnglish (US)
Pages (from-to)319-325
Number of pages7
JournalClinical Pediatrics
Volume44
Issue number4
DOIs
StatePublished - May 1 2005
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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