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The Asthma Therapy Assessment Questionnaire (ATAQ) for Children and Adolescents

机译：儿童和青少年哮喘治疗评估问卷（ATAQ）

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The Asthma Therapy Assessment Questionnaire (ATAQ) for children and adolescents was developed to assist clinicians and health plans to identify children at risk for adverse outcomes of asthma. ATAQ is a brief, 20-item parent-completed questionnaire that generates indicators of potential care problems in several categories, including symptom control, behavior and attitude barriers, self-efficacy barriers, and communication gaps. This paper describes testing of the internal consistency and construct validity of the instrument. A cross-sectional mail survey with telephone follow-up was conducted with parents of 434 children aged 5-17 years being treated for asthma and enrolled in three managed care organizations in the Midwestern and Northeastern United States. ATAQ scales were evaluated using correlations with measures of health status, asthma impact, and healthcare utilization. ATAQ demonstrated good internal consistency and the hypothesized relationships to corresponding measures from existing instruments. Asthma control was significantly associated with measures of physical health, psychosocial health, resource use, and family impact. "Shared decision making," an indicator of patient-provider communication and involvement of the parent and child in developing asthma management plans, was significantly and positively associated with symptoms and parental satisfaction. Other ATAQ components showed similar associations. ATAQ appears to have satisfactory measurement properties and is ready for use to identify patients who might benefit from further disease management efforts or medical attention.
机译：制定了针对儿童和青少年的哮喘治疗评估问卷（ATAQ），以协助临床医生和健康计划来识别处于哮喘不良后果风险中的儿童。 ATAQ是一份简短的，由父母填写的，包含20个项目的问卷，可针对几种类别的潜在护理问题提供指标，包括症状控制，行为和态度障碍，自我效能障碍和沟通差距。本文介绍了仪器内部一致性和结构有效性的测试。在美国中西部和东北部的三个管理式护理组织中，对434名年龄在5-17岁的儿童进行哮喘治疗并纳入其管理的父母进行了电话随访的横断面调查。 ATAQ量表使用与健康状况，哮喘影响和医疗保健利用率的相关性进行评估。 ATAQ表现出良好的内部一致性以及与现有工具的相应度量之间的假设关系。哮喘控制与身体健康，心理社会健康，资源使用和家庭影响的测量显着相关。 “共同决策”是患者与供应商之间的交流以及父母和孩子参与制定哮喘管理计划的指标，与症状和父母满意度显着且正相关。其他ATAQ组件显示相似的关联。 ATAQ似乎具有令人满意的测量性能，可随时用于识别可能从进一步的疾病管理工作或医疗护理中受益的患者。

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