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Table 2 Characteristics of CARATkids (test version) and comparison with other questionnaires analyzed during the consensus meetings

From: Development process and cognitive testing of CARATkids - Control of Allergic Rhinitis and Asthma Test for children

  CARATkids (test version) ATAQ-Children C-ACT The asthma quiz for kidz TRACK CARAT17
Target population
Age group 4-12 years 5-17 years 4-11 years 1-17 years <5 years Adults
Disease (s) ARA Asthma Asthma Asthma Asthma ARA
Basis for questionnaire development CARAT17 (Literature review) ATAQ for adults NAEPP guidelines [19] GINA guidelines (Literature review) Clinical criteria of the Canadian Asthma Consensus Statement [20] Content generated from 2 focus groups NAEPP guidelines [19] Literature review with item generation
Questionnaires structure
Questions, n 17 20¥ 7 (4 + 3)* 6 5 17
Input (versions, n) Child and caregiver (2) Caregiver (1) Child and caregiver (1*) Child and caregiver (1)† Caregiver (1) NA
Agreement (child/caregiver) 61% NA 80% 85% NA NA
Time frame Questions 1-14: none Questions 15-17: 2 W Recent symptoms: 4 W Chronic symptoms: 12 M Child’s questions: present Caregiver’s questions: 4 W Questions 1-4: last week Questions 5-6: preceding 30 D Questions 1-3: 4 W Question 4: 3 M Question 5: 12 M 4 W
Scale (s) Dichotomous Dichotomous 4-point Likert Dichotomous 5-point Likert Questions 1–13, 15: 4-point Likert Questions 14, 16, 17: dichotomous
Drawings Yes (questions) No Yes (answers) Yes (questions) No NA
Items/symptoms - Nasal obstruction - Control: - Child: - Cough, wheeze or hard time breathing - Wheezing, coughing or shortness of breath - Nasal obstruction
  - Sneezes -- Wheeze with exercise -- Asthma today    - Sneezes
       - Nasal itching
  -Nasal itching -Wheeze not exercising --Asthma with exercise - Wake up at night   - Nose dripping
      - Interference with exercise or usual activities - Throat symptoms
  - Nose dripping      - Eye symptoms
  - Throat symptoms -- School absenteeism -- Cough - Use of the blue puffer/pump   
      - Wake up at night - Shortness of breath
  - Eye symptoms   -- Wake up during the night   - use of rescue medication  
  - Shortness of breath -- Daily activity loss   - Cough, wheeze or hard time breathing with exercise (less exercise than previously)   - Wheezing
       - Chest tightness with efforts
  - Wheezing     - Use of oral corticosteroids - Cough
       - Tiredness in daily activities
   -- Parent assessment of control - Caregiver:    
       - Wake up during the night
  - Chest tightness with efforts   -- Daytime symptoms    
   -- Use of quick     - Work/School absenteeism
  - Cough      
    -- Wheeze during the day    
       - Increase the use of medication
  - Tiredness in daily      
       - Go to a doctor
       - Be hospitalized
  Activities      
  - Wake up during the night Reliever -- Wake up during the night - School absenteeism   
   -- Dissatisfaction with treatment     
  - Work/School absenteeism    - Unscheduled medical appointment   
  - Increase the use of medication      
  - Go to a doctor      
  - Be hospitalized      
   -- Use of controller medication     
   - Attitude/behavior     
   - Self-efficacy     
   - Patient-provider communication     
  1. ATAQ – Asthma Therapy Assessment Questionnaire (ATAQ) for Children and Adolescents; CARAT17 – Control of Allergic Rhinitis and Asthma Test (17-item version); C-ACT – Childhood – Asthma Control Test; ACT – Asthma Control Test; TRACK – Test for Respiratory and Asthma Control in Kids; CARATkids – Pediatric Control of Allergic Rhinitis and Asthma Test; ARA – Allergic Rhinitis and Asthma; NAEPP – National Asthma Education and Prevention Program; GINA – Global Initiative for Asthma.
  2. W - week; M – month; D – day; NA – Not applicable.
  3. ¥ 7 on asthma control; * includes different questions for child, 4 questions, and caregiver, 3 questions; † when the child is 8 years or younger the questionnaire is completed by the caregiver with the child’s input; ‡ including physicians and primary caregivers of children with recurring respiratory problems or asthma.