Megan E. Jensen, PhD, Morton J

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Presentation transcript:

Caregiver's functional status during a young child's asthma exacerbation: A validated instrument Megan E. Jensen, PhD, Morton J. Mendelson, PhD, Eve Desplats, MSc, Xun Zhang, PhD, Robert Platt, PhD, Francine M. Ducharme, MD Journal of Allergy and Clinical Immunology Volume 137, Issue 3, Pages 782-788.e6 (March 2016) DOI: 10.1016/j.jaci.2015.08.031 Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Selection of the ECAP questionnaire for analyses of psychometric properties. The selection of ECAP questionnaires per our a priori definitions is presented in the graph. *A valid ECAP questionnaire is defined as containing no more than 1 missing or “cannot answer” item. †The asthma diary is a valid 17-item instrument17 completed daily during an episode. A valid asthma diary set is defined as containing at least 2 consecutive days and no more than 1 missing or “cannot answer” item per day per episode. An asthma exacerbation was defined as at least 2 symptomatic days, with a symptomatic day requiring a score of 2 or greater for 2 of the 3 following symptoms: cough, wheezing, and dyspnea. ‡Oral corticosteroid medication was recorded from pharmacy and medical notes; acute care presentations and hospitalizations were recorded from medical notes. Journal of Allergy and Clinical Immunology 2016 137, 782-788.e6DOI: (10.1016/j.jaci.2015.08.031) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Discriminant validity of the ECAP questionnaire. Mean ECAP scores are displayed on a scale of 1 to 7 for flare-ups that did or did not result in an exacerbation, which was defined as 2 or more symptomatic days in the validated asthma symptom diary set17 for the index episode (A); an acute care visit (B); use of rescue oral corticosteroids (C); or a hospital admission (D). Error bars represent 95% CIs around mean scores. †The mean group difference (95% CI) is reported at the top of each graph. Journal of Allergy and Clinical Immunology 2016 137, 782-788.e6DOI: (10.1016/j.jaci.2015.08.031) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Correlation between the ECAP score and several indicators of caregiver burden. The figure depicts correlations of the ECAP score with the PACQLQ score on a scale of 1 to 7 (A) and the caregivers' global assessment of the burden of their child's asthma exacerbation on a scale of 1 to 7 (B). Journal of Allergy and Clinical Immunology 2016 137, 782-788.e6DOI: (10.1016/j.jaci.2015.08.031) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 English version of the 21-item ECAP questionnaire for caregivers of children aged 1 to 6 years during an asthma exacerbation. Journal of Allergy and Clinical Immunology 2016 137, 782-788.e6DOI: (10.1016/j.jaci.2015.08.031) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 Effets d'une crise d'asthme du jeune enfant sur les parents: French version of the 21-item ECAP questionnaire for caregivers of children aged 1 to 6 years during an asthma exacerbation. Journal of Allergy and Clinical Immunology 2016 137, 782-788.e6DOI: (10.1016/j.jaci.2015.08.031) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions