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Published in: Respiratory Research 1/2009

Open Access 01-12-2009 | Research

Control of allergic rhinitis and asthma test – a formal approach to the development of a measuring tool

Authors: Luis Nogueira-Silva, Sonia V Martins, Ricardo Cruz-Correia, Luis F Azevedo, Mario Morais-Almeida, António Bugalho-Almeida, Marianela Vaz, Altamiro Costa-Pereira, Joao A Fonseca

Published in: Respiratory Research | Issue 1/2009

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Abstract

Background

The concurrent management of allergic rhinitis and asthma (ARA) has been recommended by Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines. However, a tool capable of assessing simultaneously the control of upper and lower airways diseases is lacking.

Aim

To describe the studies conducted to design the control of ARA test (CARAT) questionnaire.

Methods

We performed a literature review to generate a list of potentially important items for the assessment of control of ARA. A formal consensus development process, that used an innovative web-based application, was designed – 111 experts in ARA and 60 patients participated. At the final consensus meeting, 25 primary and secondary care physicians formulated the questions and response options. A qualitative feasibility study (n = 31 patients) was conducted to evaluate the comprehensibility of the questionnaire while testing two different designs.

Results

Thirty-four potentially important items were identified. All the steps of the consensus process were completed in 2.5 months. The opinions of experts and patients lead to the formulation of 17 questions. At the feasibility study the instructions and wording problems were corrected and a semi-tabular format was chosen.

Conclusion

A tool to measure the control of allergic rhinitis and asthma was developed using a comprehensive set of methodological steps ensuring the design quality and the face and content validity. Additional validation studies to assess the psychometric properties of the questionnaire have started.
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Metadata
Title
Control of allergic rhinitis and asthma test – a formal approach to the development of a measuring tool
Authors
Luis Nogueira-Silva
Sonia V Martins
Ricardo Cruz-Correia
Luis F Azevedo
Mario Morais-Almeida
António Bugalho-Almeida
Marianela Vaz
Altamiro Costa-Pereira
Joao A Fonseca
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2009
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-10-52

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