Reliability and validity of the Chinese version of the Test for Respiratory and Asthma Control in Kids (TRACK) in preschool children with asthma: a prospective validation study
Lei Zhang,
Hao Zhang,
Jing Zhang,
Liebin Zhao,
Deyu Zhao,
Zhimin Chen,
Shenghui Li,
ShuHua Yuan,
Mingyu Tang,
YuFen Wu,
Wenwei Zhong,
Juan Xu,
Li Xia Zhao,
Shi Ying Liu,
Jianguo Hong,
Yong Yin
Affiliations
Lei Zhang
Oriental Pan-Vascular Devices Innovation College, University of Shanghai for Science and Technology, Shanghai, China
Hao Zhang
Department of General Surgery, Jinan University First Affiliated Hospital, Institute of Precision Cancer Medicine and Pathology, School of Medicine, Jinan University, Guangzhou, Guangdong, China
Jing Zhang
Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, China
Liebin Zhao
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Deyu Zhao
Respiratory Medicine, Nanjing Children’s Hospital, Nanjing Medical University, Nanjing, China
Zhimin Chen
Respiratory Medicine, The Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, China
Shenghui Li
4 College of Food Science and Nutritional Engineering, China Agricultural University, Beijing, China
ShuHua Yuan
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Mingyu Tang
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
YuFen Wu
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Wenwei Zhong
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Juan Xu
Department of Nursing, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China
Li Xia Zhao
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Shi Ying Liu
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Jianguo Hong
Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China
Yong Yin
Respiratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
Objective The limited existing asthma control questionnaires that are available for children 5 years of age or younger in China mostly assess only the impairment domain of asthma control. Here, the English version of the Test for Respiratory and Asthma Control in Kids (TRACK) was translated into Chinese and validated for its application in asthma control in preschool children.Design Prospective validation study.Setting and participants A total of 321 Chinese preschool children suffering from asthma completed the study from December 2017 to February 2018.Method The TRACK translation into Chinese employed the translation and back translation technique. The caregivers of the preschool children with asthma symptoms completed TRACK during two clinical visits over 4–6 weeks. Moreover, the physicians completed a Global Initiative for Asthma (GINA)-based asthma control survey at both visits. The utility of TRACK for assessing the change in asthma control status and its reliability and discriminant validity were evaluated.Results The Chinese version of TRACK showed internal consistency reliability values of 0.63 and 0.71 at each visit, respectively (Cronbach’s α). The test–retest reliability was 0.62 for individuals whose GINA-based assessment results were the same at both visits (n=206). The TRACK scores for the children in the various asthma control categories were significantly different (p<0.001). Children recommended for increased treatment by the physicians had lower TRACK scores than those recommended for no change in treatment or decreased treatment (p<0.001).Conclusion The study verifies the validity and reliability of the Chinese version of TRACK. Changes in the TRACK scores effectively reflected the level of asthma control in preschool children and guided further treatment strategies.Trial registration number NCT02649803