A Health-Related Quality of Life Measure for Older Adolescents With Asthma: Child Health Survey for Asthma-T (Teen Version)

J Pediatr Health Care. 2015 Sep-Oct;29(5):402-12. doi: 10.1016/j.pedhc.2015.01.003. Epub 2015 Mar 4.

Abstract

Background: Although adolescent substance use can have direct effects on asthma symptoms and interact with medications used to treat asthma, no validated health-related quality of life (HRQL) instrument exists for adolescents 17 to 19 years of age with asthma.

Purpose: The American Academy of Pediatric's HRQL instrument, the Child Health Survey for Asthma (CHSA)-Child version, was modified with a substance use subscale to address outcomes specific to adolescents ages 17 to 19 years with asthma.

Methods: Two cohorts (N = 70) were recruited for instrument testing at pediatric primary care practices and two university clinics. A small methodological study with 24 adolescents was conducted to obtain initial support of the psychometric properties for the CHSA-Teen version at baseline, day 14, and day 16. A follow-up study included 46 teens to provide further support.

Results: The psychometric properties of the CHSA-Teen version were good and comparable with the CHSA-Child version for feasibility, reliability, and validity.

Conclusions: Health care providers need to be aware of each adolescent's substance use to personalize counseling related to asthma medications.

Keywords: Asthma; adolescent substance use; health-related quality of life.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Asthma / epidemiology
  • Asthma / physiopathology
  • Asthma / psychology*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice
  • Hospitals, University
  • Humans
  • Male
  • Parents / psychology
  • Psychometrics
  • Quality of Life / psychology*
  • Reproducibility of Results
  • Self Care / psychology*
  • Severity of Illness Index
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology*
  • United States / epidemiology