Integrated Therapeutics Group Child Asthma Short Form

Name of Questionnaire

Integrated Therapeutics Group Child Asthma Short Form

Description

Disease-specific, self report functional health questionnaire designed for parents of chronic asthma patients ages 5 to 12 years; shortened version of a 17-item questionniare measuring symptoms and disability in pediatric asthma patients developed by Usherwood et al. (1990). ¹

Developer

Original survey developed by TP Usherwood, A Scrimgeour and JH Barber ¹ ; short form developed by DA Bukstein, MM McGrath, DA Buchner, J Landgraf, and TF Goss.

Address

Don A. Bukstein, MD
Dean Medical Center
1313 Fish Hatchery Road
Madison, WI 53715

E-mail

bukstein_don_a@ssmhc.com

Administration

Self administered by parent of patient

Number of items

8

Domains & categories

3 domains

Name of categories/domains

Daytime symptoms (2 items), Nighttime symptoms (2 items), Functional limitations (4 items)

Scaling of items

5-point Likert-type scale: all of the time, most of the time, some of the time, a little of the time, none of the time

Scoring

Items within scales are summed and linearly transformed from 0 to 100, with higher scores indicating better functioning

Reliability

Validity

²

Language

Original: English

References

1. Usherwood TP, Scrimgeour A, Barber JH. Questionnaire to measure perceived symptoms and disability in asthma. Archives of Disease in Childhood 1990;65:779-781.
2. Bukstein DA, McGrath MM, Buchnew DA, Landgraf J, Goss TF. Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients. J Allergy Clin Immunol 2000;105:245-51.

Date of information

February 2001