Bazán RGE, Forns SD, Remei PS, Torres VLE, Ocaña SH, Paredes RMP, Osorio GM

Idioma: Español
Referencias bibliográficas: 40
Paginas: 169-180
Archivo PDF: 120.42 Kb.

RESUMEN

El objetivo de esta investigación fue analizar el comportamiento psicométrico del cuestionario "Percepción parental de síntomas e incapacidad en asma" (PSI) en la población mexicana. Participaron 330 pacientes con asma y sus cuidadores. Las variables evaluadas fueron la percepción parental de síntomas, la clase social, el género, la edad, la gravedad del asma, el FEV₁ e indicadores tradicionales de morbilidad. En la adaptación lingüística a México participó un panel de expertos y un grupo de 30 cuidadores primarios de niños con asma, que mediante entrevistas evaluaron los ítems. Una vez adaptados lingüísticamente los ítems, se realizó la evaluación del comportamiento psicométrico del instrumento con 300 pacientes y sus cuidadores. Los resultados mostraron una validez y fiabilidad adecuadas. La estructura interna fue unidimensional, se redujo la escala de 17 a 14 ítems y la varianza explicada fue adecuada (56.51%). La fiabilidad fue satisfactoria (test-retest; r = 0.96, p = 0.01; alfa de Cronbach de 0.93). Se concluye que el cuestionario PSI es un instrumento con buenas propiedades psicométricas que puede ser empleado en población mexicana.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Asher MI, Keil U, Anderson HR. International study of asthma and allergies in childhood (ISAAC): rationale and methods. Eur Respir J 1995;8:483-491.

2. Del Rio-Navarro B, Del Rio-Chivardi JM, Berber A, Sienra-Monge JJ, Rosas- Vargas MA, Baeza-Bacad M. Asthma prevalence in children living in north Mexico City and a comparison with other Latin American cities and world regions. Allergy Asthma Proc 2006;27:334-340.

3. Mendoza-Mendoza A, Romero-Cancio JA, Peña-Ríos HD, Vargas MH. Prevalencia de asma en niños escolares de la ciudad mexicana de Hermosillo. Gac Med Mex 2001;137:397-401.

4. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in the parents of children with asthma. Qual Life Res 1996; 5:27-34.

5. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res 1996;5:35-46.

6. Asmussen L, Olson LM, Grant EN, Fagan J, Weiss KB. Reliability and validity of the Children’s Health Survey for Asthma. Pediatrics 1999;104:e71.

7. Asmussen L, Olson LM, Grant EN, Landgraf JM, Fagan J, Weiss KB. Use of the child health questionnaire in a sample of moderate and low-income inner-city children with asthma. Am J Respir Crit Care Med 2000;162(4 Pt 1):1215-1221.

8. Bukstein DA, McGrath MM, Buchner 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(2 Pt 1):245-251.

9. Yawn BP, Wollan P, Kurland M, Bertram S. Comparison of parent and student responses to asthma surveys: students grades 3-12 and their parents from a suburban private school setting. J Sch Health 2006;76:241-245.

10. Van der Molen T, Postma DS, Schreurs AJ, Bosveld HE, Sears MR, Meyboom de Jong M. Discriminative aspects of two generic and two asthma-specific instruments: relation with symptoms, bronchodilator use and lung function in patients with mild asthma. Qual Life Res 1997;6:353-361.

11. Wittich AR, Li Y, Gerald LB. Comparison of parent and student responses to asthma surveys: students grades 1-4 and their parents from an urban public school setting. J Sch Health 2006;76:236-240.

12. Annett RD, Bender BG, DuHamel TR, Lapidus J. Factors influencing parent reports on quality of life for children with asthma. J Asthma 2003;40:577-587.

13. Guyatt GH, Juniper EF, Griffith LE, Feeny DH, Ferrie PJ. Children and adult perceptions of childhood asthma. Pediatrics 1997;99:165-168.

14. Usherwood TP, Scrimgeour A, Barber JH. Questionnaire to measure perceived symptoms and disability in asthma. Arch Dis Child 1990;65:779-781.

15. Kinsman RA, Luparello T, O’banion K, Spector S. Multidimensional analysis of the subjective symptomatology of asthma. Psychosom Med 1973;35:250-267.

16. Chetta A, Castagnaro A, Foresi A, et ál. Assessment of breathlessness perception by borg scale in asthmatic patients: reproducibility and applicability to different stimuli. J Asthma 2003; 40:323-329.

17. Cohen R, Franco K, Motlow F, Reznik M, Ozuah PO. Perceptions and attitudes of adolescents with asthma. J Asthma 2003;40:207-211.

18. Grech V, Agius-Muscat H, Montefort S, Lenicker H. Recognition of asthmatic symptoms in the pediatric age group. Pediatr Allergy Immunol 2001;12:49-53.

19. Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003;326:1308-1309.

20. Olson LM, Radecki L, Frintner MP, Weiss KB, Korfmacher J, Siegel RM. At what age can children report dependably on their asthma health status? Pediatrics 2007;119: e93-e102.

21. Cane RS, Ranganathan SC, McKenzie SA. What do parents of wheezy children understand by "wheeze"? Arch Dis Child 2000;82:327-332.

22. Lozano P, Grothaus LC, Finkelstein JA, Hecht J, Farber HJ, Lieu TA. Variability in asthma care and services for low-income populations among practice sites in managed Medicaid systems. Health Serv Res 2003;38(6 Part 1):1563-1578.

23. McMullen AH, Yoos HL, Kitzman H. Peak flow meters in childhood asthma: parent report of use and perceived usefulness. J Pediatr Health Care 2002;16:67-72.

24. Ho J, Bender BG, Gavin LA, O’Connor SL, Wamboldt MZ, Wamboldt FS. Relations among asthma knowledge, treatment adherence, and outcome. J Allergy Clin Immunol 2003;111:498-502.

25. Lieu TA, Lozano P, Finkelstein JA, et ál. Racial/ethnic variation in asthma status and management practices among children in managed medicaid. Pediatrics 2002; 109:857-865.

26. Yoos HL, Kitzman H, McMullen A, Sidora K. Symptom perception in childhood asthma: how accurate are children and their parents? J Asthma 2003;40:27-39.

27. Lara M, Sherbourne C, Duan N, Morales L, Gergen P, Brook RH. An English and Spanish Pediatric Asthma Symptom Scale. Med Care 2000;38:342-350.

28. Forns SD, Prat RS, Tauler E, Bosque M. Percepción de síntomas y limitación de actividades cotidianas en niños y adolescentes asmáticos. Allergol et Immunopathol 2007;35(supl 1):44-54.

29. Steen N, Hutchinson A, McColl E, et ál. Development of a symptom based outcome measure for asthma. BMJ 1994;309:1065-1068.

30. Powell CV, McNamara P, Solis A, Shaw NJ. A parent completed questionnaire to describe the patterns of wheezing and other respiratory symptoms in infants and preschool children. Arch Dis Child 2002;87:376-379.

31. Hollingshead AB. Four factor index of social status: Unpublished manuscript. USA: Yale University, Department of Sociology;1975.p.387-397.

32. Lewis CC, Pantell RH, Kieckhefer GM. Assessment of children’s health status. Field test of new approaches. Med Care 1989;27(3 suppl):S54-S56.

33. Anastasi A, Urbina S. Test psicométricos. 7a ed. México: Preantice Hall; 1998.p.172-202.

34. Kleinbaum DG, Kupper L, Muller K, Nizam A. Applied regression analysis and other multivariable methods. USA: Wadsworth Publishing;1998.p.595-642.

35. Nunnally ML, Bernstein IJ. Teoría psicométrica. Madrid: McGraw-Hill;1995.p.327-346.

36. Carretero-Dios H, Pérez C. Normas para desarrollo y revisión de estudios instrumentales. Int J Clin Health Psychol 2005;5:521-551.

37. Manning HL, Schwartzstein RM. Respiratory sensations in asthma: physiological and clinical implications. J Asthma 2001;38:447-460.

38. Osman LM, McKenzie L, Cairns J, et ál. Patient weighting of importance of asthma symptoms. Thorax 2001;56:138-142.

39. Rietveld S, Prins PJM, Colland VT. Accuracy of symptom perception in asthma and illness severity. Child Health Care 2001;30:27-41.

40. Butte M, Schneider LC. Asthma medication use and disease burden in children in a primary care population. Pediatrics 2004;114:530.