Browsing by Author "Zeyrek, Dost"

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    Perceptions of parents and physicians concerning the childhood asthma control test
    (Taylor & Francis, 2012-10) Soyer, Özge Uysal; Öztürk, Fadıl; Keskin, Özlem; Asilsoy, Suna; Altınel, Nazan; Karaman, Özkan; Yazıcıoğlu, Mehtap; Zeyrek, Dost; Kuyucu, Semanur; Özmen, Serap; Reisli, İsmail; Aydoğan, Metin; Altıntaş, Derya Ufuk; Orhan, Fazıl; Yüksel, Hasan; Boz, Ayşen Bingöl; Gürkan, Fuat; Tahan, Fulya; Cevit, Ömer; Şekerel, Bülent Enis; Sapan, Nihat; Uludağ Üniversitesi/Tıp Fakültesi/Pediatrik Alerji ve İmmünoloji Ünitesi.; 6602156485
    Background. The Childhood Asthma Control Test (C-ACT) has been proposed to be a simple, patient-based test that is able to reflect the multidimensional nature of asthma control. In this analysis, the aim was to evaluate the perceptions of physicians and caregivers concerning C-ACT and its predictive value for future asthma-related events. Method. In a multicenter prospective design, 368 children aged 4-11 years with asthma who were either well-or not well-controlled were included in the study. The study participants were evaluated during three visits made at 2-month intervals and the Turkish version of C-ACT was completed each month. Parents completed questionnaires concerning their perception of asthma (before and after the study) and the C-ACT (after the study). Physicians completed a survey about their perception of a control-based approach and the C-ACT. Results. The C-ACT scores increased from visit 1 to visit 3, with improvement seen in all domains of the test. At the end of the study period, the parents more strongly agreed that asthma could be controlled completely and that asthma attacks and nocturnal awakenings due to asthma were preventable (p < .05). Most of the parents reported that the C-ACT helped them to determine asthma treatment goals for their children and also that the C-ACT improved communication with their physicians. The physicians indicated that a control-centered approach was more convenient (95%) and simpler (94.5%) thana severity-centered approach and provided better disease control (93.4%). A higher C-ACT score was associated with a decreased risk of asthma attack and emergency department admittance in the 2 months following the administration of C-ACT. Conclusion. Our findings indicated that the C-ACT improved both parental outlook on asthma control and the communication between the physician and parents. There was a good correlation between the C-ACT score and the level of asthma control achieved, as described by the physician. Additionally the C-ACT score was predictive of future asthma-related events. These findings suggest that the C-ACT may have an important role in asthma management in the future.
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    The reliability and validity of Turkish version of childhood asthma control test
    (Springer, 2012-05) Şekerel, Bülent E.; Soyer, Özge Uysal; Keskin, Özlem; Uzuner, Nevin; Yazıcıoğlu, Mehtap; Kılıç, Mehmet; Artaç, Hasibe; Özmen, Serap; Can, Demet; Zeyrek, Dost; Çokuğraş, Halük; Aydoğan, Metin; Kuyucu, Semanur; İnal, Ayfer; Gürkan, Fuat; Orhan, Fazıl; Yılmaz, Özge; Boz, Ayşen Bingöl; Tahan, Fulya; Cevit, Ömer; Canıtez, Yakup; Uludağ Üniversitesi/Tıp Fakültesi.; 8988954700
    Introduction: The reliability and validity of Turkish version of Childhood Asthma Control Test (C-ACT). Purpose: The management of asthma is an important as well as difficult issue of physician's daily practice particularly in busy clinical settings. C-ACT was created to identify asthma control levels in children aged 4-11 years. Our aim was to evaluate the reliability, validity and responsiveness of C-ACT in a Turkish sample of children with asthma. Method: In this multicenter study, 368 children were enrolled. C-ACT was completed every month by parents and patients who were evaluated in 3 visits within 2 month intervals. At each visit, physicians interpret the control level and decided for the treatment step as established in GINA guidelines. Results: The internal consistency reliability of the Turkish version of C-ACT (C-ACT1 to C-ACT5) was found to be 0.82, 0.83, 0.82, 0.82 and 0.80, respectively (reliability statistics, Cronbach's alpha). Test-retest reliability was 0.71. There was significant correlation between C-ACT and physician's assessment of asthma control at visit 1 (r = 0.65, P < 0.001). Conclusions: Turkish version of C-ACT is an accurate and reliable tool to evaluate asthma control in children aged 4-11 years. Its widespread use may facilitate appropriate assessment of asthma control and may lead to decrease the number of uncontrolled patients.