Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis
Abstract The Control of Allergic Rhinitis and Asthma Test (CARAT) is a patient‐reported outcome measurement (PROM) assessing the control of asthma and allergic rhinitis (AR) at a 4 week interval. This systematic review aimed to evaluate the measurement properties of CARAT. Following PRISMA and COSMI...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-09-01
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| Series: | Clinical and Translational Allergy |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/clt2.12194 |
| _version_ | 1797996394814898176 |
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| author | Rafael José Vieira Bernardo Sousa‐Pinto António Cardoso‐Fernandes Cristina Jácome Diana Portela Rita Amaral Ana Sá‐Sousa Ana Margarida Pereira Jean Bousquet João Almeida Fonseca |
| author_facet | Rafael José Vieira Bernardo Sousa‐Pinto António Cardoso‐Fernandes Cristina Jácome Diana Portela Rita Amaral Ana Sá‐Sousa Ana Margarida Pereira Jean Bousquet João Almeida Fonseca |
| author_sort | Rafael José Vieira |
| collection | DOAJ |
| description | Abstract The Control of Allergic Rhinitis and Asthma Test (CARAT) is a patient‐reported outcome measurement (PROM) assessing the control of asthma and allergic rhinitis (AR) at a 4 week interval. This systematic review aimed to evaluate the measurement properties of CARAT. Following PRISMA and COSMIN guidelines, we searched five bibliographic databases and retrieved studies concerning the development, assessment of properties, validation, and/or cultural adaption of CARAT. The studies' methodological quality, the quality of measurement properties, and the overall quality of evidence were assessed. We performed meta‐analysis of CARAT measurement properties. We included 16 studies. Control of Allergic Rhinitis and Asthma Test displayed sufficient content validity and very good consistency (meta‐analytical Cronbach alpha = 0.83; 95% CI = 0.80–0.86;I2 = 62.6%). Control of allergic rhinitis and Asthma Test meta‐analytical intraclass correlation coefficient was 0.91 (95% CI = 0.64–0.98;I2 = 93.7%). It presented good construct validity, especially for correlations with Patient‐reported outcome measures assessing asthma (absolute Spearman correlation coefficients range = 0.67–0.73; moderate quality of evidence), and good responsiveness. Its minimal important difference is 3.5. Overall, CARAT has good internal consistency, reliability, construct validity and responsiveness, despite the heterogeneous quality of evidence. Control of Allergic Rhinitis and Asthma Test can be used to assess the control of asthma and AR. As first of its kind, this meta‐analysis of CARAT measurement properties sets a stronger level of evidence for asthma and/or AR control questionnaires. |
| first_indexed | 2024-04-11T10:16:50Z |
| format | Article |
| id | doaj.art-05746d1d31ac478a808f5207d5fb577a |
| institution | Directory Open Access Journal |
| issn | 2045-7022 |
| language | English |
| last_indexed | 2024-04-11T10:16:50Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Translational Allergy |
| spelling | doaj.art-05746d1d31ac478a808f5207d5fb577a2022-12-22T04:29:55ZengWileyClinical and Translational Allergy2045-70222022-09-01129n/an/a10.1002/clt2.12194Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysisRafael José Vieira0Bernardo Sousa‐Pinto1António Cardoso‐Fernandes2Cristina Jácome3Diana Portela4Rita Amaral5Ana Sá‐Sousa6Ana Margarida Pereira7Jean Bousquet8João Almeida Fonseca9Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalInstitute for Allergology Charité—Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt‐Universität zu Berlin Berlin GermanyDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS) Faculty of Medicine of the University of Porto Porto PortugalAbstract The Control of Allergic Rhinitis and Asthma Test (CARAT) is a patient‐reported outcome measurement (PROM) assessing the control of asthma and allergic rhinitis (AR) at a 4 week interval. This systematic review aimed to evaluate the measurement properties of CARAT. Following PRISMA and COSMIN guidelines, we searched five bibliographic databases and retrieved studies concerning the development, assessment of properties, validation, and/or cultural adaption of CARAT. The studies' methodological quality, the quality of measurement properties, and the overall quality of evidence were assessed. We performed meta‐analysis of CARAT measurement properties. We included 16 studies. Control of Allergic Rhinitis and Asthma Test displayed sufficient content validity and very good consistency (meta‐analytical Cronbach alpha = 0.83; 95% CI = 0.80–0.86;I2 = 62.6%). Control of allergic rhinitis and Asthma Test meta‐analytical intraclass correlation coefficient was 0.91 (95% CI = 0.64–0.98;I2 = 93.7%). It presented good construct validity, especially for correlations with Patient‐reported outcome measures assessing asthma (absolute Spearman correlation coefficients range = 0.67–0.73; moderate quality of evidence), and good responsiveness. Its minimal important difference is 3.5. Overall, CARAT has good internal consistency, reliability, construct validity and responsiveness, despite the heterogeneous quality of evidence. Control of Allergic Rhinitis and Asthma Test can be used to assess the control of asthma and AR. As first of its kind, this meta‐analysis of CARAT measurement properties sets a stronger level of evidence for asthma and/or AR control questionnaires.https://doi.org/10.1002/clt2.12194allergic rhinitisasthmaCARATCOSMINpatient‐reported outcomes |
| spellingShingle | Rafael José Vieira Bernardo Sousa‐Pinto António Cardoso‐Fernandes Cristina Jácome Diana Portela Rita Amaral Ana Sá‐Sousa Ana Margarida Pereira Jean Bousquet João Almeida Fonseca Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis Clinical and Translational Allergy allergic rhinitis asthma CARAT COSMIN patient‐reported outcomes |
| title | Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis |
| title_full | Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis |
| title_fullStr | Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis |
| title_full_unstemmed | Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis |
| title_short | Control of Allergic Rhinitis and Asthma Test: A systematic review of measurement properties and COSMIN analysis |
| title_sort | control of allergic rhinitis and asthma test a systematic review of measurement properties and cosmin analysis |
| topic | allergic rhinitis asthma CARAT COSMIN patient‐reported outcomes |
| url | https://doi.org/10.1002/clt2.12194 |
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