Allergy Asthma Respir Dis.  2018 Jan;6(1):34-40. 10.4168/aard.2018.6.1.34.

A Delphi approach to the development of standard questionnaire to investigate asthma in Koreans

Affiliations
  • 1Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. drmesh@gmail.com
  • 2Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 3Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 4Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 5Department of Pediatrics, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
  • 6Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
Recently, the prevalence and disease burden of asthma have increased. Thus, the need for early diagnosis and appropriate management of asthma is emerging. However, it is difficult to identify the diagnosis, symptoms and the prevalence of asthma due to lack of reliable investigating items. The purpose of this study was to develop a standardized survey format in order to assess the prevalence of asthma in Koreans.
METHODS
We investigated surveys and related information that are utilized to assess asthma diagnosis and prevalence by systematic review. After that, Delphi survey was conducted on 44 Korean allergists in order to develop a standardized survey in Korea. The process consisted of 3 serial rounds across 3 age groups. Each subsequent round narrowed investigating items for the decision of standard set about asthma prevalence, current asthma, and asthma aggravation.
RESULTS
Lifetime asthma was defined as "ever doctor-diagnosed asthma" in all age groups. Current asthma was defined as "treatment for asthma during the past 12 months" in all age groups, and "doctor-diagnosed asthma during the past 12 months" was added on the ≥5-year-old and adult groups. "Wheezing ever" was defined as "wheezing at any time in the past," and current wheeze was defined as "wheezing in the last 12 months." Asthma aggravation was defined as "visits at the emergency department or admission due to asthma attack within the last 12 months" in all age groups.
CONCLUSION
We established applicable nationwide definitions of "lifetime asthma,""current asthma," and "asthma aggravation" in Koreans by the Delphi survey.

Keyword

Asthma; Questionnaire; Delphi

MeSH Terms

Adult
Asthma*
Diagnosis
Early Diagnosis
Emergency Service, Hospital
Humans
Korea
Prevalence

Figure

  • Fig. 1. Flowsheet of survey of questionnaires through systematic review.


Reference

1. Eder W, Ege MJ, von Mutius E. The asthma epidemic. N Engl J Med. 2006; 355:2226–35.
Article
2. Sembajwe G, Cifuentes M, Tak SW, Kriebel D, Gore R, Punnett L. National income, self-reported wheezing and asthma diagnosis from the World Health Survey. Eur Respir J. 2010; 35:279–86.
Article
3. Bunyavanich S, Schadt EE. Systems biology of asthma and allergic diseases: a multiscale approach. J Allergy Clin Immunol. 2015; 135:31–42.
4. Cruz AA, Bousquet J, Khaltaev N. Global surveillance, prevention and control of chronic respiratory diseases: a comprehensive approach. Geneva (Switzerland): World Health Organization;2007.
5. Dougherty RH, Fahy JV. Acute exacerbations of asthma: epidemiology, biology and the exacerbation-prone phenotype. Clin Exp Allergy. 2009; 39:193–202.
Article
6. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006; 368:733–43.
Article
7. Ferris BG. Epidemiology standardisation project II. Recommended respiratory disease questionnaires for use with adults and children in epidemiological research. Am Rev Respir Dis. 1978; 118:7–53.
8. Burney PG, Luczynska C, Chinn S, Jarvis D. The European Community Respiratory Health Survey. Eur Respir J. 1994; 7:954–60.
Article
9. Song WJ, Lee SH, Kang MG, Kim JY, Kim MY, Jo EJ, et al. Validation of the Korean version of the European Community Respiratory Health Survey screening questionnaire for use in epidemiologic studies for adult asthma. Asia Pac Allergy. 2015; 5:25–31.
Article
10. Kim SH, Lee JY, Son SW, Chang YS, Jung JW, Kim YK, et al. Prevalence of adult asthma based on questionnaires and methacholine bronchial provocation test in Seoul. J Asthma Allergy Clin Immunol. 2001; 21:618–27.
11. Kim YK, Kim SH, Tak YJ, Jee YK, Lee BJ, Kim SH, et al. High prevalence of current asthma and active smoking effect among the elderly. Clin Exp Allergy. 2002; 32:1706–12.
Article
12. Song WJ, Kim SH, Lim S, Park YJ, Kim MH, Lee SM, et al. Association between obesity and asthma in the elderly population: potential roles of abdominal subcutaneous adiposity and sarcopenia. Ann Allergy Asthma Immunol. 2012; 109:243–8.
Article
13. Song WJ, Chang YS, Lim MK, Yun EH, Kim SH, Kang HR, et al. Staphy-lococcal enterotoxin sensitization in a community-based population: a potential role in adult-onset asthma. Clin Exp Allergy. 2014; 44:553–62.
Article
14. Anandan C, Nurmatov U, van Schayck OC, Sheikh A. Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy. 2010; 65:152–67.
Article
15. Akinbami LJ, Moorman JE, Bailey C, Zahran HS, King M, Johnson CA, et al. Trends in asthma prevalence, health care use, and mortality in the United States, 2001-2010. NCHS Data Brief. 2012; (94):1–8.
16. Tomasallo CD, Hanrahan LP, Tandias A, Chang TS, Cowan KJ, Guilbert TW. Estimating Wisconsin asthma prevalence using clinical electronic health records and public health data. Am J Public Health. 2014; 104:e65–73.
Article
17. Song WJ, Kang MG, Chang YS, Cho SH. Epidemiology of adult asthma in Asia: toward a better understanding. Asia Pac Allergy. 2014; 4:75–85.
Article
18. Hsu CC. The Delphi technique: making sense of consensus. Pract Assess Res Eval. 2007; 12:1–8.
19. Sandrey MA, Bulger SM. The Delphi method: an approach for facilitating evidence based practice in athletic training. Athl Train Educ J. 2008; 3:135–42.
Article
20. Miller L. Determining what could/should be: the Delphi technique and its application. In: 2006 Annual Meeting of the Mid-Western Educational Research Association; 2006 Apr 7-11; San Francisco (CA), USA.2006.
21. Shin JY, Lee JE, Park JW, Jung SY, Yoo SJ, Yoon JH, et al. Validation of a modified ECRHS questionnaire for diagnosing asthma in patients with chronic cough. Korean J Med. 2009; 77:734–40.
22. Centers for Disease Control and Prevention. DRAFT 2017 NHIS questionnaire. Atlanta (GA): Centers for Disease Control and Prevention;2017.
23. Janson C, Anto J, Burney P, Chinn S, de Marco R, Heinrich J, et al. The European Community Respiratory Health Survey: what are the main results so far? European Community Respiratory Health Survey II. Eur Respir J. 2001; 18:598–611.
24. Lee Y, Choi J, Park MR, Kim J, Kim WK, Park YM, et al. Analysis of regional prevalence of allergic diseases in Korean school children. Allergy Asthma Respir Dis. 2015; 3:62–9.
Article
25. Choi SW, Ju YS, Kim DS, Kim JY, Kwon HJ, Kang DH, et al. Reliability and validity of the Korean version of ISAAC questionnaire. Korean J Prev Med. 1998; 31:361–71.
26. Pyun BY. Guideline for the management of childhood asthma. Korean J Pediatr. 2001; 44:727–31.
27. Mansbach JM, Camargo CA Jr. Respiratory viruses in bronchiolitis and their link to recurrent wheezing and asthma. Clin Lab Med. 2009; 29:741–55.
Article
28. Song WJ, Cho SH. Challenges in the management of asthma in the elderly. Allergy Asthma Immunol Res. 2015; 7:431–9.
Article
29. Jenkins MA, Clarke JR, Carlin JB, Robertson CF, Hopper JL, Dalton MF, et al. Validation of questionnaire and bronchial hyperresponsiveness against respiratory physician assessment in the diagnosis of asthma. Int J Epidemiol. 1996; 25:609–16.
Article
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