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Control of allergic rhinitis and asthma test for children (CARATkids): A systematic review and meta-analysis of its measurement properties

2025-09Artigo de investigação Acesso embargado
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dc.contributor.authorDidi, Hadla Sami El
dc.contributor.authorPereira, Ana Margarida
dc.contributor.authorJácome, Cristina
dc.contributor.authorAmaral, Rita
dc.contributor.authorWandalsen, Gustavo F.
dc.contributor.authorEmons, Joyce
dc.contributor.authorGrutta, Stefania La
dc.contributor.authorCilluffo, Giovanna
dc.contributor.authorBatmaz, Sehra Birgül
dc.contributor.authorLinhares, Daniela
dc.contributor.authorSole, Dirceu
dc.contributor.authorPinto, Bernardo Sousa
dc.contributor.authorFonseca, João Almeida
dc.contributor.authorVieira, Rafael José
dc.contributor.authorAmaral, Rita
dc.date.accessioned2026-01-28T10:16:12Z
dc.date.available2026-01-28T10:16:12Z
dc.date.issued2025-09
dc.description.abstractControl of Allergic Rhinitis and Asthma Test for Children (CARATkids) is the first patient-reported outcome measure (PROM) designed to assess both allergic rhinitis and asthma simultaneously in children aged 6 to 12 years. CARATkids has been validated in several languages and countries, highlighting the need for a review of its psychometric properties. This study aims to evaluate the measurement properties of CARATkids. This systematic review follows PRISMA and COSMIN guidelines. A systematic search was performed across three databases (Ovid/MEDLINE, Web of Science, and Scopus in October 2023, updated in June 2025). We included studies focused on the development, cultural adaptation, or validation of CARATkids, as well as studies comparing CARATkids with other PROMs. We evaluated the quality of CARATkids development, the methodological quality of primary studies, the overall rating, and the certainty of evidence for each CARATkids measurement property and performed a meta-analysis of its measurement properties. Our search retrieved 193 results. We included nine studies. CARATkids displayed sufficient content validity. Regarding internal consistency, we found a meta-analytical Cronbach alpha of 0.81 (95% CI = 0.79; 0.83). CARATkids displayed sufficient reliability (meta-analytical intraclass correlation coefficient 0.86 [95% CI = 0.61; 0.96]). The minimal clinically important difference was 2.76. Construct validity had sufficient evidence for most correlations, with absolute meta-analytical Spearman coefficients from 0.37 to 0.71. Responsiveness showed strong correlations between CARATkids and most outcome measurement instruments. These findings support CARATkids as a suitable tool for assessing asthma and allergic rhinitis in children aged 6 to 12 years who present both conditions simultaneously.eng
dc.identifier.citationEl Didi, H. S., Pereira, A. M., Jácome, C., Amaral, R., Wandalsen, G. F., Emons, J., La Grutta, S., Cilluffo, G., Batmaz, S. B., Linhares, D., Sole, D., Sousa-Pinto, B., Fonseca, J. A., & Vieira, R. J. (2025). Control of allergic rhinitis and asthma test for children (CARATkids): A systematic review and meta-analysis of its measurement properties. Pediatric Allergy and Immunology, 36(9), e70191. https://doi.org/10.1111/pai.70191
dc.identifier.doi10.1111/pai.70191
dc.identifier.eissn1399-3038
dc.identifier.issn0905-6157
dc.identifier.urihttp://hdl.handle.net/10400.22/31737
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.hasversionhttps://onlinelibrary.wiley.com/doi/10.1111/pai.70191
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAllergic rhinitis
dc.subjectAsthma
dc.subjectCARATkids
dc.subjectCOSMIN
dc.subjectPatient-reported outcomes
dc.subjectPsychometrics
dc.titleControl of allergic rhinitis and asthma test for children (CARATkids): A systematic review and meta-analysis of its measurement propertieseng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue9
oaire.citation.titlePediatric Allergy and Immunology
oaire.citation.volume36
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAmaral
person.givenNameRita
person.identifierR-00H-83K
person.identifier.ciencia-id1A1E-751F-50F0
person.identifier.orcid0000-0002-0233-830X
person.identifier.ridE-5535-2017
person.identifier.scopus-author-id56067841600
relation.isAuthorOfPublication790fdd33-acdb-4dfe-88dc-38538486c9b3
relation.isAuthorOfPublication.latestForDiscovery790fdd33-acdb-4dfe-88dc-38538486c9b3

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