Arch Dis Child 2000;82:327-332 ( April )

Methodology

What do parents of wheezy children understand by "wheeze"? R S Cane, S C Ranganathan, S A McKenzie

Queen Elizabeth Children's Services, Fielden House, Royal London Hospital, Whitechapel, London E1 1BB, UK

Correspondence to: Dr McKenzie email: mckenzie{at}rhtch.demon.co.uk

Accepted 13 December 1999

BACKGROUNDReported wheeze is the cornerstone of asthma diagnosis.
AIMSTo determine what parents understand by wheeze.
METHODSTwo studies were undertaken: (1) Parents of clinic attendees with reported wheeze (n=160) were asked by questionnaire what they understood by "wheeze" and how they knew their child was wheezy. Responses were compared to definitions of wheeze in 12 epidemiology studies and their response options. (2) The extent of agreement of parents' reports (n=139) of acute wheezing in their children and clinicians' findings of "wheeze" and "asthma" was examined.
RESULTS(1) "Sound" and "difficulty in breathing" were perceived central to "wheeze". "What you hear" was not selected by 23% (95% confidence interval (CI) 16-30%). "Whistling" was mentioned by 11% (CI 6-15%) but featured in 11 of 12 epidemiology questionnaires. (2) There was les than 50% agreement between parents' and clinicians' reports of wheeze and asthma.
CONCLUSIONSConceptual understandings of "wheeze" for parents of children with reported wheeze are different from epidemiology definitions. Parents' reports of acute wheeze and clinicians' findings also differ.


Keywords: wheeze; parents' understanding; proxy reporting; epidemiology

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© 2000 by Archives of Disease in Childhood
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