Accuracy of cough reporting by carers of Indigenous children

Matthew Morey, Allen Cheng, Gabrielle Mccallum, Anne Chang

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Aims: The study aims to determine the reliability of a 24-h history of reported cough presence and quality (wet/dry) compared with objectively recorded cough, and evaluate factors that may influence cough reporting.

    Methods: A digital recorder (ICD-PX720, Sony, Tokyo, Japan) was attached to 47 Indigenous children for 24 h during admission at Royal Darwin Hospital. After recording, carers reported their child's cough details. Cough counts were objectively measured and details of cough reports by carer (cough present/absent, quality wet/dry, cough severity determined by visual analogue scale and verbal category descriptive score) were the main outcomes measured. Other factors examined were: carer's sex, age, education, smoking, carer's cough, parent versus non-parent, respiratory illness in child and mean parent-proxy cough-specific quality of life questionnaire. Data were entered into STATA (V.10, STATA Corp., College Station, TX, USA). Cohen's kappa (?) coefficients and Spearman's rank correlation coefficient (rs) were used for data analysis.

    Results: Reporting of cough by Indigenous carers (compared with cough monitoring) was slight when a low cough threshold (0.25 coughs/h) was used (? = 0.17, 95% CI -0.15, 0.49) and moderate when a higher cough threshold was used (? = 0.57, 95% CI 0.28, 0.88). Carers' evaluation of wet cough disagreed with clinician's evaluation (? = -0.24, 95% CI -0.58, 0.09). Subjective reporting of cough severity moderately correlated with objective cough rates (rs = 0.41 to 0.44, 95% CI 0.11, 0.67). None of the factors examined was associated with reliability of cough reporting.

    Conclusions: The unreliability of reporting of cough highlights the need for community education on the importance of cough to improve health-seeking behaviour for early detection and treatment of respiratory disease. � 2013 The Authors. Journal of Paediatrics and Child Health � 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
    Original languageEnglish
    Pages (from-to)E199-E203
    Number of pages5
    JournalJournal of Paediatrics and Child Health
    Volume49
    Issue number3
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Cough
    Caregivers
    Pediatrics
    Sex Education
    Tokyo
    Proxy
    Nonparametric Statistics

    Cite this

    @article{b1e7a16d778f494794ab2a0afc9938f4,
    title = "Accuracy of cough reporting by carers of Indigenous children",
    abstract = "Aims: The study aims to determine the reliability of a 24-h history of reported cough presence and quality (wet/dry) compared with objectively recorded cough, and evaluate factors that may influence cough reporting. Methods: A digital recorder (ICD-PX720, Sony, Tokyo, Japan) was attached to 47 Indigenous children for 24 h during admission at Royal Darwin Hospital. After recording, carers reported their child's cough details. Cough counts were objectively measured and details of cough reports by carer (cough present/absent, quality wet/dry, cough severity determined by visual analogue scale and verbal category descriptive score) were the main outcomes measured. Other factors examined were: carer's sex, age, education, smoking, carer's cough, parent versus non-parent, respiratory illness in child and mean parent-proxy cough-specific quality of life questionnaire. Data were entered into STATA (V.10, STATA Corp., College Station, TX, USA). Cohen's kappa (?) coefficients and Spearman's rank correlation coefficient (rs) were used for data analysis. Results: Reporting of cough by Indigenous carers (compared with cough monitoring) was slight when a low cough threshold (0.25 coughs/h) was used (? = 0.17, 95{\%} CI -0.15, 0.49) and moderate when a higher cough threshold was used (? = 0.57, 95{\%} CI 0.28, 0.88). Carers' evaluation of wet cough disagreed with clinician's evaluation (? = -0.24, 95{\%} CI -0.58, 0.09). Subjective reporting of cough severity moderately correlated with objective cough rates (rs = 0.41 to 0.44, 95{\%} CI 0.11, 0.67). None of the factors examined was associated with reliability of cough reporting. Conclusions: The unreliability of reporting of cough highlights the need for community education on the importance of cough to improve health-seeking behaviour for early detection and treatment of respiratory disease. � 2013 The Authors. Journal of Paediatrics and Child Health � 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).",
    keywords = "accuracy, adolescent, adult, article, caregiver, child, coughing, disease severity, educational status, female, hospital admission, human, indigenous people, major clinical study, male, outcome assessment, preschool child, priority journal, questionnaire, recorder, reliability, respiratory tract disease, school child, smoking, visual analog scale, Adolescent, Adult, Caregivers, Child, Child, Preschool, Cough, Female, Humans, Infant, Japan, Male, Middle Aged, Population Groups, Questionnaires, Reproducibility of Results, Respiratory Tract Diseases, Risk Factors, Risk Management, Tokyo, Young Adult",
    author = "Matthew Morey and Allen Cheng and Gabrielle Mccallum and Anne Chang",
    year = "2013",
    doi = "10.1111/jpc.12118",
    language = "English",
    volume = "49",
    pages = "E199--E203",
    journal = "Journal of Paediatrics and Child Health",
    issn = "1034-4810",
    publisher = "Wiley-Blackwell",
    number = "3",

    }

    Accuracy of cough reporting by carers of Indigenous children. / Morey, Matthew; Cheng, Allen; Mccallum, Gabrielle; Chang, Anne.

    In: Journal of Paediatrics and Child Health, Vol. 49, No. 3, 2013, p. E199-E203.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Accuracy of cough reporting by carers of Indigenous children

    AU - Morey, Matthew

    AU - Cheng, Allen

    AU - Mccallum, Gabrielle

    AU - Chang, Anne

    PY - 2013

    Y1 - 2013

    N2 - Aims: The study aims to determine the reliability of a 24-h history of reported cough presence and quality (wet/dry) compared with objectively recorded cough, and evaluate factors that may influence cough reporting. Methods: A digital recorder (ICD-PX720, Sony, Tokyo, Japan) was attached to 47 Indigenous children for 24 h during admission at Royal Darwin Hospital. After recording, carers reported their child's cough details. Cough counts were objectively measured and details of cough reports by carer (cough present/absent, quality wet/dry, cough severity determined by visual analogue scale and verbal category descriptive score) were the main outcomes measured. Other factors examined were: carer's sex, age, education, smoking, carer's cough, parent versus non-parent, respiratory illness in child and mean parent-proxy cough-specific quality of life questionnaire. Data were entered into STATA (V.10, STATA Corp., College Station, TX, USA). Cohen's kappa (?) coefficients and Spearman's rank correlation coefficient (rs) were used for data analysis. Results: Reporting of cough by Indigenous carers (compared with cough monitoring) was slight when a low cough threshold (0.25 coughs/h) was used (? = 0.17, 95% CI -0.15, 0.49) and moderate when a higher cough threshold was used (? = 0.57, 95% CI 0.28, 0.88). Carers' evaluation of wet cough disagreed with clinician's evaluation (? = -0.24, 95% CI -0.58, 0.09). Subjective reporting of cough severity moderately correlated with objective cough rates (rs = 0.41 to 0.44, 95% CI 0.11, 0.67). None of the factors examined was associated with reliability of cough reporting. Conclusions: The unreliability of reporting of cough highlights the need for community education on the importance of cough to improve health-seeking behaviour for early detection and treatment of respiratory disease. � 2013 The Authors. Journal of Paediatrics and Child Health � 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

    AB - Aims: The study aims to determine the reliability of a 24-h history of reported cough presence and quality (wet/dry) compared with objectively recorded cough, and evaluate factors that may influence cough reporting. Methods: A digital recorder (ICD-PX720, Sony, Tokyo, Japan) was attached to 47 Indigenous children for 24 h during admission at Royal Darwin Hospital. After recording, carers reported their child's cough details. Cough counts were objectively measured and details of cough reports by carer (cough present/absent, quality wet/dry, cough severity determined by visual analogue scale and verbal category descriptive score) were the main outcomes measured. Other factors examined were: carer's sex, age, education, smoking, carer's cough, parent versus non-parent, respiratory illness in child and mean parent-proxy cough-specific quality of life questionnaire. Data were entered into STATA (V.10, STATA Corp., College Station, TX, USA). Cohen's kappa (?) coefficients and Spearman's rank correlation coefficient (rs) were used for data analysis. Results: Reporting of cough by Indigenous carers (compared with cough monitoring) was slight when a low cough threshold (0.25 coughs/h) was used (? = 0.17, 95% CI -0.15, 0.49) and moderate when a higher cough threshold was used (? = 0.57, 95% CI 0.28, 0.88). Carers' evaluation of wet cough disagreed with clinician's evaluation (? = -0.24, 95% CI -0.58, 0.09). Subjective reporting of cough severity moderately correlated with objective cough rates (rs = 0.41 to 0.44, 95% CI 0.11, 0.67). None of the factors examined was associated with reliability of cough reporting. Conclusions: The unreliability of reporting of cough highlights the need for community education on the importance of cough to improve health-seeking behaviour for early detection and treatment of respiratory disease. � 2013 The Authors. Journal of Paediatrics and Child Health � 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

    KW - accuracy

    KW - adolescent

    KW - adult

    KW - article

    KW - caregiver

    KW - child

    KW - coughing

    KW - disease severity

    KW - educational status

    KW - female

    KW - hospital admission

    KW - human

    KW - indigenous people

    KW - major clinical study

    KW - male

    KW - outcome assessment

    KW - preschool child

    KW - priority journal

    KW - questionnaire

    KW - recorder

    KW - reliability

    KW - respiratory tract disease

    KW - school child

    KW - smoking

    KW - visual analog scale

    KW - Adolescent

    KW - Adult

    KW - Caregivers

    KW - Child

    KW - Child, Preschool

    KW - Cough

    KW - Female

    KW - Humans

    KW - Infant

    KW - Japan

    KW - Male

    KW - Middle Aged

    KW - Population Groups

    KW - Questionnaires

    KW - Reproducibility of Results

    KW - Respiratory Tract Diseases

    KW - Risk Factors

    KW - Risk Management

    KW - Tokyo

    KW - Young Adult

    U2 - 10.1111/jpc.12118

    DO - 10.1111/jpc.12118

    M3 - Article

    VL - 49

    SP - E199-E203

    JO - Journal of Paediatrics and Child Health

    JF - Journal of Paediatrics and Child Health

    SN - 1034-4810

    IS - 3

    ER -