Asthma in Greenland - development and evaluation of the asthma symptom score
This study describes the development of the Asthma Symptom Score (ASS) and evaluates its accuracy and internal consistency in Greenlandic and Danish, using clinical interviews based on Global Initiative for Asthma guidelines as the gold standard. A cross-sectional study was conducted across all regi...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | International Journal of Circumpolar Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2025.2540684 |
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| author | Christiane Hempel Christiansen Michael Lynge Pedersen Eva Cecilie Bonefeld-Jørgensen Maja Hykkelbjerg Nielsen |
| author_facet | Christiane Hempel Christiansen Michael Lynge Pedersen Eva Cecilie Bonefeld-Jørgensen Maja Hykkelbjerg Nielsen |
| author_sort | Christiane Hempel Christiansen |
| collection | DOAJ |
| description | This study describes the development of the Asthma Symptom Score (ASS) and evaluates its accuracy and internal consistency in Greenlandic and Danish, using clinical interviews based on Global Initiative for Asthma guidelines as the gold standard. A cross-sectional study was conducted across all regions of Greenland, targeting citizens aged 12+, using data from the electronic medical record. The ASS (n = 94) was validated against clinical interviews using a receiver operating characteristic curve, yielding an area under the curve estimate of 0.91, indicating strong agreement. The ASS demonstrated a sensitivity of 83%, a specificity of 93%, and an overall agreement of 87%. Patients scoring 0–5 points were categorised as having controlled asthma, while those scoring 6–20 points were categorised as non-controlled. Among participants completing both the ASS and the clinical interview, 57% were classified as having non-controlled asthma. The ASS demonstrated acceptable internal consistency in both Greenlandic and Danish. These findings underscore the need for improved management of asthma in Greenland. The strong correlation between the ASS and clinical interviews suggests that the ASS may be a valuable tool in clinical practice for assessing asthma control among patients with a confirmed diagnosis. However, further validation including a larger study group, and test – retest reliability is recommended. |
| format | Article |
| id | doaj-art-9cb9ea467e7641b894a377f3c258e0b8 |
| institution | DOAJ |
| issn | 2242-3982 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj-art-9cb9ea467e7641b894a377f3c258e0b82025-08-20T02:45:26ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822025-12-0184110.1080/22423982.2025.2540684Asthma in Greenland - development and evaluation of the asthma symptom scoreChristiane Hempel Christiansen0Michael Lynge Pedersen1Eva Cecilie Bonefeld-Jørgensen2Maja Hykkelbjerg Nielsen3Steno Diabetes Center Greenland, Queen Ingrid’s Hospital, Nuuk, GreenlandSteno Diabetes Center Greenland, Queen Ingrid’s Hospital, Nuuk, GreenlandGreenlandic Center for Health Research, Department of Health and Nature, Ilisimatusarfik/University of Greenland, Nuuk, GreenlandSteno Diabetes Center Greenland, Queen Ingrid’s Hospital, Nuuk, GreenlandThis study describes the development of the Asthma Symptom Score (ASS) and evaluates its accuracy and internal consistency in Greenlandic and Danish, using clinical interviews based on Global Initiative for Asthma guidelines as the gold standard. A cross-sectional study was conducted across all regions of Greenland, targeting citizens aged 12+, using data from the electronic medical record. The ASS (n = 94) was validated against clinical interviews using a receiver operating characteristic curve, yielding an area under the curve estimate of 0.91, indicating strong agreement. The ASS demonstrated a sensitivity of 83%, a specificity of 93%, and an overall agreement of 87%. Patients scoring 0–5 points were categorised as having controlled asthma, while those scoring 6–20 points were categorised as non-controlled. Among participants completing both the ASS and the clinical interview, 57% were classified as having non-controlled asthma. The ASS demonstrated acceptable internal consistency in both Greenlandic and Danish. These findings underscore the need for improved management of asthma in Greenland. The strong correlation between the ASS and clinical interviews suggests that the ASS may be a valuable tool in clinical practice for assessing asthma control among patients with a confirmed diagnosis. However, further validation including a larger study group, and test – retest reliability is recommended.https://www.tandfonline.com/doi/10.1080/22423982.2025.2540684AsthmaprevalenceGreenlandasthma symptom scoresymptom burdenASS |
| spellingShingle | Christiane Hempel Christiansen Michael Lynge Pedersen Eva Cecilie Bonefeld-Jørgensen Maja Hykkelbjerg Nielsen Asthma in Greenland - development and evaluation of the asthma symptom score International Journal of Circumpolar Health Asthma prevalence Greenland asthma symptom score symptom burden ASS |
| title | Asthma in Greenland - development and evaluation of the asthma symptom score |
| title_full | Asthma in Greenland - development and evaluation of the asthma symptom score |
| title_fullStr | Asthma in Greenland - development and evaluation of the asthma symptom score |
| title_full_unstemmed | Asthma in Greenland - development and evaluation of the asthma symptom score |
| title_short | Asthma in Greenland - development and evaluation of the asthma symptom score |
| title_sort | asthma in greenland development and evaluation of the asthma symptom score |
| topic | Asthma prevalence Greenland asthma symptom score symptom burden ASS |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2025.2540684 |
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