The result of this three-step process was a 32-item survey of asthma knowledge, attitudes, and perceptions, the Chicago Community Asthma Survey (CCAS-32). Finally, the survey introduction was examined to see if modification would alter the responses to survey items (Step 4).
This project was approved by the Institutional Review Board of Rush-Presbyterian-St. Luke’s Medical Center.
Step 2: Initial Construction Step 1A: Assessment of Relevant Issues
As seen in Figure 1, the survey development process began by identifying relevant content areas. This was accomplished by reviewing published literature in the area of asthma education and by gathering the advice of local practitioners who participate in asthma care. A working group comprised of representatives from clinical practice, public health, and survey research met periodically with the project staff to review the collected information. From this material, core issues in asthma care and beliefs about asthma were distilled and identified. canadian family pharmacy

Step 1B: Content Selection
Using the information identified in Step 1A, the working group next developed an initial set of content domains summarizing the core issues related to asthma and its management. These content domains represented broad areas of concern and served as the underlying dimensions to be assessed by the general survey instrument.
In addition to the asthma content domains identified through clinical input, domains were also identified using the theoretical perspective offered by the Health Belief Model. The Health Belief Model maps out a series of conditions that make it more likely for an individual to take preventive health measures or adhere to a treatment prescription. The domains suggested by the Health Belief Model do not pertain to asthma exclusively, but delineate contributing factors that help predict a person’s willingness to take action or change salient behaviors.