array:23 [
  "pii" => "S1579212907600627"
  "issn" => "15792129"
  "doi" => "10.1016/S1579-2129(07)60062-7"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "60062"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2007;43:248-55"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3846
    "formatos" => array:3 [
      "EPUB" => 93
      "HTML" => 3140
      "PDF" => 613
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1579212907600639"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60063-9"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60063"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2007;43:256-61"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2893
      "formatos" => array:3 [
        "EPUB" => 83
        "HTML" => 2090
        "PDF" => 720
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>"
      "titulo" => "Spanish Version of the Functional Outcomes of Sleep Questionnaire&#58; Scores of Healthy Individuals and of Patients With Sleep Apnea-Hypopnea Syndrome"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "256"
          "paginaFinal" => "261"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Silvia Vidal, Montserrat Ferrer, Cristina Masuet, Mar&#237;a Somoza, Jos&#233; Ignacio Mart&#237;nez Ballar&#237;n, Carmen Monasterio"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Silvia"
              "apellidos" => "Vidal"
            ]
            1 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Ferrer"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Masuet"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Somoza"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233; Ignacio Mart&#237;nez"
              "apellidos" => "Ballar&#237;n"
            ]
            5 => array:2 [
              "nombre" => "Carmen"
              "apellidos" => "Monasterio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600639?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600639/v1_201305150317/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212907600615"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60061-5"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60061"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "edi"
    "cita" => "Arch Bronconeumol. 2007;43:245-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2431
      "formatos" => array:3 [
        "EPUB" => 99
        "HTML" => 1529
        "PDF" => 803
      ]
    ]
    "en" => array:8 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Should We Be Paying Attention to Inspiratory Capacity&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "245"
          "paginaFinal" => "247"
        ]
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ciro Casanova Macario, Bartolom&#233; R&#46; Celli"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Ciro Casanova"
              "apellidos" => "Macario"
            ]
            1 => array:2 [
              "nombre" => "Bartolom&#233; R&#46;"
              "apellidos" => "Celli"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600615?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600615/v1_201305150317/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>"
    "titulo" => "Development of a Questionnaire to Measure Asthmatic Patients&#39; Knowledge of Their Disease"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "248"
        "paginaFinal" => "255"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Renata B&#225;ez Salda&#241;a, Roc&#237;o Chapela Mendoza, Loredmy Herrera Kiengelher, Rebeca Ortiz Siordia, Jorge Salas Hern&#225;ndez"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "A&#46; Renata B&#225;ez"
            "apellidos" => "Salda&#241;a"
            "email" => array:1 [
              0 => "baezrd&#64;servidor&#46;unam&#46;mx"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Roc&#237;o Chapela"
            "apellidos" => "Mendoza"
          ]
          2 => array:2 [
            "nombre" => "Loredmy Herrera"
            "apellidos" => "Kiengelher"
          ]
          3 => array:2 [
            "nombre" => "Rebeca Ortiz"
            "apellidos" => "Siordia"
          ]
          4 => array:2 [
            "nombre" => "Jorge Salas"
            "apellidos" => "Hern&#225;ndez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Cl&#237;nica de Asma&#44; Instituto Nacional de Enfermedades Respiratorias&#44; Ciudad de M&#233;xico&#44; M&#233;xico"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondence&#58; Dra&#46; A&#46;R&#46; B&#225;ez Salda&#241;a&#46; Cl&#237;nica de Asma&#46; Instituto Nacional de Enfermedades Respiratorias&#46; Calzada de Tlalpan&#44; 4&#46;502&#46; Col&#46; Secci&#243;n XVI&#46; 14080 M&#233;xico DF&#46; M&#233;xico"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-12-13"
    "fechaAceptado" => "2006-12-05"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec154860"
          "palabras" => array:5 [
            0 => "Knowledge questionnaire"
            1 => "Asthmatic patient"
            2 => "Validity"
            3 => "Reliability"
            4 => "Sensitivity"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec154861"
          "palabras" => array:5 [
            0 => "Cuestionario de conocimientos"
            1 => "Paciente asm&#225;-tico"
            2 => "Validez"
            3 => "Fiabilidad"
            4 => "Sensibilidad"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p class="elsevierStyleSimplePara elsevierViewall">To develop a valid&#44; reliable&#44; and sensitive self-administered questionnaire in Spanish to measure the knowledge asthmatic patients have of their disease&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The face and content validity of the questions was established by consensus among expert pulmonologists&#46; To determine the importance of the questions&#44; they were put to 100 participating asthmatic patients&#46; The number of questions was reduced by consensus taking into account the importance given to each question by these patients&#46; A further 25 patients participated in the assessment of reliability and sensitivity&#46; The questionnaire was administered 5 times&#58; twice before and 3 times after an educational intervention&#46; The direct and indirect test-retest consistency &#40;&#954; statistic&#41; and the overall &#954; value were determined&#46; Sensitivity was assessed from the number of correct answers before and after the intervention &#40;Wilcoxon test&#59; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; and from the percentage change &#40;&#62; 40&#37; was clinically significant&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Fifty-nine questions were drawn up and the final version included 20&#46; The direct consistency was between 0&#46;81 and 1 in 76&#37; of the cases before the intervention and in 92&#37; after it&#46; The &#954; statistic before the intervention was between 0&#46;41 and 1 in 96&#37; of the cases&#44; and between 0&#46;81 and 1 in 88&#37; afterwards&#46; The overall &#954; values before and after the intervention were 0&#46;12 and 0&#46;43&#44; respectively&#46; The median sensitivity&#44; measured as percentage change&#44; was 67&#37; and 10 patients showed an improvement between 81&#37; and 233&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The questionnaire is reliable&#44; has face and content validity&#44; and is very sensitive to change&#46; In view of these results&#44; this instrument is useful for measuring the knowledge that asthmatic patients have of their disease in clinical practice and investigation&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Desarrollar un cuestionario en espa&#241;ol&#44; auto-administrado&#44; que mida los conocimientos del paciente as-m&#225;tico en relaci&#243;n con su enfermedad y que sea v&#225;lido&#44; fia-ble y sensible&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">La validez de apariencia y conteni-do de las preguntas redactadas se estableci&#243; por consenso de neum&#243;logos expertos&#46; Para la calificaci&#243;n de la importancia de las preguntas participaron 100 pacientes asm&#225;ticos&#46; La reducci&#243;n del n&#250;mero de preguntas para la versi&#243;n final del cuestionario se realiz&#243; por consenso y tomando en conside-raci&#243;n la escala de importancia determinada por los mismos pacientes&#46; Para evaluar la fiabilidad y sensibilidad partici-paron otros 25 pacientes&#46; El cuestionario se aplic&#243; en 5 oca-siones diferentes&#58; 2 previas y 3 posteriores a la intervenci&#243;n educativa&#46; Se midi&#243; la consistencia externa directa e indirec-ta &#40;&#237;ndice kappa&#41; y la kappa global&#46; La sensibilidad se deter-min&#243; con el n&#250;mero de aciertos antes y despu&#233;s de la inter-venci&#243;n &#40;prueba de Wilcoxon&#59; p &#60; 0&#44;05&#41; y mediante el porcentaje de cambio &#40;&#62; 40&#37;&#44; cl&#237;nicamente significativo&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se redactaron 59 preguntas y la versi&#243;n final del cuestionario consta de 20&#46; La consistencia directa antes y despu&#233;s de la intervenci&#243;n fue de 0&#44;81-1 en el 76 y el 92&#37; de los casos&#44; respectivamente&#46; El &#237;ndice kappa antes de la inter-venci&#243;n se situ&#243; entre 0&#44;41 y 1 en el 96&#37; de los casos&#44; y des-pu&#233;s fue de 0&#44;81-1 en el 88&#37;&#46; La kappa global antes y des-pu&#233;s de la intervenci&#243;n fue de 0&#44;12 y 0&#44;43&#44; respectivamente&#46; La mediana de la sensibilidad&#44; medida en porcentaje de cam-bio&#44; fue del 67&#37; y la moda se situ&#243; entre el 81 y el 233&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El cuestionario es fiable&#44; re&#250;ne los crite-rios de validez de contenido y apariencia y es muy sensible al cambio&#46; En virtud de la magnitud de los resultados&#44; es un instrumento &#250;til para medir los conocimientos del paciente asm&#225;tico en la pr&#225;ctica cl&#237;nica o la investigaci&#243;n&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "REFERENCES"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:34 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Global Initiative for Asthma"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Global strategy for asthma management and prevention"
                        "fecha" => "2002"
                        "editorial" => "National Institutes of Health&#44; National Heart&#44; Lung and Blood Institute"
                        "editorialLocalizacion" => "Bethesda"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N Ait Khaled"
                            1 => "D Enarson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "El manejo del asma en los adultos&#46; Gu&#237;a para pa&#237;ses con escasos recursos econ&#243;micos"
                        "fecha" => "2005"
                        "editorial" => "Uni&#243;n Internacional Contra la Tuberculosis y las Enfermedades Respiratorias &#40;UICTER&#41;"
                        "editorialLocalizacion" => "Par&#237;s"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gu&#237;a espa&#241;ola para el manejo del asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V Plaza Moral"
                            1 => "FJ &#193;lvarez Guti&#233;rrez"
                            2 => "P Casan Clar&#224;"
                            3 => "N Cobos Barroso"
                            4 => "A L&#243;pez Vi&#241;a"
                            5 => "MA Llauguer Rossell&#243;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "numero" => "Supl 5"
                        "paginaInicial" => "1"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14587516"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Education of adult patients at an asthma school&#46; Effect on quality of life knowledge and need for nursing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "KC Ringsberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1990"
                        "volumen" => "3"
                        "paginaInicial" => "33"
                        "paginaFinal" => "37"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2311729"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Self-management education and regular practitioner review for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "PG Gibson"
                            1 => "H Powell"
                            2 => "J Coughlan"
                            3 => "AJ Wilson"
                            4 => "M Abramson"
                            5 => "P Haywood"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "2"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of educational interventions for self management of asthma in children and adolescents&#58; systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JP Guevara"
                            1 => "FM Wolf"
                            2 => "CM Grum"
                            3 => "NM Clark"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2003"
                        "volumen" => "326"
                        "paginaInicial" => "1"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12705247"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Options for self-management education for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H Powell"
                            1 => "PG Gibson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "1"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Educational interventions for asthma in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "FM Wolf"
                            1 => "JP Guevara"
                            2 => "CM Grum"
                            3 => "NM Clark"
                            4 => "CJ Cates"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "1"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parental education and guided self-management of asthma and wheezing in the pre-school child&#58; a randomised controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "CA Stevens"
                            1 => "LJ Wesseldine"
                            2 => "JM Couriel"
                            3 => "AJ Dyer"
                            4 => "LM Osman"
                            5 => "M Silverman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2002"
                        "volumen" => "57"
                        "paginaInicial" => "39"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11809988"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Limited &#40;information only&#41; patient education programs for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "PG Gibson"
                            1 => "H Powell"
                            2 => "J Coughlan"
                            3 => "AJ Wilson"
                            4 => "MJ Hensley"
                            5 => "M Abramson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2002"
                        "numero" => "2"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reliability of a questionnaire for evaluating the understanding of asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G Bertolotti"
                            1 => "M Carone"
                            2 => "S Viaggi"
                            3 => "G Moscazo"
                            4 => "M Neri"
                            5 => "C Rampilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Monaldi Arch Chest Dis"
                        "fecha" => "2001"
                        "volumen" => "56"
                        "paginaInicial" => "11"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11407201"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A reliable and valid asthma general knowledge questionnaire useful in training of asthma educators"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "RM Allen"
                            1 => "OA Abdulwadud"
                            2 => "MP Jones"
                            3 => "M Abramson"
                            4 => "H Walters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Patient Educ Couns"
                        "fecha" => "2000"
                        "volumen" => "39"
                        "paginaInicial" => "237"
                        "paginaFinal" => "242"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11040723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The validity and reliability of an asthma knowledge questionnaire used in the evaluation of a group asthma education self-management program for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "RM Allen"
                            1 => "MP Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "1998"
                        "volumen" => "35"
                        "paginaInicial" => "537"
                        "paginaFinal" => "545"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9777880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validaci&#243;n de un cuestionario de conocimientos acerca del asma entre padres o tutores de ni&#241;os asm&#225;ticos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C Rodr&#237;guez Mart&#237;nez"
                            1 => "MP Sossa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "419"
                        "paginaFinal" => "424"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16117946"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A methodological framework for assessing health indices"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B Krishner"
                            1 => "G Guyatt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chron Dis"
                        "fecha" => "1985"
                        "volumen" => "38"
                        "paginaInicial" => "27"
                        "paginaFinal" => "36"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3972947"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring change over time&#58; assessing the usefulness of evaluative instruments"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G Guyatt"
                            1 => "S Walter"
                            2 => "G Norman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chron Dis"
                        "fecha" => "1987"
                        "volumen" => "40"
                        "paginaInicial" => "171"
                        "paginaFinal" => "178"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3818871"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Questionnaire development&#46; 1&#46; Formulation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L del Greco"
                            1 => "W Walop"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "CMAJ"
                        "fecha" => "1987"
                        "volumen" => "136"
                        "paginaInicial" => "583"
                        "paginaFinal" => "585"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3815228"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Questionnaire development&#46; 2&#46; Validity and reliability"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L del Greco"
                            1 => "W Walop"
                            2 => "RH McCarthy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "CMAJ"
                        "fecha" => "1987"
                        "volumen" => "136"
                        "paginaInicial" => "699"
                        "paginaFinal" => "700"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3828925"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring disease-specific quality of life in clinical trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "GH Guyatt"
                            1 => "C Bombardier"
                            2 => "PX Tugwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Can Med Assoc J"
                        "fecha" => "1986"
                        "volumen" => "134"
                        "paginaInicial" => "889"
                        "paginaFinal" => "895"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consensus methods&#58; characteristics and guidelines for use"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A Fink"
                            1 => "J Kosecoff"
                            2 => "M Chassin"
                            3 => "RH Brook"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "1984"
                        "volumen" => "74"
                        "paginaInicial" => "979"
                        "paginaFinal" => "983"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6380323"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "JL Fleiss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Statistical methods for rates and proportions"
                        "paginaInicial" => "212"
                        "paginaFinal" => "236"
                        "serieFecha" => "1980"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "EG Carmines"
                            1 => "RA Zeller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Reliability and validity assessment"
                        "fecha" => "1979"
                        "editorial" => "Sage Publications"
                        "editorialLocalizacion" => "Newbury Park"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validating scales and indexes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "JM Bland"
                            1 => "DG Altman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2002"
                        "volumen" => "324"
                        "paginaInicial" => "606"
                        "paginaFinal" => "607"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11884331"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A cost-effectiveness analysis of a peak flow-based asthma education and self-management plan in a high-cost population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "ML de Asis"
                            1 => "R Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "2004"
                        "volumen" => "41"
                        "paginaInicial" => "559"
                        "paginaFinal" => "565"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15360065"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of an individualised asthma programme directed at behavioural change"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C Put"
                            1 => "O van den Bergh"
                            2 => "V Lemaigre"
                            3 => "M Demedts"
                            4 => "G Verleden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "paginaInicial" => "109"
                        "paginaFinal" => "115"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12570118"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relations among asthma knowledge&#44; treatment adherent&#44; and outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J Ho"
                            1 => "BG Bender"
                            2 => "LA Gavin"
                            3 => "SL O&#39;Connor"
                            4 => "MZ Wamboldt"
                            5 => "FS Wamboldt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Allergy Clin Immunol"
                        "fecha" => "2003"
                        "volumen" => "111"
                        "paginaInicial" => "498"
                        "paginaFinal" => "502"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12642828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The biostatistics of concordance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "MS Kramer"
                            1 => "AR Feinstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Pharmacol Ther"
                        "fecha" => "1981"
                        "volumen" => "29"
                        "paginaInicial" => "111"
                        "paginaFinal" => "123"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7460469"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness and validity in health status measurement&#58; a clarification"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "GH Guyatt"
                            1 => "RA Deyo"
                            2 => "M Charlson"
                            3 => "MN Levine"
                            4 => "A Mitchell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1989"
                        "volumen" => "42"
                        "paginaInicial" => "403"
                        "paginaFinal" => "408"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2659745"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of an asthma knowledge questionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "CA Fitzclarence"
                            1 => "RL Henry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Paediatr Child Health"
                        "fecha" => "1990"
                        "volumen" => "26"
                        "paginaInicial" => "200"
                        "paginaFinal" => "204"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2257180"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Asthma knowledge and medication compliance among parents of asthmatic children in Nanking&#44; China"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "X Zhao"
                            1 => "S Furber"
                            2 => "A Barman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "2002"
                        "volumen" => "39"
                        "paginaInicial" => "743"
                        "paginaFinal" => "747"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12507195"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "B&#250;squeda de informaci&#243;n y toma de decisiones en pacientes asm&#225;ticos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Perpi&#241;&#225;"
                            1 => "V Sobradillo"
                            2 => "J Castillo"
                            3 => "F Duce"
                            4 => "F Manresa"
                            5 => "J Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "1999"
                        "volumen" => "35"
                        "paginaInicial" => "435"
                        "paginaFinal" => "439"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10596340"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validez de constructo del cuestionario Informaci&#243;n y Decisiones en el Asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M Perpi&#241;&#225; Tordera"
                            1 => "A Belloch Fuster"
                            2 => "E Ayll&#243;n Negrillo"
                            3 => "A de Diego Dami&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2002"
                        "volumen" => "38"
                        "paginaInicial" => "106"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11900686"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Desarrollo de un nuevo instrumento para evaluar el deseo de informaci&#243;n y la toma de decisiones de los pacientes con asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M Perpi&#241;&#225; Tordera"
                            1 => "A Belloch Fuster"
                            2 => "E Ayll&#243;n Negrillo"
                            3 => "A de Diego Dami&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2000"
                        "volumen" => "36"
                        "paginaInicial" => "563"
                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11149199"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Design a questionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "DH Stone"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1993"
                        "volumen" => "307"
                        "paginaInicial" => "1264"
                        "paginaFinal" => "1265"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8281062"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600627/v1_201305150317/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004300000005/v1_201305150317/S1579212907600627/v1_201305150317/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600627?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Original Articles
Development of a Questionnaire to Measure Asthmatic Patients' Knowledge of Their Disease
A. Renata Báez Saldaña
Corresponding author
baezrd@servidor.unam.mx

Correspondence: Dra. A.R. Báez Saldaña. Clínica de Asma. Instituto Nacional de Enfermedades Respiratorias. Calzada de Tlalpan, 4.502. Col. Sección XVI. 14080 México DF. México
, Rocío Chapela Mendoza, Loredmy Herrera Kiengelher, Rebeca Ortiz Siordia, Jorge Salas Hernández
Clínica de Asma, Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México
Read
5692
Times
was read the article
1744
Total PDF
3948
Total HTML
Share statistics
 array:23 [
  "pii" => "S1579212907600627"
  "issn" => "15792129"
  "doi" => "10.1016/S1579-2129(07)60062-7"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "60062"
  "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2007;43:248-55"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3846
    "formatos" => array:3 [
      "EPUB" => 93
      "HTML" => 3140
      "PDF" => 613
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1579212907600639"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60063-9"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60063"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2007;43:256-61"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2893
      "formatos" => array:3 [
        "EPUB" => 83
        "HTML" => 2090
        "PDF" => 720
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>"
      "titulo" => "Spanish Version of the Functional Outcomes of Sleep Questionnaire&#58; Scores of Healthy Individuals and of Patients With Sleep Apnea-Hypopnea Syndrome"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "256"
          "paginaFinal" => "261"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Silvia Vidal, Montserrat Ferrer, Cristina Masuet, Mar&#237;a Somoza, Jos&#233; Ignacio Mart&#237;nez Ballar&#237;n, Carmen Monasterio"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Silvia"
              "apellidos" => "Vidal"
            ]
            1 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Ferrer"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Masuet"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Somoza"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233; Ignacio Mart&#237;nez"
              "apellidos" => "Ballar&#237;n"
            ]
            5 => array:2 [
              "nombre" => "Carmen"
              "apellidos" => "Monasterio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600639?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600639/v1_201305150317/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212907600615"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60061-5"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60061"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "edi"
    "cita" => "Arch Bronconeumol. 2007;43:245-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2431
      "formatos" => array:3 [
        "EPUB" => 99
        "HTML" => 1529
        "PDF" => 803
      ]
    ]
    "en" => array:8 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Should We Be Paying Attention to Inspiratory Capacity&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "245"
          "paginaFinal" => "247"
        ]
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ciro Casanova Macario, Bartolom&#233; R&#46; Celli"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Ciro Casanova"
              "apellidos" => "Macario"
            ]
            1 => array:2 [
              "nombre" => "Bartolom&#233; R&#46;"
              "apellidos" => "Celli"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600615?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600615/v1_201305150317/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>"
    "titulo" => "Development of a Questionnaire to Measure Asthmatic Patients&#39; Knowledge of Their Disease"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "248"
        "paginaFinal" => "255"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Renata B&#225;ez Salda&#241;a, Roc&#237;o Chapela Mendoza, Loredmy Herrera Kiengelher, Rebeca Ortiz Siordia, Jorge Salas Hern&#225;ndez"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "A&#46; Renata B&#225;ez"
            "apellidos" => "Salda&#241;a"
            "email" => array:1 [
              0 => "baezrd&#64;servidor&#46;unam&#46;mx"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Roc&#237;o Chapela"
            "apellidos" => "Mendoza"
          ]
          2 => array:2 [
            "nombre" => "Loredmy Herrera"
            "apellidos" => "Kiengelher"
          ]
          3 => array:2 [
            "nombre" => "Rebeca Ortiz"
            "apellidos" => "Siordia"
          ]
          4 => array:2 [
            "nombre" => "Jorge Salas"
            "apellidos" => "Hern&#225;ndez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Cl&#237;nica de Asma&#44; Instituto Nacional de Enfermedades Respiratorias&#44; Ciudad de M&#233;xico&#44; M&#233;xico"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondence&#58; Dra&#46; A&#46;R&#46; B&#225;ez Salda&#241;a&#46; Cl&#237;nica de Asma&#46; Instituto Nacional de Enfermedades Respiratorias&#46; Calzada de Tlalpan&#44; 4&#46;502&#46; Col&#46; Secci&#243;n XVI&#46; 14080 M&#233;xico DF&#46; M&#233;xico"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-12-13"
    "fechaAceptado" => "2006-12-05"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec154860"
          "palabras" => array:5 [
            0 => "Knowledge questionnaire"
            1 => "Asthmatic patient"
            2 => "Validity"
            3 => "Reliability"
            4 => "Sensitivity"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec154861"
          "palabras" => array:5 [
            0 => "Cuestionario de conocimientos"
            1 => "Paciente asm&#225;-tico"
            2 => "Validez"
            3 => "Fiabilidad"
            4 => "Sensibilidad"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p class="elsevierStyleSimplePara elsevierViewall">To develop a valid&#44; reliable&#44; and sensitive self-administered questionnaire in Spanish to measure the knowledge asthmatic patients have of their disease&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The face and content validity of the questions was established by consensus among expert pulmonologists&#46; To determine the importance of the questions&#44; they were put to 100 participating asthmatic patients&#46; The number of questions was reduced by consensus taking into account the importance given to each question by these patients&#46; A further 25 patients participated in the assessment of reliability and sensitivity&#46; The questionnaire was administered 5 times&#58; twice before and 3 times after an educational intervention&#46; The direct and indirect test-retest consistency &#40;&#954; statistic&#41; and the overall &#954; value were determined&#46; Sensitivity was assessed from the number of correct answers before and after the intervention &#40;Wilcoxon test&#59; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; and from the percentage change &#40;&#62; 40&#37; was clinically significant&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Fifty-nine questions were drawn up and the final version included 20&#46; The direct consistency was between 0&#46;81 and 1 in 76&#37; of the cases before the intervention and in 92&#37; after it&#46; The &#954; statistic before the intervention was between 0&#46;41 and 1 in 96&#37; of the cases&#44; and between 0&#46;81 and 1 in 88&#37; afterwards&#46; The overall &#954; values before and after the intervention were 0&#46;12 and 0&#46;43&#44; respectively&#46; The median sensitivity&#44; measured as percentage change&#44; was 67&#37; and 10 patients showed an improvement between 81&#37; and 233&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The questionnaire is reliable&#44; has face and content validity&#44; and is very sensitive to change&#46; In view of these results&#44; this instrument is useful for measuring the knowledge that asthmatic patients have of their disease in clinical practice and investigation&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Desarrollar un cuestionario en espa&#241;ol&#44; auto-administrado&#44; que mida los conocimientos del paciente as-m&#225;tico en relaci&#243;n con su enfermedad y que sea v&#225;lido&#44; fia-ble y sensible&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">La validez de apariencia y conteni-do de las preguntas redactadas se estableci&#243; por consenso de neum&#243;logos expertos&#46; Para la calificaci&#243;n de la importancia de las preguntas participaron 100 pacientes asm&#225;ticos&#46; La reducci&#243;n del n&#250;mero de preguntas para la versi&#243;n final del cuestionario se realiz&#243; por consenso y tomando en conside-raci&#243;n la escala de importancia determinada por los mismos pacientes&#46; Para evaluar la fiabilidad y sensibilidad partici-paron otros 25 pacientes&#46; El cuestionario se aplic&#243; en 5 oca-siones diferentes&#58; 2 previas y 3 posteriores a la intervenci&#243;n educativa&#46; Se midi&#243; la consistencia externa directa e indirec-ta &#40;&#237;ndice kappa&#41; y la kappa global&#46; La sensibilidad se deter-min&#243; con el n&#250;mero de aciertos antes y despu&#233;s de la inter-venci&#243;n &#40;prueba de Wilcoxon&#59; p &#60; 0&#44;05&#41; y mediante el porcentaje de cambio &#40;&#62; 40&#37;&#44; cl&#237;nicamente significativo&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se redactaron 59 preguntas y la versi&#243;n final del cuestionario consta de 20&#46; La consistencia directa antes y despu&#233;s de la intervenci&#243;n fue de 0&#44;81-1 en el 76 y el 92&#37; de los casos&#44; respectivamente&#46; El &#237;ndice kappa antes de la inter-venci&#243;n se situ&#243; entre 0&#44;41 y 1 en el 96&#37; de los casos&#44; y des-pu&#233;s fue de 0&#44;81-1 en el 88&#37;&#46; La kappa global antes y des-pu&#233;s de la intervenci&#243;n fue de 0&#44;12 y 0&#44;43&#44; respectivamente&#46; La mediana de la sensibilidad&#44; medida en porcentaje de cam-bio&#44; fue del 67&#37; y la moda se situ&#243; entre el 81 y el 233&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El cuestionario es fiable&#44; re&#250;ne los crite-rios de validez de contenido y apariencia y es muy sensible al cambio&#46; En virtud de la magnitud de los resultados&#44; es un instrumento &#250;til para medir los conocimientos del paciente asm&#225;tico en la pr&#225;ctica cl&#237;nica o la investigaci&#243;n&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "REFERENCES"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:34 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Global Initiative for Asthma"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Global strategy for asthma management and prevention"
                        "fecha" => "2002"
                        "editorial" => "National Institutes of Health&#44; National Heart&#44; Lung and Blood Institute"
                        "editorialLocalizacion" => "Bethesda"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N Ait Khaled"
                            1 => "D Enarson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "El manejo del asma en los adultos&#46; Gu&#237;a para pa&#237;ses con escasos recursos econ&#243;micos"
                        "fecha" => "2005"
                        "editorial" => "Uni&#243;n Internacional Contra la Tuberculosis y las Enfermedades Respiratorias &#40;UICTER&#41;"
                        "editorialLocalizacion" => "Par&#237;s"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gu&#237;a espa&#241;ola para el manejo del asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V Plaza Moral"
                            1 => "FJ &#193;lvarez Guti&#233;rrez"
                            2 => "P Casan Clar&#224;"
                            3 => "N Cobos Barroso"
                            4 => "A L&#243;pez Vi&#241;a"
                            5 => "MA Llauguer Rossell&#243;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "numero" => "Supl 5"
                        "paginaInicial" => "1"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14587516"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Education of adult patients at an asthma school&#46; Effect on quality of life knowledge and need for nursing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "KC Ringsberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1990"
                        "volumen" => "3"
                        "paginaInicial" => "33"
                        "paginaFinal" => "37"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2311729"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Self-management education and regular practitioner review for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "PG Gibson"
                            1 => "H Powell"
                            2 => "J Coughlan"
                            3 => "AJ Wilson"
                            4 => "M Abramson"
                            5 => "P Haywood"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "2"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of educational interventions for self management of asthma in children and adolescents&#58; systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JP Guevara"
                            1 => "FM Wolf"
                            2 => "CM Grum"
                            3 => "NM Clark"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2003"
                        "volumen" => "326"
                        "paginaInicial" => "1"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12705247"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Options for self-management education for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H Powell"
                            1 => "PG Gibson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "1"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Educational interventions for asthma in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "FM Wolf"
                            1 => "JP Guevara"
                            2 => "CM Grum"
                            3 => "NM Clark"
                            4 => "CJ Cates"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2003"
                        "numero" => "1"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parental education and guided self-management of asthma and wheezing in the pre-school child&#58; a randomised controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "CA Stevens"
                            1 => "LJ Wesseldine"
                            2 => "JM Couriel"
                            3 => "AJ Dyer"
                            4 => "LM Osman"
                            5 => "M Silverman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2002"
                        "volumen" => "57"
                        "paginaInicial" => "39"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11809988"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Limited &#40;information only&#41; patient education programs for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "PG Gibson"
                            1 => "H Powell"
                            2 => "J Coughlan"
                            3 => "AJ Wilson"
                            4 => "MJ Hensley"
                            5 => "M Abramson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2002"
                        "numero" => "2"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reliability of a questionnaire for evaluating the understanding of asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G Bertolotti"
                            1 => "M Carone"
                            2 => "S Viaggi"
                            3 => "G Moscazo"
                            4 => "M Neri"
                            5 => "C Rampilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Monaldi Arch Chest Dis"
                        "fecha" => "2001"
                        "volumen" => "56"
                        "paginaInicial" => "11"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11407201"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A reliable and valid asthma general knowledge questionnaire useful in training of asthma educators"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "RM Allen"
                            1 => "OA Abdulwadud"
                            2 => "MP Jones"
                            3 => "M Abramson"
                            4 => "H Walters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Patient Educ Couns"
                        "fecha" => "2000"
                        "volumen" => "39"
                        "paginaInicial" => "237"
                        "paginaFinal" => "242"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11040723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The validity and reliability of an asthma knowledge questionnaire used in the evaluation of a group asthma education self-management program for adults with asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "RM Allen"
                            1 => "MP Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "1998"
                        "volumen" => "35"
                        "paginaInicial" => "537"
                        "paginaFinal" => "545"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9777880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validaci&#243;n de un cuestionario de conocimientos acerca del asma entre padres o tutores de ni&#241;os asm&#225;ticos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C Rodr&#237;guez Mart&#237;nez"
                            1 => "MP Sossa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "419"
                        "paginaFinal" => "424"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16117946"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A methodological framework for assessing health indices"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B Krishner"
                            1 => "G Guyatt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chron Dis"
                        "fecha" => "1985"
                        "volumen" => "38"
                        "paginaInicial" => "27"
                        "paginaFinal" => "36"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3972947"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring change over time&#58; assessing the usefulness of evaluative instruments"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G Guyatt"
                            1 => "S Walter"
                            2 => "G Norman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chron Dis"
                        "fecha" => "1987"
                        "volumen" => "40"
                        "paginaInicial" => "171"
                        "paginaFinal" => "178"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3818871"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Questionnaire development&#46; 1&#46; Formulation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L del Greco"
                            1 => "W Walop"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "CMAJ"
                        "fecha" => "1987"
                        "volumen" => "136"
                        "paginaInicial" => "583"
                        "paginaFinal" => "585"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3815228"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Questionnaire development&#46; 2&#46; Validity and reliability"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L del Greco"
                            1 => "W Walop"
                            2 => "RH McCarthy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "CMAJ"
                        "fecha" => "1987"
                        "volumen" => "136"
                        "paginaInicial" => "699"
                        "paginaFinal" => "700"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3828925"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring disease-specific quality of life in clinical trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "GH Guyatt"
                            1 => "C Bombardier"
                            2 => "PX Tugwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Can Med Assoc J"
                        "fecha" => "1986"
                        "volumen" => "134"
                        "paginaInicial" => "889"
                        "paginaFinal" => "895"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consensus methods&#58; characteristics and guidelines for use"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A Fink"
                            1 => "J Kosecoff"
                            2 => "M Chassin"
                            3 => "RH Brook"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "1984"
                        "volumen" => "74"
                        "paginaInicial" => "979"
                        "paginaFinal" => "983"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6380323"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "JL Fleiss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Statistical methods for rates and proportions"
                        "paginaInicial" => "212"
                        "paginaFinal" => "236"
                        "serieFecha" => "1980"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "EG Carmines"
                            1 => "RA Zeller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Reliability and validity assessment"
                        "fecha" => "1979"
                        "editorial" => "Sage Publications"
                        "editorialLocalizacion" => "Newbury Park"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validating scales and indexes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "JM Bland"
                            1 => "DG Altman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2002"
                        "volumen" => "324"
                        "paginaInicial" => "606"
                        "paginaFinal" => "607"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11884331"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A cost-effectiveness analysis of a peak flow-based asthma education and self-management plan in a high-cost population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "ML de Asis"
                            1 => "R Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "2004"
                        "volumen" => "41"
                        "paginaInicial" => "559"
                        "paginaFinal" => "565"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15360065"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of an individualised asthma programme directed at behavioural change"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C Put"
                            1 => "O van den Bergh"
                            2 => "V Lemaigre"
                            3 => "M Demedts"
                            4 => "G Verleden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "paginaInicial" => "109"
                        "paginaFinal" => "115"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12570118"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relations among asthma knowledge&#44; treatment adherent&#44; and outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J Ho"
                            1 => "BG Bender"
                            2 => "LA Gavin"
                            3 => "SL O&#39;Connor"
                            4 => "MZ Wamboldt"
                            5 => "FS Wamboldt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Allergy Clin Immunol"
                        "fecha" => "2003"
                        "volumen" => "111"
                        "paginaInicial" => "498"
                        "paginaFinal" => "502"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12642828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The biostatistics of concordance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "MS Kramer"
                            1 => "AR Feinstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Pharmacol Ther"
                        "fecha" => "1981"
                        "volumen" => "29"
                        "paginaInicial" => "111"
                        "paginaFinal" => "123"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7460469"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness and validity in health status measurement&#58; a clarification"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "GH Guyatt"
                            1 => "RA Deyo"
                            2 => "M Charlson"
                            3 => "MN Levine"
                            4 => "A Mitchell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1989"
                        "volumen" => "42"
                        "paginaInicial" => "403"
                        "paginaFinal" => "408"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2659745"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of an asthma knowledge questionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "CA Fitzclarence"
                            1 => "RL Henry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Paediatr Child Health"
                        "fecha" => "1990"
                        "volumen" => "26"
                        "paginaInicial" => "200"
                        "paginaFinal" => "204"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2257180"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Asthma knowledge and medication compliance among parents of asthmatic children in Nanking&#44; China"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "X Zhao"
                            1 => "S Furber"
                            2 => "A Barman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Asthma"
                        "fecha" => "2002"
                        "volumen" => "39"
                        "paginaInicial" => "743"
                        "paginaFinal" => "747"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12507195"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "B&#250;squeda de informaci&#243;n y toma de decisiones en pacientes asm&#225;ticos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Perpi&#241;&#225;"
                            1 => "V Sobradillo"
                            2 => "J Castillo"
                            3 => "F Duce"
                            4 => "F Manresa"
                            5 => "J Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "1999"
                        "volumen" => "35"
                        "paginaInicial" => "435"
                        "paginaFinal" => "439"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10596340"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validez de constructo del cuestionario Informaci&#243;n y Decisiones en el Asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M Perpi&#241;&#225; Tordera"
                            1 => "A Belloch Fuster"
                            2 => "E Ayll&#243;n Negrillo"
                            3 => "A de Diego Dami&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2002"
                        "volumen" => "38"
                        "paginaInicial" => "106"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11900686"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Desarrollo de un nuevo instrumento para evaluar el deseo de informaci&#243;n y la toma de decisiones de los pacientes con asma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M Perpi&#241;&#225; Tordera"
                            1 => "A Belloch Fuster"
                            2 => "E Ayll&#243;n Negrillo"
                            3 => "A de Diego Dami&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2000"
                        "volumen" => "36"
                        "paginaInicial" => "563"
                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11149199"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Design a questionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "DH Stone"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1993"
                        "volumen" => "307"
                        "paginaInicial" => "1264"
                        "paginaFinal" => "1265"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8281062"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600627/v1_201305150317/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004300000005/v1_201305150317/S1579212907600627/v1_201305150317/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600627?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 6 6 12
2024 October 47 26 73
2024 September 40 21 61
2024 August 45 41 86
2024 July 23 19 42
2024 June 34 22 56
2024 May 33 26 59
2024 April 17 25 42
2024 March 22 15 37
2024 February 19 17 36
2023 March 2 3 5
2023 February 15 22 37
2023 January 14 27 41
2022 December 23 14 37
2022 November 21 26 47
2022 October 20 49 69
2022 September 15 21 36
2022 August 17 39 56
2022 July 16 41 57
2022 June 12 30 42
2022 May 21 26 47
2022 April 16 44 60
2022 March 20 31 51
2022 February 14 31 45
2022 January 17 38 55
2021 December 11 51 62
2021 November 15 37 52
2021 October 17 36 53
2021 September 15 50 65
2021 August 11 35 46
2021 July 8 12 20
2021 June 13 25 38
2021 May 13 22 35
2021 April 22 35 57
2021 March 13 17 30
2021 February 7 17 24
2021 January 15 28 43
2020 December 9 13 22
2020 November 12 13 25
2020 October 4 8 12
2020 September 2 4 6
2020 August 5 11 16
2020 July 10 15 25
2020 June 15 5 20
2020 May 28 9 37
2020 April 18 9 27
2020 March 12 13 25
2020 February 9 12 21
2020 January 10 11 21
2019 December 12 15 27
2019 November 7 7 14
2019 October 7 5 12
2019 September 14 10 24
2019 August 14 5 19
2019 July 9 9 18
2019 June 5 6 11
2019 May 13 13 26
2019 April 17 19 36
2019 March 8 16 24
2019 February 8 10 18
2019 January 1 8 9
2018 December 8 11 19
2018 November 12 10 22
2018 October 17 13 30
2018 September 9 11 20
2018 May 6 0 6
2018 April 3 4 7
2018 March 6 4 10
2018 February 3 5 8
2018 January 4 6 10
2017 December 3 6 9
2017 November 2 11 13
2017 October 7 15 22
2017 September 4 6 10
2017 August 9 19 28
2017 July 3 6 9
2017 June 6 23 29
2017 May 7 6 13
2017 April 2 4 6
2017 March 4 6 10
2017 February 2 2 4
2017 January 3 4 7
2016 December 1 6 7
2016 November 4 4 8
2016 October 3 11 14
2016 September 6 9 15
2016 August 6 4 10
2016 July 2 6 8
2016 March 2 0 2
2015 December 2 0 2
2015 October 124 13 137
2015 September 143 18 161
2015 August 110 12 122
2015 July 78 6 84
2015 June 96 4 100
2015 May 73 7 80
2015 April 88 13 101
2015 March 100 4 104
2015 February 87 4 91
2015 January 57 5 62
2014 December 75 7 82
2014 November 95 9 104
2014 October 139 12 151
2014 September 109 7 116
2014 August 116 9 125
2014 July 118 5 123
2014 June 142 7 149
2014 May 121 8 129
2014 April 136 6 142
2014 March 108 9 117
2014 February 91 9 100
2014 January 88 9 97
2013 December 66 6 72
2013 November 71 10 81
2013 October 74 10 84
2013 September 84 10 94
2013 August 50 11 61
2013 July 70 11 81
2013 June 53 8 61
2013 May 45 6 51
2013 April 45 4 49
2013 March 12 2 14
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?