Critique of the Canadian Acute Respiratory Illness and Flu Scale
Monique Bouvier and Ann M. Mayo
Acute respiratory illness (ARI) is the most common clinical childhood illness. In 2010, there were approximately 15 million hospital admissions globally of children with acute lower respiratory tract infection. The estimated cost associated with acute respiratory infections (ARIs) in the United States is over 12 billion dollars annually, and yet there is a limited number of instruments available to assess and measure ARI severity, especially in children. One of the few instruments available is the Canadian Acute Respiratory Illness and Flu Scale (CARIFS). The purpose of this article is to present a critique of the psychometric properties of the CARIFS and if it produces valid data. Published studies were used to determine the reliability of the CARIFS. Although the CARIFS is one of the few pediatric instruments to capture ARI severity, it should be used with caution in the clinical and research settings. Further development and refinement of the instrument is recommended.