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Validation of a shortened Taiwanese version of an asthma quality-of-life questionnaire by Rasch model

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The purpose of this study was to assess the one-dimensionality, item fit, redundancy, and differential item functioning (DIF) of a Taiwanese version of the Asthma Quality of Life Questionnaire (TAQLQ) using Rasch model and to examine the test‐retest reliability, validity of a simplified version of the TAQLQ and the original AQLQ. The design of this study was a two-time assessment on a 1-month interval. A total of 143 asthmatic outpatients were requested to administer the original 7-point 32-item TAQLQ questionnaires at the first visit and the 5-point 27-item TAQLQ questionnaires at the second visit. Two versions of the questionnaire were analyzed by using the Rasch model (Rasch G, Probabilistic Models for Some Intelligence and Attainment Tests, Chicago: University of Chicago Press, 1992) to determine the difference in validity and reliability between the original 32-item and the shortened 27-item TAQLQ scales with different categories responded. The analyzed data show that 5 items in the original 32-item AQLQ are not fitting to the Rasch model's expectations. The shortened 27-item TAQLQ was created by removing the misfit and redundant items. The reliability of the shortened 27-item TAQLQ is greater than the original 32-item AQLQ. The quality of life for asthma patients could be improved and stratified into five strata by summed raw scores of 61, 89, 106, and 120. The cutoff thresholds of averaged raw scores are 2.3, 3.3, 3.9, and 4.4. The simplified 5-point 27-item TAQLQ holds better validity and higher reliability than the original 7-point 32-item TAQLQ. Assessment of the quality of life using an abbreviated 5-point 27-item TAQLQ could be applied to Taiwanese asthma patients who are less educated in southern Taiwan than those in the northern part of Taiwan.
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Keywords: AQLQ; Rasch model; TAQLQ; Taiwanese; asthma; cutoff point; one-dimensionality; questionnaire; validity

Document Type: Research Article

Affiliations: School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Pharmacy, Chi Mei Medical Center, Tainan, Taiwan

Publication date: March 1, 2009

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  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma and by having the potential to directly impact the quality of patient care. AAP welcomes the submission of original works including peer-reviewed original research and clinical trial results. Additionally, as the official journal of the Eastern Allergy Conference (EAC), AAP will publish content from EAC poster sessions as well as review articles derived from EAC lectures.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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