Validation of Russian version of AQ20 quality of life questionnaires in asthma patients
Abstract
The aim of this study was to evaluate a Russian version of short and simple AQ20 Quality of Life Questionnaire. The AQ20 Russian version was compared with the general questionnaire SF-36, the specific E.Juniper’s Asthma Quality of Life Questionnaire (AQLQ) and FEVi and PEFR measurements. Fifty nine asthmatic patients (including 38 females) of average age 37.5 years (from 16 to 66 years) were studied; among them 20 patients were studied before and after 3-month treatment with nedocromil sodium 8 mg daily. Their mean FEV1 was 73.3±27.6 (SD) (% pred.). Spirometry and questionnaire data were collected in a single session by a single researcher. All the patients were divided into three groups: with mild (n=20), moderate (n=28) and severe (n=11) bronchial asthma. The mean data of all the measurements in these groups and correlation (r) with AQ20 questionnaire data were calculated. The AQ20 questionnaire correlated closely with the AQLQ and total score components. Inspection of the correlation showed that AQ20 scores correlated quite closely with all the points of the AQLQ questionnaire (r=-0.52—0.64, p<0.001) and with six scales of the SF-36 questionnaire: PF (r=0.62), RF (r=-0.38), GH (r=-0.44), VT (r=-0.38), RE (r=-0.45), MH (r=0.40). The truthful moderate correlation of the AQ20 questionnaire and FEV1 (r=-0.35) and PEFR (r=-0.42) was found out. The AQ20 questionnaire also revealed clearly the improvement in quality of life under the treatment condition.
Thus, AQ20 questionnaire correlates well with the known SF-36 and AQLQ questionnaires, gives a chance to reveal treatment effects and is applicable for assessing quality of life in asthmatic patients. We suppose that the Russian version of AQ20 questionnaire is a reliable tool for evaluation quality of life in asthma.
About the Authors
N. N. BrimkulovKyrgyzstan
P. W. Jones
United Kingdom
A. D. Kalieva
Kyrgyzstan
References
1. Калиева А.Д., Булыгина Н.Е., Бримкулов H.H. Оценка качества жизни у больных бронхиальной астмой с помощью опросника SF-36 / / Вестн. Ассоц. пульмонологов Центр. Азии.— 1998.— Вып.2.— С.14— 15.
2. Шмелев Е.И., Беда М.В., Jones Р. W., Thwaites R., Чучалин А.Г. Качество жизни больных хроническими обструктивными болезнями легких / / Пульмонология.— 1998.— № 2.— С.79—80.
3. Thwaites R.M.A., Price M.S. Уменьшение бремени бронхиальной астмы: улучшение качества жизни пациентов / / Там же.— № 3.— С. 19—23.
4. Bousquet S., Knani J. et al. Quality of life in asthma / / Amer. J. Respir. Crit. Care Med.— 1994.— Vol.149.— P.371—375.
5. Brouwer J.L.P., van der Molen T., Meyboom-De Jong В., Postma D.S. Validity and reliability of the Dutch version of the twenty item asthma questionnaire (AQ20) / / Eur. Respir. J.— 1998.— Vol.12.— Suppl.28.— P.281s
6. Engstrom С-P., Persson L-O., Larsson S., Sullivan M. Reliability and validity of a Swedish version of the St.George’s Respiratory Questionnaire/ / Ibid.— Vol.11.— P.61—66.
7. Global Initiative for Asthma. Global Strategy for asthma management and prevention NHLBI/W HO workshop report / / NIH/NHLBI.— 1995.— Publ. № 95-3659.
8. Guell R., Casan P., Sangenis M. et al. Quality of life in patients with chronic respiratory disease: the Spanish version of the Chronic Respiratory Questionnaire / /Eur. Respir. J.— 1998.— Vol. 11.— P.55—60.
9. Jones P.W. Quality of life measurement in asthma: an editorial / / Ibid.— 1995.— Vol.8.— P.885—887.
10. Jones P.W. Testing health status (“quality of life”) questionnaires for asthma and COPD / / Ibid.— 1998.— Vol.П .— P.5—7.
11. .Juniper E., Guyatt G.H., Epstein R.S. et al. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials / / Thorax.— 1992.— Vol.47.— P.76—83.
12. Sevenhuysen G.P., Trumble-Waddell J. A new perspective on quality of life / / J. din. Epidemiol.— 1997.— Vol.50.— P.231—232.
13. The WHOQOL Group. What quality of life? / / Wld Hlth Forum.— 1996.— Vol.17.— P.354—356.
14. Ware J.E. Measuring patients’ views: the optimum outcome measure. SF 36: a valid, reliable assessment of health from the patient’s point of view / / Brit. med. J.— 1993.— Vol.306.— p.1429—1430.
15. White E.A., Jones P.W. Cross-sectional validation of a short and simple measure of quality of life for routine use in asthma / / Thorax.— 1995.— Vol.50.— Suppl.2.— P.22.
16. White E.A., Jones P. W. Cross-sectional and longitudinal validation of a short and simple measure of quality of life in asthma / / Amer. J. Respir. Crit. Care Med.— 1996.— Vol.513.— Suppl.2.— P.A754.
17. White E.A., Jones P.W. Morning and evening peak flow and spirometry as correlates of quality of life in asthma / / Ibid.— P.A772.
18. Wijkstra P.J., Jones P.W. Quality of life in patients with chronic obstructive pulmonary diseases / / Eur.Respir.Monogr.— 1998.— Vol.3.— Monogr.7.— P.235—246.
Review
For citations:
Brimkulov N.N., Jones P.W., Kalieva A.D. Validation of Russian version of AQ20 quality of life questionnaires in asthma patients. PULMONOLOGIYA. 1999;(3):14-20. (In Russ.)