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Validity and Reliability of the Thai Mini Asthma Quality of Life Questionnaire

Sunee Lertsinudom BCP*, Nutjaree Pratheepawanit Johns PhD*, Suthan Chanthawong GradDiplo*, Watchara Boonsawat MD, PhD**, Chanee Samosorn MSc***

Affiliation : * Faculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, Thailand ** Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand *** Pharmacy, Srinagarind Hospital, Khon Kaen, Thailand

Objective : The present study assessed the validity and reliability of the Thai Mini AQLQ in the Easy Asthma Clinic, Srinagarind Hospital. Material and Method: The present study used a cross sectional design, using an interview method by two trained-interviewers. The Thai Mini AQLQ consists of 15 items categorized into Symptoms, Activities, Emotions, Environment and Overall Scores. Scores range from 0 to 7 with higher scores meaning better quality of life. Cronbach’s alpha was used to test for internal consistency reliability. Known group validation regarding asthma control was analyzed by the t-test and multiple regression, adjusting for age, gender and education.
Results : Of 168 patients recruited, 113 were controlled and, of these 55 were uncontrolled asthma patients, with an average age 53 + 13 years. Patients with controlled asthma reported significantly better scores in all domains compared with uncontrolled asthma: symptoms 6.6 + 0.54 vs. 4.7 + 1.14, p < 0.001; Activity 6.7 + 0.57 vs. 5.0 + 1.36, p < 0.001; emotion 6.4 + 0.91 vs. 4.6 + 1.67, p < 0.001; environment 5.3 + 1.10 vs. 4.1 + 1.24, p < 0.001 and overall scores 6.3 + 0.51 vs. 4.6 + 0.96, p < 0.001. Adjusting for age, gender and education using multiple regression, there was also a significant difference in all domains of Thai MiniAQLQ between the controlled and uncontrolled asthma patients. Internal consistency reliability was within the acceptable range (> 0.7) for all domains, except environment (overall 0.910; symptoms 0.855; activities 0.886; emotions 0.765 and environment 0.616). Conclusions: Thai Mini AQLQ has known to be reliable and valid. Further study on test-retest reliability and responsiveness to change are warranted.

Keywords : Quality of life, Asthma, Thai MiniAQLQ, Routine care


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JMed Assoc Thai
MEDICAL ASSOCIATION OF THAILAND
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