Translation and validation of the Chinese version of Patient-completed Asthma Knowledge Questionnaire and its implementation in patient education.
Translation and validation of the Chinese version of Patient-completed Asthma Knowledge Questionnaire and its implementation in patient education.
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中文版患者哮喘知识调查问卷的翻译、验证及其在患者教育中的实施
DOI：
10.21037/jtd-21-1604
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发表时间：
2022-04
影响因子：
2.5
通讯作者：
Tang, Wei
中科院分区：
文献类型：
--
作者：
Peng, Bo;Sun, Lin;Shang, Yan;Zhang, Yajuan;Gao, Xiwen;Ye, Ling;Jin, Meiling;He, Wei;Jie, Zhijun;Du, Chunling;Zhou, Lei;Liu, Yang;Song, Xiaolian;Du, Juan;Zhang, Fengying;Gong, Yi;Shi, Yuheng;Bao, Wuping;Chen, Haihua;Wang, Jin;Wen, Chijun;Li, Weihao;Zhao, Dandan;Wang, Gang;Zhou, Xin;Tang, Wei
关键词：
哮喘控制不佳的原因是多方面的，部分原因是患者对哮喘的认识不足。教育前了解患者的知识水平是必要的。然而，目前还没有公认的工具来评估中国哮喘患者的哮喘知识。本研究旨在编制患者哮喘知识问卷（PAKQ）中文版，评价其信度、效度和反应度，以检验其在中国成人哮喘患者中的临床应用。在将PAKQ翻译、回译和跨文化改编成中文后，对中国哮喘患者（n=464）进行了调查。除了关于哮喘认知、教育、病史和哮喘控制测试评分的问卷调查外，还收集了人口统计学和临床数据。PAKQ随后完成。在初始评估后14±4天，参与者完成了重新测试的问卷，并在教育后立即再次完成问卷。信度和结构效度进行了评价。使用Youden指数法确定预测哮喘患者疾病知识的最佳截止点。PAKQ中文版在基线时具有较高的内部一致性（Cronbach’s alpha =0.888），2周重测信度（ICC =0.932，r=0.874）可接受。在修正指数大于10的情况下，四因素问卷的拟合效果较好（χ2/df =1.695，RMSEA =0.039，GFI =0.856，CFI = 0.885，SRMR =0.058）。配对t检验显示，教育前和教育后的测试有显著变化（t=22.83，df=463，P<0.0001）。PAKQ总分评估患者知识水平的最佳截止值为35分（AUC =0.757）。PAKQ问卷中文版的编制和信度、效度检验表明，PAKQ问卷是了解中国成年哮喘患者哮喘知识的有效工具。未来的研究将评估该仪器在临床实践中的实用性。
Poor control of asthma results from many factors, partly due to inadequate knowledge towards asthma among patients. It is necessary to know patients’ knowledge level before education. However, there is no accepted instrument to evaluate knowledge of asthma in Chinese patients with asthma. The study aims to develop a Chinese version of Patient-completed Asthma Knowledge Questionnaire (PAKQ) to assess its reliability, validity, and responsiveness for testing its clinical application in Chinese adult patients with asthma. After translation, back-translation, and cross-cultural adaptation of the PAKQ into Chinese version, a survey of patients with asthma (n=464) in China was conducted. Demographics and clinical data were collected in addition to questionnaires concerning cognition of asthma, education, history, and asthma control test score. The PAKQ was then completed. 14±4 days after the initial assessment, the participants completed the retested questionnaire and again completed the questionnaire immediately after education. The reliability and the construct validity were evaluated. The optimal cut-off points for predicting disease knowledge among asthma patients were determined using the Youden index method. The Chinese version of PAKQ showed high internal consistency (Cronbach’s alpha =0.888) at baseline and an acceptable 2-week test-retest reliability (ICC =0.932, r=0.874). On the basis of large modification indices (>10), this four-factor questionnaire was found to fit the data satisfactorily (χ2/df =1.695, RMSEA =0.039, GFI =0.856, CFI =0.885, and SRMR =0.058). Paired t-tests showed significant changes on pre-educational and post-educational tests (t=22.83, df=463, P<0.0001). The optimal cut-off value of the PAKQ total score for assessing patients’ knowledge level was 35 points (AUC =0.757). The Chinese version of the PAKQ questionnaire was developed and validated in terms of reliability and validity as an effective instrument for the insight into asthma knowledge of adult patients with asthma in China. Future research will evaluate the utility of the instrument in clinical practice.
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影响因子：
6.3
作者：
Federman, Alex D.;Wolf, Michael S.;Wisnivesky, Juan P.
通讯作者：
Wisnivesky, Juan P.
DOI：
10.3760/cma.j.cn112147-20200618-00721
发表时间：
2020-12-12
期刊：
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases
影响因子：
--
作者：
通讯作者：
--
影响因子：
3.5
作者：
Thoonen, BPA;Schermer, TRJ;van Schayck, OCP
通讯作者：
van Schayck, OCP
影响因子：
--
作者：
Bland, JM;Altman, DG
通讯作者：
Altman, DG
影响因子：
7.2
作者：
GUILLEMIN, F;BOMBARDIER, C;BEATON, D
通讯作者：
BEATON, D