Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire
Saad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317-4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareef, Email drsaad321@hotmail.comPurpose: The European Community Respiratory Health Survey (ECRHS) questionnaire...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-07-01
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| Series: | Journal of Asthma and Allergy |
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| Online Access: | https://www.dovepress.com/validation-of-the-arabic-version-of-the-european-community-respiratory-peer-reviewed-fulltext-article-JAA |
| _version_ | 1797776283688501248 |
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| author | AlShareef SM |
| author_facet | AlShareef SM |
| author_sort | AlShareef SM |
| collection | DOAJ |
| description | Saad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317-4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareef, Email drsaad321@hotmail.comPurpose: The European Community Respiratory Health Survey (ECRHS) questionnaire has been widely used in epidemiological studies to quantify respiratory symptoms and screen for asthma, but there is no formally validated Arabic version. This study developed an Arabic ECRHS screening questionnaire, comprehensively evaluated its reliability and validity, and used it to estimate the population prevalence of respiratory symptoms and asthma in Saudi Arabia.Methods: The ECRHS screening questionnaire was adapted to Arabic through translation and back-translation by bilinguals with consultation to a professional committee and lay panel. Reliability and validity were evaluated in a prospective, cross-sectional convenience sample of adults (> 18 years) between January and July 2022 in Riyadh, Saudi Arabia. A subgroup completed the questionnaire again three weeks later to assess test–retest reliability. All respiratory symptom-positive participants were invited for spirometry to diagnose asthma according to GINA criteria. Internal consistency was assessed using Cronbach’s α coefficient, test–retest reliability with Cohen κ coefficients, and reliability by calculating the sensitivity and specificity for diagnosing asthma.Results: Of 2500 invited individuals, 1881 participated (75.2%). A total of 668 (35.5%) participants reported respiratory symptoms according to the ECRHS questionnaire, and 157/1881 (8.3%) had a current diagnosis of asthma on ECRHS questions. Cronbach’s α coefficient for internal consistency was 0.831, “good” internal consistency. The test–retest reliability (n = 303) was “excellent” for all questions (Cohen’s κ≥ 0.75). A total of 543 (81.3%) screening-positive participants underwent spirometry, of whom 278 (52%) were diagnosed with asthma according to GINA guidelines, an overall estimated prevalence of 14.8%. Most questions showed good-to-fair specificity and variable sensitivity for physician-diagnosed asthma.Conclusion: This Arabic version of the ECRHS screening questionnaire is conceptually similar to the English version, comprehensible, and reliable. Many asthma cases remain hidden and undiagnosed. In addition to utility in epidemiological studies, the ECRHS screening questionnaire might be a simple, quick, and useful tool for asthma case finding.Keywords: Arabic, asthma, European Community Respiratory Health Survey, reliability, validity |
| first_indexed | 2024-03-12T22:47:45Z |
| format | Article |
| id | doaj.art-0470cac566af4c63b79927c3d7384a0f |
| institution | Directory Open Access Journal |
| issn | 1178-6965 |
| language | English |
| last_indexed | 2024-03-12T22:47:45Z |
| publishDate | 2023-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Asthma and Allergy |
| spelling | doaj.art-0470cac566af4c63b79927c3d7384a0f2023-07-20T19:06:35ZengDove Medical PressJournal of Asthma and Allergy1178-69652023-07-01Volume 1673574285305Validation of the Arabic Version of the European Community Respiratory Health Survey Screening QuestionnaireAlShareef SMSaad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317-4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareef, Email drsaad321@hotmail.comPurpose: The European Community Respiratory Health Survey (ECRHS) questionnaire has been widely used in epidemiological studies to quantify respiratory symptoms and screen for asthma, but there is no formally validated Arabic version. This study developed an Arabic ECRHS screening questionnaire, comprehensively evaluated its reliability and validity, and used it to estimate the population prevalence of respiratory symptoms and asthma in Saudi Arabia.Methods: The ECRHS screening questionnaire was adapted to Arabic through translation and back-translation by bilinguals with consultation to a professional committee and lay panel. Reliability and validity were evaluated in a prospective, cross-sectional convenience sample of adults (> 18 years) between January and July 2022 in Riyadh, Saudi Arabia. A subgroup completed the questionnaire again three weeks later to assess test–retest reliability. All respiratory symptom-positive participants were invited for spirometry to diagnose asthma according to GINA criteria. Internal consistency was assessed using Cronbach’s α coefficient, test–retest reliability with Cohen κ coefficients, and reliability by calculating the sensitivity and specificity for diagnosing asthma.Results: Of 2500 invited individuals, 1881 participated (75.2%). A total of 668 (35.5%) participants reported respiratory symptoms according to the ECRHS questionnaire, and 157/1881 (8.3%) had a current diagnosis of asthma on ECRHS questions. Cronbach’s α coefficient for internal consistency was 0.831, “good” internal consistency. The test–retest reliability (n = 303) was “excellent” for all questions (Cohen’s κ≥ 0.75). A total of 543 (81.3%) screening-positive participants underwent spirometry, of whom 278 (52%) were diagnosed with asthma according to GINA guidelines, an overall estimated prevalence of 14.8%. Most questions showed good-to-fair specificity and variable sensitivity for physician-diagnosed asthma.Conclusion: This Arabic version of the ECRHS screening questionnaire is conceptually similar to the English version, comprehensible, and reliable. Many asthma cases remain hidden and undiagnosed. In addition to utility in epidemiological studies, the ECRHS screening questionnaire might be a simple, quick, and useful tool for asthma case finding.Keywords: Arabic, asthma, European Community Respiratory Health Survey, reliability, validityhttps://www.dovepress.com/validation-of-the-arabic-version-of-the-european-community-respiratory-peer-reviewed-fulltext-article-JAAarabicasthmaeuropean community respiratory health surveyreliabilityvalidity. |
| spellingShingle | AlShareef SM Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire Journal of Asthma and Allergy arabic asthma european community respiratory health survey reliability validity. |
| title | Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire |
| title_full | Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire |
| title_fullStr | Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire |
| title_full_unstemmed | Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire |
| title_short | Validation of the Arabic Version of the European Community Respiratory Health Survey Screening Questionnaire |
| title_sort | validation of the arabic version of the european community respiratory health survey screening questionnaire |
| topic | arabic asthma european community respiratory health survey reliability validity. |
| url | https://www.dovepress.com/validation-of-the-arabic-version-of-the-european-community-respiratory-peer-reviewed-fulltext-article-JAA |
| work_keys_str_mv | AT alshareefsm validationofthearabicversionoftheeuropeancommunityrespiratoryhealthsurveyscreeningquestionnaire |