Abstract
Purpose
The chronic respiratory disease questionnaire (CRQ) has been validated and proved useful in assessing therapies for pulmonary diseases. We translated the CRQ into a Taiwan (Mandarin Chinese) version and surveyed its validity and reliability.
Methods
The CRQ includes 20 items divided into four domains: dyspnea, fatigue, emotional function, and mastery. We followed a forward-back translation procedure to create the Taiwan version. A cross-sectional survey was conducted among outpatients with chronic obstructive pulmonary disease. Participants underwent tests including the CRQ, the medical outcomes study short form (SF-36), the St. George respiratory questionnaire (SGRQ), lung function tests (LFTs), and a graded exercise test (GET). We used Cronbach’s alpha to evaluate the internal consistency of the CRQ, intraclass coefficient for test–retest reliability, and Spearman’s correlation for validity.
Results
Thirty-six men and 4 women (mean age 67.9 ± 9.9 years) were recruited. Evidence of good internal consistency, test–retest reliability, convergent, discriminant, concurrent, and construct validity of the CRQ was shown. Spearman’s correlation showed moderate-to-strong correlation between the CRQ scores and scores of the SGRQ, subscales of the SF-36, and the results of LFTs and GET.
Conclusions
The Taiwan version of the CRQ shows good validity, internal consistency, and test–retest reliability.
Abbreviations
- CRQ:
-
The chronic respiratory disease questionnaire
- HQOL:
-
Health-related quality of life
- COPD:
-
Chronic obstructive pulmonary diseases
- SF-36:
-
Medical outcomes study 36-item short-form health survey
- SGRQ:
-
St. George respiratory questionnaire
- PF:
-
Physical functioning
- RP:
-
Role limitations due to physical problems
- GH:
-
General health perceptions
- VT:
-
Vitality
- SF:
-
Social functioning
- RE:
-
Role limitations due to emotional problems
- MH:
-
Mental health
- LFT:
-
Lung function tests
- GET:
-
Graded exercise test
- FVC:
-
Forced vital capacity
- % pred:
-
Percent of predicted value
- FEV1:
-
Forced expiratory volume in one second
- MVV:
-
Maximum expiratory ventilation,
- VO2peak:
-
Maximal oxygen consumption
- VE:
-
Minute ventilation
- VEpeak:
-
Minute ventilation at peak exercise
- RER:
-
Respiratory exchange ratio
- AT:
-
Anaerobic threshold
- HR:
-
Heart rate
- SatO2:
-
Oxygen saturation
- rs :
-
Spearman’s rho
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Acknowledgments
The study was funded by research grant DMR-92-032 from China Medical University Hospital in Taichung, Taiwan. The authors are grateful to Prof. Tsai-Chung Li and Prof. Hsiang-Wen Lin for their advice in statistical analysis and critical review of the manuscript.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s11136-011-9955-y
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Meng, NH., Chen, FN., Lo, SF. et al. Reliability and validity of the Taiwan (Mandarin Chinese) version of the chronic respiratory questionnaire. Qual Life Res 20, 1745–1751 (2011). https://doi.org/10.1007/s11136-011-9906-7
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DOI: https://doi.org/10.1007/s11136-011-9906-7