Sidora-Arcoleo Kimberly Joan, Feldman Jonathan, Serebrisky Denise, Spray Amanda
College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona 85004, USA.
J Asthma. 2010 May;47(4):417-21. doi: 10.3109/02770901003702832.
To expand knowledge surrounding parental illness representations (IRs) of their children's asthma, it is imperative that culturally appropriate survey instruments are developed and validated for use in clinical and research settings. The Asthma Illness Representation Scale (AIRS) provides a structured assessment of the key components of asthma IRs, allowing the health care provider (HCP) to quickly identify areas of discordance with the professional model of asthma management. The English AIRS was developed and validated among a geographically and ethnically diverse sample. The authors present the validation results of the AIRS-S (Spanish) from a sample of Mexican and Puerto Rican parents.
The AIRS was translated and back translated per approved methodologies. Factor analysis, internal reliability, external validity, and 2-week test-retest reliability (on a subsample) were carried out and results compared with the validated English version. Data were obtained from 80 Spanish-speaking Mexican and Puerto Rican parents of children with asthma. The sample was recruited from two school-based health centers and a free medical clinic in Phoenix, Arizona, and a hospital-based asthma clinic in Bronx, New York.
The original Nature of Asthma Symptoms, Facts About Asthma, and Attitudes Towards Medication Use subscales emerged. Remaining factors were a mixture of items with no coherent or theoretical distinction between them. Interpretation of results is limited due to not meeting the minimum requirement of 5 observations/item. Cronbach's alpha coefficients for the total score (alpha = .77) and majority of subscales (alpha range = .53-.77) were acceptable and consistent with the English version. Parental reports of a positive relationship with the HCP significantly predicted AIRS scores congruent with the professional model; longer asthma duration was associated with beliefs aligned with the lay model; and AIRS scores congruent with the professional model were related to lower asthma severity. Stability in AIRS-S scores over 2 weeks was demonstrated.
The AIRS-S is a culturally appropriate instrument that can be used by HCPs to ascertain Spanish-speaking parents' asthma illness beliefs and assess discordance with the professional model of asthma management. This information can be used by the HCP when discussing parent's asthma management strategies for their children during clinical encounters.
为了拓展关于父母对子女哮喘疾病认知（IRs）的知识，开发并验证适用于临床和研究环境的文化适宜性调查工具势在必行。哮喘疾病认知量表（AIRS）对哮喘疾病认知的关键组成部分进行了结构化评估，使医疗保健提供者（HCP）能够快速识别与哮喘管理专业模式不一致的领域。英文AIRS是在一个地理和种族多样化的样本中开发并验证的。作者展示了来自墨西哥和波多黎各父母样本的AIRS-S（西班牙语）的验证结果。
按照批准的方法对AIRS进行翻译和回译。进行了因子分析、内部信度、外部效度和2周重测信度（在一个子样本上），并将结果与经过验证的英文版本进行比较。数据来自80名患有哮喘儿童的讲西班牙语的墨西哥和波多黎各父母。样本是从亚利桑那州凤凰城的两个学校健康中心、一个免费医疗诊所和纽约布朗克斯的一个医院哮喘诊所招募的。
出现了原始的哮喘症状本质、哮喘事实以及对药物使用态度子量表。其余因素是一些项目的混合，它们之间没有连贯或理论上的区别。由于未达到每个项目5次观察的最低要求，结果的解释受到限制。总分（α = 0.77）和大多数子量表（α范围 = 0.53 - 0.77）的克朗巴哈α系数是可接受的，并且与英文版本一致。父母报告与HCP的积极关系显著预测了与专业模式一致的AIRS分数；哮喘病程较长与符合外行模式的信念相关；与专业模式一致的AIRS分数与较低的哮喘严重程度相关。AIRS-S分数在2周内具有稳定性。
AIRS-S是一种文化适宜性工具，HCP可用于确定讲西班牙语的父母对哮喘疾病的信念，并评估与哮喘管理专业模式的不一致性。在临床会诊期间，HCP在讨论父母对其子女的哮喘管理策略时可使用这些信息。
