Yu Zhou, Aazmi Shafiq, Muslim Azdayanti, Abdullah Muhammad Faiz F, Abdul Hamid Syahrul Bariah, Ma Chenglan
School of Biology, Faculty of Applied Sciences, Universiti Teknologi MARA, Shah Alam, Selangor, Malaysia.
The First People's Hospital of Yinchuan, NingXia, China.
J Educ Health Promot. 2025 Jul 31;14:292. doi: 10.4103/jehp.jehp_1782_24. eCollection 2025.
There are a few effective tools in China to assess the geography, diet, and symptoms of allergic rhinitis (AR) patients. Existing generic tools need cultural adaptation better to evaluate AR's impact on quality of life. This study aimed to develop the Quality-of-Life Questionnaire for AR patients (QoLAR), adapt it to Chinese, and assess its reliability and validity.
The present study was conducted in the following five phases: 1) Phase 1, item generation based on the literature review on AR and questionnaire development; 2) Phase 2, cultural adaptation and translation forward and backward from English to Chinese and vice versa; 3) Phase 3, pretest on 61 respondents via online messaging platform WeChat and revision of the questionnaire based on input from respondents and experts; 4) Phase 4, pilot study on 169 respondents via online messaging platform WeChat; and 5) Phase 5, statistical analysis for descriptive, reliability tests using item-total correlations and Cronbach's ɑ coefficient, and validity test using item and scale content validity indices (I-CVI, S-CVI/Ave, and S-CVI/UA).
The final version of QoLAR comprises 44 items in four domains: sociodemographic, health status and history of AR, dietary habits, and environmental exposure. The value for Cronbach's ɑ is 0.903, and all three validity indices scored 1.00.
A specific quality-of-life questionnaire for AR, known as QoLAR, has been created with acceptable validity and reliability. It is appropriate for an online self-reported survey and could be helpful to Chinese healthcare professionals like nurses and clinicians.
在中国，用于评估过敏性鼻炎（AR）患者的地理分布、饮食和症状的有效工具较少。现有的通用工具需要更好地进行文化调适，以评估AR对生活质量的影响。本研究旨在开发AR患者生活质量问卷（QoLAR），将其改编为中文版，并评估其信效度。
本研究分以下五个阶段进行：1）第一阶段，基于对AR的文献综述和问卷开发生成条目；2）第二阶段，进行文化调适，从英文到中文以及从中文到英文进行双向翻译；3）第三阶段，通过在线通讯平台微信对61名受访者进行预测试，并根据受访者和专家的意见对问卷进行修订；4）第四阶段，通过在线通讯平台微信对169名受访者进行预试验；5）第五阶段，进行描述性统计分析、使用条目-总分相关性和Cronbach's α系数进行信度检验，以及使用条目和量表内容效度指数（I-CVI、S-CVI/Ave和S-CVI/UA）进行效度检验。
QoLAR的最终版本包括四个领域的44个条目：社会人口统计学、AR的健康状况和病史、饮食习惯以及环境暴露。Cronbach's α值为0.903，所有三个效度指数均得分为1.00。
已创建了一种针对AR的特定生活质量问卷，即QoLAR，其效度和信度均可接受。它适用于在线自我报告调查，可能对护士和临床医生等中国医疗保健专业人员有所帮助。
