Skip to main content
SpringerLink
Log in

Responsiveness, longitudinal- and cross-sectional construct validity of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) in Dutch children with asthma

  • Brief Communication
  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective: Health-related quality of life is an important measure in evaluations of the management of childhood asthma. In this study, we assessed psychometric properties, responsiveness, and longitudinal and cross-sectional construct validity of the Dutch version of the 23-item Pediatric Asthma Quality of Life Questionnaire (PAQLQ). Methods: The study group consisted of 238 6–18-year olds with asthma, with complete respiratory symptom diaries in the course of one winter season; each child had one (or more) PAQLQ measurement(s) concerning one (or more) week(s) with relatively many symptoms (n=238). Each child also had one PAQLQ measurement concerning another week with relatively few symptoms (n=238). The PAQLQ scores of the 238 children for a week with few symptoms (the symptom diary scores remained below a predefined level everyday) were compared with their PAQLQ scores for another week with many symptoms (on day 1 of that week, symptom diary scores had been above the predefined level). Additionally, in a subgroup of the study group that had experienced two or more `weeks with many symptoms' (n=101), we compared the PAQLQ-scores for two different weeks with many symptoms of these children. Results: Only the domain Emotions showed a ceiling effect (> 25% had the maximum score). All Cronbach's α's of the PAQLQ total score and domains were >0.70, except for Activities (α=0.54). Mean PAQLQ-scores were significantly different (p<0.01; n=238) between one week with few symptoms and another week with many symptoms. Contrary, in the subgroup of children with PAQLQ-measurements regarding more than one week with many symptoms (n=101), mean PAQLQ-scores did not differ significantly (p≥ 0.05) between 1week with many symptoms and another week with many symptoms. These results indicate responsiveness. (Changes in) lower respiratory tract symptoms, indicative of asthma severity, correlated better with (changes in) PAQLQ scores than (changes in) upper respiratory tract␣symptoms, which supports the longitudinal and cross-sectional construct validity. Conclusion: The assessed properties of the PAQLQ linguistic validation into Dutch were similar to those originally established for the PAQLQ in Canada. This study showed that the Dutch PAQLQ has adequate psychometric properties, excellent responsiveness, and that the longitudinal and cross-sectional construct validity is supported.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • M Townsend DH Feeny GH Guyatt WJ Furlong AE Seip J Dolovich (1991) ArticleTitleEvaluation of the burden of illness for pediatric asthmatic patients and their parents. Ann Allergy 67 IssueID4 403–408 Occurrence Handle1952296

    PubMed  Google Scholar 

  • BG Bender (1996) ArticleTitleMeasurement of quality of life in pediatric asthma clinical trials Ann Allergy Asthma Immunol 77 IssueID6 438–45 Occurrence Handle8970431

    PubMed  Google Scholar 

  • EF Juniper GH Guyatt DH Feeny PJ Ferrie LE Griffith M Townsend (1996) ArticleTitleMeasuring quality of life in children with asthma. Qual Life Res 5 IssueID1 35–46 Occurrence Handle10.1007/BF00435967 Occurrence Handle8901365

    Article  PubMed  Google Scholar 

  • EF Juniper GH Guyatt DH Feeny PJ Ferrie LE Griffith M Townsend (1996) ArticleTitleMeasuring quality of life in the parents of children with asthma. Qual Life Res 5 IssueID1 27–34 Occurrence Handle10.1007/BF00435966 Occurrence Handle8901364

    Article  PubMed  Google Scholar 

  • EF Juniper (1997) ArticleTitleHow important is quality of life in pediatric asthma? Pediatr Pulmonol Suppl 15 17–21 Occurrence Handle10.1002/(SICI)1099-0496(199709)15+<17::AID-PPUL5>3.0.CO;2-O Occurrence Handle9316097

    Article  PubMed  Google Scholar 

  • EF Juniper (1998) ArticleTitleEffect of asthma on quality of life Can Respir J 5 77A–84A Occurrence Handle9753523

    PubMed  Google Scholar 

  • DA Bukstein MM McGrath DA Buchner J Landgraf TF Goss (2000) ArticleTitleEvaluation of a short form for measuring health-related quality of life among pediatric asthma patients. J Allergy Clin Immunol 105 245–251 Occurrence Handle10.1016/S0091-6749(00)90072-1 Occurrence Handle10669843

    Article  PubMed  Google Scholar 

  • EM Coq Particlele VT Colland AJ Boeke P Boeke DP Bezemer JT Eijk Particlevan (2000) ArticleTitleReproducibility, construct validity, and responsiveness of the `How Are You?' (HAY), a self-report quality of life questionnaire for children with asthma. J Asthma 37 IssueID1 43–58 Occurrence Handle10724297

    PubMed  Google Scholar 

  • C Rutishauser SM Sawyer L Bond C Coffey G Bowes (2001) ArticleTitleDevelopment and validation of the Adolescent Asthma Quality of Life Questionnaire (AAQOL). Eur Respir J 17 IssueID1 52–58 Occurrence Handle10.1183/09031936.01.17100520 Occurrence Handle11307755

    Article  PubMed  Google Scholar 

  • Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 1998; 351(9111): 1225–1232.

    Google Scholar 

  • EF Juniper GH Guyatt DH Feeny LE Griffith PJ Ferrie (1997) ArticleTitleMinimum skills required by children to complete health-related quality of life instruments for asthma: Comparison of measurement properties. Eur Respir J 10 IssueID10 2285–2294 Occurrence Handle10.1183/09031936.97.10102285 Occurrence Handle9387955

    Article  PubMed  Google Scholar 

  • P Warschburger (1998) ArticleTitleMeasuring the quality of life of children and adolescents with asthma–the Pediatric Asthma Quality of Life Questionnaire] Messung der Lebensqualitat von asthmaerkrankten Kindern und Jugendlichen–Der Paediatric Asthma Quality of Life Questionnaire Rehabilitation (Stuttg) 37 IssueID2 XVII–XXIII

    Google Scholar 

  • E Clarke S Sulaiman T Chew Fook C Shek Lynette Pei R Mital BW Lee (1999) ArticleTitlePediatric asthma quality of life questionnaire: Validation in children from Singapore. Asian Pac J Allergy Immunol 17 IssueID3 155–161 Occurrence Handle10697253

    PubMed  Google Scholar 

  • K Reichenberg AG Broberg (2000) ArticleTitleQuality of life in childhood asthma: Use of the Paediatric Asthma Quality of Life Questionnaire in a Swedish sample of children 7 to 9 years old. Acta Paediatr 89 IssueID8 989–995 Occurrence Handle10.1080/080352500750043495 Occurrence Handle10976845

    Article  PubMed  Google Scholar 

  • E Tauler G Vilagut G Grau et al. (2001) ArticleTitleThe spanish version of the paediatric asthma quality of life questionnaire (PAQLQ): Metric characteristics and equivalence with the original version. Qual Life Res 10 IssueID1 81–91 Occurrence Handle10.1023/A:1016622519987 Occurrence Handle11508478

    Article  PubMed  Google Scholar 

  • F Guillemin C Bombardier D Beaton (1993) ArticleTitleCross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. J Clin Epidemiol 46 IssueID12 1417–1432 Occurrence Handle10.1016/0895-4356(93)90142-N Occurrence Handle8263569

    Article  PubMed  Google Scholar 

  • JE Ware SuffixJr SD Keller B Gandek JE Brazier M Sullivan (1995) ArticleTitleEvaluating translations of health status questionnaires. Methods from the IQOLA project. International Quality of Life Assessment Int J Technol Assess Health Care 11 IssueID3 525–551 Occurrence Handle7591551

    PubMed  Google Scholar 

  • EF Juniper (1996) Quality of Life Questionnaire for Children and Adolescents with Asthma: Dutch Version McMaster University Hamilton, Ontario, Canada

    Google Scholar 

  • GH Guyatt B Kirshner R Jaeschke (1992) ArticleTitleMeasuring health status: What are the necessary measurement properties? J Clin Epidemiol 45 IssueID12 1341–1345 Occurrence Handle10.1016/0895-4356(92)90194-R Occurrence Handle1460470

    Article  PubMed  Google Scholar 

  • RT Anderson NK Aaronson M Bullinger WL McBee (1996) ArticleTitleA review of the progress towards developing health-related quality-of- life instruments for international clinical studies and outcomes research. Pharmacoeconomics 10 IssueID4 336–355 Occurrence Handle10163577

    PubMed  Google Scholar 

  • HJ Bueving RM Bernsen JC Jongste ParticleDe et al. (2004) ArticleTitleInfluenza vaccination in asthmatic children: Randomised double-blind placebo-controlled trial. Am J Respir Crit Care Med 169 IssueID4 488–493 Occurrence Handle10.1164/rccm.200309-1251OC Occurrence Handle14656755

    Article  PubMed  Google Scholar 

  • PH Quanjer GJ Borsboom B Brunekreef et al. (1995) ArticleTitleSpirometric reference values for white European children and adolescents: Polgar revisited. Pediatr Pulmonol 19 IssueID2 135–142 Occurrence Handle7659469

    PubMed  Google Scholar 

  • H Raat JM Landgraf GJ Bonsel RJ Gemke ML Essink-Bot (2002) ArticleTitleReliability and validity of the child health questionnaire-child form (CHQ-CF87) in a Dutch adolescent population. Qual Life Res 11 IssueID6 575–581 Occurrence Handle10.1023/A:1016393311799 Occurrence Handle12206578

    Article  PubMed  Google Scholar 

  • JM Bland DG Altman (1997) ArticleTitleCronbach's alpha Br Med J 314 IssueID7080 572

    Google Scholar 

  • RA Deyo P Diehr DL Patrick (1991) ArticleTitleReproducibility and responsiveness of health status measures. Statistics and strategies for evaluation Control Clin Trials 12 142S–158S Occurrence Handle1663851

    PubMed  Google Scholar 

  • J Cohen (1977) Statistical Power Analysis for the Behavioral Sciences. Academic Press New York

    Google Scholar 

  • EM Andresen TK Catlin KW Wyrwich J Jackson-Thompson (2003) ArticleTitleRetest reliability of surveillance questions on health related quality of life. J Epidemiol Community Health 57 IssueID5 339–343 Occurrence Handle10.1136/jech.57.5.339 Occurrence Handle12700216

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Public Health, Erasmus MC – University Medical Center Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands

    H. Raat

  2. GGD – Municipal Health Service, Rotterdam, The Netherlands

    H. Raat

  3. Department of General Practice, Erasmus MC – University Medical Center Rotterdam, Rotterdam, The Netherlands

    H. J. Bueving & J. C. van der Wouden

  4. Department of Pediatric Pulmonology, Erasmus MC – University Medical Center Rotterdam, Rotterdam, The Netherlands

    J. C. de Jongste

  5. Department of Pediatric Pulmonology, University Hospital and University of Groningen, The Netherlands

    M. H. Grol

  6. Department of Clinical Epidemiology and Biostatistics, McMaster University Medical Center, Hamilton, Ontario, Canada

    E. F. Juniper

Authors
  1. H. Raat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. J. Bueving
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. C. de Jongste
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. H. Grol
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. F. Juniper
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. C. van der Wouden
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H. Raat.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Raat, H., Bueving, H.J., de Jongste, J.C. et al. Responsiveness, longitudinal- and cross-sectional construct validity of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) in Dutch children with asthma. Qual Life Res 14, 265–272 (2005). https://doi.org/10.1007/s11136-004-6551-4

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-004-6551-4

Keywords

Search

Navigation