Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire

Background: An instrument to assess Allergic Rhinitis (AR) Health-Related Quality of Life (HRQL) in adult patients was developed in Spain. No validated instrument is currently cross-culturally adapted for use in daily practice to assess HRQL in AR patients in Colombia. Purpose: The aim of this study...

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Autores principales:	Juan José Yepes-Nuñez, MD, MSc, PhD., Edison Morales Cardenas, MD., Carolina Gómez-García, MD., Madelen Manco Sepúlveda, RN., Lina Marcela Martínez, RN., Antonio Valero, MD., Meghan M. McConnell, PhD.
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Quality of life Allergic rhinitis Validation studies Surveys and questionnaires Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0d5a55687c5d428288893e4b48234e4f
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spelling	oai:doaj.org-article:0d5a55687c5d428288893e4b48234e4f2021-12-02T05:00:23ZClassic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire1939-455110.1016/j.waojou.2021.100612https://doaj.org/article/0d5a55687c5d428288893e4b48234e4f2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S193945512100106Xhttps://doaj.org/toc/1939-4551Background: An instrument to assess Allergic Rhinitis (AR) Health-Related Quality of Life (HRQL) in adult patients was developed in Spain. No validated instrument is currently cross-culturally adapted for use in daily practice to assess HRQL in AR patients in Colombia. Purpose: The aim of this study was to evaluate the measurement performance of an AR-HRQL specific questionnaire, ESPRINT-15 (Cuestionario ESPañol de Calidad de Vida en RINiTis), in Colombian adult patients with AR using the Classic Test Theory (CTT) and the Generalizability theory (G-theory) frameworks. Methods: We conducted the cross-cultural adaptation in 2 stages. In stage 1, we evaluated comprehensibility, acceptability, and feasibility of ESPRINT-15 in healthy adults and adult patients with AR. In stage 2, we examined both reliability and validity of ESPRINT-15 scores using CTT and overall reliability applying the G-theory in adult patients with AR. Results: For feasibility and acceptability, all items showed a higher than 95% level of understanding, and modifications in the original questionnaire were unnecessary. Reliability and validity using CTT showed a high internal consistency (Cronbach's alpha and Mc McDonald's omega = 0.95) and test-retest reliability (scores from 0.70 to 0.76). The overall reliability score using G-theory was 0.75, and G-coefficients scores associated with internal consistency and test-retest reliability measures were 0.96 and 0.61, respectively. Validity using exploratory factor analysis (EFA) identified 2 factors instead of the original ESPRINT-15 4 domains. However, confirmatory factor analysis (CFA) showed good fit regarding the original model. Conclusions: The proposed cross-cultural adaptation of ESPRINT-15 showed good reliability and validity measures. Additionally, it was easy to use and administer. ESPRINT-15 can be used clinically and for research in Colombian adults' patients with AR. CTT and the G-theory can be used in epidemiological studies to adapt AR-HRQL questionnaires cross-culturally in adult patients with AR.Juan José Yepes-Nuñez, MD, MSc, PhD.Edison Morales Cardenas, MD.Carolina Gómez-García, MD.Madelen Manco Sepúlveda, RN.Lina Marcela Martínez, RN.Antonio Valero, MD.Meghan M. McConnell, PhD.ElsevierarticleQuality of lifeAllergic rhinitisValidation studiesSurveys and questionnairesImmunologic diseases. AllergyRC581-607ENWorld Allergy Organization Journal, Vol 14, Iss 12, Pp 100612- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality of life Allergic rhinitis Validation studies Surveys and questionnaires Immunologic diseases. Allergy RC581-607
spellingShingle	Quality of life Allergic rhinitis Validation studies Surveys and questionnaires Immunologic diseases. Allergy RC581-607 Juan José Yepes-Nuñez, MD, MSc, PhD. Edison Morales Cardenas, MD. Carolina Gómez-García, MD. Madelen Manco Sepúlveda, RN. Lina Marcela Martínez, RN. Antonio Valero, MD. Meghan M. McConnell, PhD. Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
description	Background: An instrument to assess Allergic Rhinitis (AR) Health-Related Quality of Life (HRQL) in adult patients was developed in Spain. No validated instrument is currently cross-culturally adapted for use in daily practice to assess HRQL in AR patients in Colombia. Purpose: The aim of this study was to evaluate the measurement performance of an AR-HRQL specific questionnaire, ESPRINT-15 (Cuestionario ESPañol de Calidad de Vida en RINiTis), in Colombian adult patients with AR using the Classic Test Theory (CTT) and the Generalizability theory (G-theory) frameworks. Methods: We conducted the cross-cultural adaptation in 2 stages. In stage 1, we evaluated comprehensibility, acceptability, and feasibility of ESPRINT-15 in healthy adults and adult patients with AR. In stage 2, we examined both reliability and validity of ESPRINT-15 scores using CTT and overall reliability applying the G-theory in adult patients with AR. Results: For feasibility and acceptability, all items showed a higher than 95% level of understanding, and modifications in the original questionnaire were unnecessary. Reliability and validity using CTT showed a high internal consistency (Cronbach's alpha and Mc McDonald's omega = 0.95) and test-retest reliability (scores from 0.70 to 0.76). The overall reliability score using G-theory was 0.75, and G-coefficients scores associated with internal consistency and test-retest reliability measures were 0.96 and 0.61, respectively. Validity using exploratory factor analysis (EFA) identified 2 factors instead of the original ESPRINT-15 4 domains. However, confirmatory factor analysis (CFA) showed good fit regarding the original model. Conclusions: The proposed cross-cultural adaptation of ESPRINT-15 showed good reliability and validity measures. Additionally, it was easy to use and administer. ESPRINT-15 can be used clinically and for research in Colombian adults' patients with AR. CTT and the G-theory can be used in epidemiological studies to adapt AR-HRQL questionnaires cross-culturally in adult patients with AR.
format	article
author	Juan José Yepes-Nuñez, MD, MSc, PhD. Edison Morales Cardenas, MD. Carolina Gómez-García, MD. Madelen Manco Sepúlveda, RN. Lina Marcela Martínez, RN. Antonio Valero, MD. Meghan M. McConnell, PhD.
author_facet	Juan José Yepes-Nuñez, MD, MSc, PhD. Edison Morales Cardenas, MD. Carolina Gómez-García, MD. Madelen Manco Sepúlveda, RN. Lina Marcela Martínez, RN. Antonio Valero, MD. Meghan M. McConnell, PhD.
author_sort	Juan José Yepes-Nuñez, MD, MSc, PhD.
title	Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
title_short	Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
title_full	Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
title_fullStr	Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
title_full_unstemmed	Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
title_sort	classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/0d5a55687c5d428288893e4b48234e4f
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Classic test and generalizability theories are both useful for cross-cultural adaptation of an allergic rhinitis health-related quality of life questionnaire

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