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Evaluation of Agreement Between Video and Written Questionnaires for Asthma Symptoms Among Children of Tehran: ISAAC Study

机译:ISAAC研究评估德黑兰儿童哮喘症状的视频问卷和书面问卷之间的一致性

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Introduction: International study on asthma was conducted to study the prevalence of Asthma symptoms among 13-14 year old children using written and video questionnaires during the early 90's. The aim of the present study (ISAAC) was to evaluate the agreement between the two questionnaires which were self-completed by the children.Methods: This study, which was a part of the third phase of International Study of Asthma and Allergy in Childhood (ISAAC) and performed exactly similar to phase1, was performed by National Research Institute of Tuberculosis and Lung Diseases (NRITLD) in two cities of Iran Rasht and Tehran. All stages of the study were performed in accordance with ISAAC protocol.The present study discusses data related to children of Tehran. A total of 3100 school children aged 13-14 years were questioned about asthma symptoms using written and video questionnaires of ISAAC study. For statistical analysis, initially a descriptive study of the available data was performed. Thereafter, chance corrected agreement between the two questionnaires was evaluated using Cohen’s Kappa co-efficiency.Results: Of the total of 3100 children, 52.4% were male and 47.6% female, with a mean age of 13.6 years. Although the questions discussed in the two questionnaires were not exactly similar, the results of the video questionnaires showed a statistically significant lower positive response to asthma symptoms as compared to the written version. Kappa co-efficiency ranged between 0.06- 0.21 (mean=0.12), which is considered poor for all variables.Conclusion: Positive responses to having asthma symptoms were significantly higher using the written questionnaire compared to the video questionnaire. Similar to previous studies, agreement between the two was considered poor for all variables. Although factors such as language, culture, dwelling area, e.t.c. have special effects on results of these questionnaires, results indicate that the two questionnaires should be further studied and validated for this special group of patients in order to reach a better interpretation of prevalence of asthma symptoms.
机译:简介:进行了国际哮喘研究,以90年代初开始使用书面和视频问卷调查了13-14岁儿童的哮喘症状。本研究(ISAAC)的目的是评估由儿童自行填写的两份问卷之间的一致性。方法:本研究是《儿童哮喘和变态反应国际研究》第三阶段的一部分( (ISAAC)的执行与第一阶段完全类似,由伊朗拉什特和德黑兰两个城市的国家结核病和肺病研究所(NRITLD)执行。研究的所有阶段均按照ISAAC协议进行。本研究讨论了与德黑兰儿童有关的数据。使用ISAAC研究的书面和视频调查表,对3100名13-14岁的小学生进行了哮喘症状询问。为了进行统计分析,最初对可用数据进行了描述性研究。此后,使用Cohen的Kappa系数评估了两份问卷之间的机会更正一致性。结果:在3100名儿童中,男52.4%,女47.6%,平均年龄为13.6岁。尽管两个问卷中讨论的问题并不完全相同,但视频问卷的结果显示,与书面版本相比,对哮喘症状的阳性反应在统计学上显着较低。 Kappa系数在0.06-0.21之间(平均值= 0.12),在所有变量中均被认为较差。结论:与视频问卷相比,书面问卷对哮喘症状的阳性反应明显更高。与以前的研究相似,对于所有变量,两者之间的一致性被认为很差。尽管有语言,文化,居住地区等因素,例如对这些问卷的结果有特殊影响,结果表明,应针对这组特殊患者进一步研究和验证两份问卷,以更好地理解哮喘症状的发生率。

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