Reliability and validity of a chinese version of the pediatric asthma symptoms scale

Chia-Ying Chen1, Li-Hua Lo

  • 1Department of Nursing and Institute of Allied Health Sciences, Medical College, National Cheng Kung University, Tainan, Taiwan.

Insights

The Chinese version of the Pediatric Asthma Symptoms Scale (C-PASS) is a reliable and valid tool for assessing asthma severity in Taiwanese children. This scale aids clinicians in identifying appropriate interventions for pediatric asthma patients.

Area of Science:

  • Pediatric Pulmonology
  • Psychometrics
  • Clinical Assessment Tools

Background:

  • Assessing pediatric asthma severity is challenging due to a lack of validated home-based instruments.
  • Asthma severity is a crucial construct for understanding varied child responses to their condition.
  • A reliable and valid tool is needed for accurate severity assessment in home settings.

Purpose of the Study:

  • To examine the psychometric properties of the Chinese version of the Pediatric Asthma Symptoms Scale (C-PASS).
  • To validate the C-PASS for use in an ethnic Chinese population in Taiwan.
  • To establish the reliability and validity of C-PASS for assessing pediatric asthma severity.

Main Methods:

  • Translation consistency assessed by five master's-prepared pediatric nurses.
  • Evaluation of internal consistency, split-half reliability, content validity, criterion-related validity, and construct validity.
  • Data collected from mothers of 70 Taiwanese children (mean age 8.35 years) using the 8-item C-PASS.

Main Results:

  • High internal consistency (Cronbach's alpha = .87) and Guttman split-half reliability (.87) were observed.
  • Content Validity Index (CVI) exceeded .80, supporting content validity.
  • Significant correlation (r = .273, p = .022) with concurrent measures supported criterion-related validity; factor analysis revealed two dimensions accounting for 67.92% of variance.

Conclusions:

  • The Chinese version of the Pediatric Asthma Symptoms Scale (C-PASS) is a reliable and valid instrument for Taiwanese children with asthma.
  • C-PASS can be effectively used in clinical practice to identify asthma severity levels requiring intervention.
  • This validated tool addresses the need for accurate pediatric asthma severity assessment in home environments.