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Reliability and validity of a chinese version of the pediatric asthma symptoms scale
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.
Abstract:
As a construct, asthmatic severity provides a framework to understand the different reaction in children to their condition. Assessing asthmatic severity is a challenging task for most researchers and clinicians due to a lack of valid instruments to measure the severity of asthma of children in home settings. The purpose of this study was to examine the psychometric properties of a Chinese version of the Pediatric Asthma Symptoms Scale (C-PASS) as applied to an ethnic Chinese population in Taiwan. Firstly, five pediatric nurses holding masters' degrees assessed consistency between Chinese and English versions of the Pediatric Asthma Symptoms Scale. Secondly, internal consistent reliability, split-half reliability, content validity, criterion-related validity, and construct validity were established. An 8-item C-PASS was completed by mothers of 70 children (65.7% boys) of ages 8.35 years. Both the internal consistency and Guttman split-half reliability were .87. The content validity index (CVI) was over .80. The correlation coefficient between C-PASS and concurrent measures of the rating of lost control of life by mothers was .273 (p = .022). The criterion-related validity was supported for C-PASS. Factor analysis indicated that a scale of two dimensions accounted for 67.92% of the variance. A high inter-correlation was further identified between these two dimensions. Results showed C-PASS to be a reliable and valid instrument when used on Taiwanese children with asthma. It can serve as a valuable assessment tool in clinical practice to identify asthmatic severity levels for which intervention is advised.
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