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The mini-rhino-conjunctivitis quality of life (qol) questionnaire (mrqlq) - self administered
Asha Pherwani1, Gauri Mankekar, Kashmira Chavan
1Department of Allergy and Asthma and ENT, The P.D. Hinduja National Hospital and The Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, 400 016 India ; 303, Samudra Mahal, Dr. Annie Besant Road, Shiv Sagar Estate, Worli, Mumbai, 400 018 India.
Objective:
Our aim was to administer the MRQLQ Questionnaire in Indian adults with allergic rhino-conjunctivitis (ARc). CRITERIA FOR INCLUSION IN THE STUDY: Adults with chronic ARc, with sufficiently troublesome current symptoms, attending The Allergy Clinic of The Hinduja Hospital, Mumbai, during March-August 2006 were selected.
Results:
The five highest PS were seen with sneezing 290, irritation 238, running nose 228, stuffy nose 220, anxiety 203 and interrupted working 203. The 5 lowest PS were seen with disturbed sleep 83, dry throat 98, affected walking for 1/2 kilometre 98, do not sleep deeply 103 and phlegm 105.
Discussion:
The five highest PS were due to symptoms of rhinitis, general irritation, anxiety & interruption of work. Thus rhinitis itself affects QOL. The 5 least PS were mainly sleep-related.
Conclusion:
We have applied the MRQLQ on Indian patients with ARc. We could obtain a product score for every item in it, on the basis of which we could classify the degree of its effect on his QOL. PS was highest in rhinitis-related symptoms. 2 Emotions related and 1 Role limitation item gave moderate PS, while all PS in eye related, Physical functioning, Social functioning, Sleep-related & Other Symptoms items were in the mild range. Larger data sample is needed to validate and show its discriminatory power.
Insights
This study administered the Marathi Rhinoconjunctivitis Quality of Life Questionnaire (MRQLQ) to Indian adults with allergic rhino-conjunctivitis (ARc). Rhinitis symptoms significantly impacted quality of life, while sleep-related issues had a lesser effect.
Area of Science:
- Allergy and Immunology
- Quality of Life Research
- Otorhinolaryngology
Background:
- Allergic rhino-conjunctivitis (ARc) is a prevalent condition affecting quality of life.
- Validated questionnaires are essential for assessing the impact of ARc on patients.
- The MRQLQ is a tool designed to measure the quality of life in ARc patients.
Purpose of the Study:
- To administer the Marathi Rhinoconjunctivitis Quality of Life Questionnaire (MRQLQ) to Indian adults diagnosed with allergic rhino-conjunctivitis (ARc).
- To evaluate the impact of ARc symptoms on the quality of life (QOL) in this specific patient population.
- To identify which ARc symptoms have the most significant effect on patients' daily lives.
Main Methods:
- The MRQLQ was administered to adult patients with chronic ARc experiencing troublesome symptoms.
- Participants were selected from The Allergy Clinic at Hinduja Hospital, Mumbai, between March and August 2006.
- Product scores (PS) were calculated for each item to quantify symptom impact.
Main Results:
- The highest symptom burden (highest PS) was associated with sneezing, irritation, runny nose, stuffy nose, anxiety, and interrupted work.
- Symptoms like disturbed sleep, dry throat, difficulty walking, poor sleep quality, and phlegm had the lowest impact (lowest PS).
- Rhinitis-related symptoms, general irritation, and anxiety significantly affected QOL, whereas eye-related, physical, social, and sleep-related symptoms had a milder impact.
Conclusions:
- The MRQLQ was successfully applied to Indian ARc patients, providing quantifiable data on symptom impact.
- Rhinitis symptoms and associated factors like anxiety and work interruption were the primary drivers of reduced QOL.
- Further research with a larger sample size is recommended to validate the MRQLQ's findings and assess its discriminatory power in the Indian population.
