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Lee and Park: Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults
Original Article

Journal of Korean Academy of Nursing 2016; 46(5): 675-686.

Published online: 31 October 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.675

Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults

Hye-Sook Lee1, Eunok Park2

1The Environmental Health Center·School of Medicine, Jeju National University, Jeju, Korea.

2College of Nursing, Jeju National University, Jeju, Korea.

Address reprint requests to: Park, Eunok. College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju-si, Jeju 63243, Korea. Tel: +82-64-754-3882, Fax: +82-64-702-2686, eopark@jejunu.ac.kr

Received 1 April 2016       Revised 27 June 2016       Accepted 28 June 2016

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to develop an Allergic Rhinitis-Specific Quality of Life (ARSQOL) scale and verify its validity and reliability.

Methods

ARSQOL was developed in 5 steps. Items for the preliminary instrument of ARSQOL were developed through a literature review and deep interviews with allergic rhinitis patients. Face validity with Content Validity Index (CVI), construct validity using factor analysis, and known group comparison, criterion validity test using correlation between ARSQOL and total nasal symptoms score (TNSS) were conducted to evaluate the validity of ARSQOL. Cronbach's α was used to evaluate the reliability of ARSQOL.

Results

CVI for the items in the final ARSQOL were. 92. Five factors including discomfort associated with nasal symptoms (4 items), physical function (7 items), mental function (5 items), sleep disorder and social function (4 items), and problems of daily life (6 items) were identified through factor analysis and these five factors explained 66.6% of the total variance. The correlation coefficient between TNSS and the total score of life quality was -.69. In the group comparison, the persistent allergic rhinitis group showed lower ARSQOL scores than the intermittent patient group, and moderate to the severe allergic rhinitis patient group presented poorer ARSQOL than the mild symptom patient group. The Cronbach's α reliability coefficient was .95.

Conclusion

Results show that the ARSQOL has good reliability and validity and thus ARSQOL is a useful scale for clinical practices and research as a measure of quality of life in adults with allergicr hinitis.

Keywords: Allergic Rhinitis, Quality of Life, Instrument, Adult

Figures and Tables

Table 1

Factor Analysis and Reliability

jkan-46-675-i001

F=Factor.

Table 2

Comparison of Quality of Life according to Allergic Rhinitis Symptoms (N=223)

jkan-46-675-i002

ARSQOL=Allergic rhinitis-specific quality of life; AR=Allergic rhinitis.

Table 3

Correlation of Final Scale and Total Nasal Symptom Score (N=223)

jkan-46-675-i003

TNSS=Total nasal symptom score; ARSQOL=Allergic rhinitis-specific quality of life.

Notes

This manuscript is a condensed form of the first author's master's thesis from Jeju National University.

This study was supported by the Environmental Health Center, the Ministry of Environment.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

Appendix

Appendix 1

jkan-46-675-a001

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