Scientific Reports (Dec 2024)

Reliability and validity analysis of the Chinese version of the acute cough-specific quality-of-life questionnaire in children hospitalized for acute cough

  • Wanyu Jia,
  • Xue Zhang,
  • Ruiyang Sun,
  • Peng Li,
  • Jie Liu,
  • Yanwen Wu,
  • Zhiwei Chen,
  • Chunlan Song

DOI
https://doi.org/10.1038/s41598-024-81391-1
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 6

Abstract

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Abstract Background Children’s physical and emotional health are affected by acute cough. Cough severity and influence on quality of life can be measured with specialized questionnaires. This study aimed to present the Chinese version of the 16-item Parent-proxy Children’s Acute Cough-specific Quality of Life Questionnaire (PAC-QoL16) and examine its validity and reliability. Methods Using independent translations and counter translations, the Chinese version of the PAC-QoL16 was translated, and its suitability was evaluated among the families of five coughing children. Children with acute cough who were hospitalized at the Children’s Hospital Affiliated to Zhengzhou University from October 2022 to June 2023 were included, and the caregivers were invited to complete the questionnaire and two cough-related measures (visual analogue score (VAS) and verbal category descriptive (VCD) score) on the day of admission and on the 5th day of treatment. Additionally, the questionnaire’s internal consistency and concurrent validity were evaluated. Results A total of 148 complete and valid questionnaires were collected. Eighty-one males and 67 females composed the 148 children, whose average age was 4.6 years and ranged from 2 to 12 years. Cronbach’s alpha coefficients for the three domains and the whole score ranged from 0.824 to 0.978. The VAS and VCD scores showed a strong correlation with the overall and domain scores of the PAC-QoL16. After therapy, there were significant decreases in the cough VAS and VCD scores, while the overall and domain scores of the PAC-QoL16 improved (P < 0.05). Concurrently, correlations were observed between the difference in VAS and VCD scores and the difference in PAC-QoL16 scores before and after treatment. Conclusion The Chinese version of the PAC-QoL16 has good applicability in Chinese children with acute cough and can reflect the quality of life and disease severity of children with acute cough.

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