Translation and validation of the Chinese version of Patient-completed Asthma Knowledge Questionnaire and its implementation in patient education

作者：Bo Peng, Lin Sun, Yan Shang, Yajuan Zhang, Xiwen Gao, Ling Ye, Meiling Jin, Wei He, Zhijun Jie, Chunling Du, Lei Zhou, Yang Liu, Xiaolian Song, Juan Du, Fengying Zhang, Yi Gong, Yuheng Shi, Wuping Bao, Haihua Chen, Jin Wang, Chijun Wen, Weihao Li, Dandan Zhao, Gang Wang, Xin Zhou, Wei Tang · 发表于：Journal of Thoracic Disease · 年份：2022 · DOI：10.21037/jtd-21-1604 · 被引用次数：9 · 研究领域：Asthma and respiratory diseases、Health Literacy and Information Accessibility、Medication Adherence and Compliance

Background: Poor control of asthma results from many factors, partly due to inadequate knowledge towards asthma among patients. It is necessary to know patients' knowledge level before education. However, there is no accepted instrument to evaluate knowledge of asthma in Chinese patients with asthma. The study aims to develop a Chinese version of Patient-completed Asthma Knowledge Questionnaire (PAKQ) to assess its reliability, validity, and responsiveness for testing its clinical application in Chinese adult patients with asthma. Methods: After translation, back-translation, and cross-cultural adaptation of the PAKQ into Chinese version, a survey of patients with asthma (n=464) in China was conducted. Demographics and clinical data were collected in addition to questionnaires concerning cognition of asthma, education, history, and asthma control test score. The PAKQ was then completed. 14±4 days after the initial assessment, the participants completed the retested questionnaire and again completed the questionnaire immediately after education. The reliability and the construct validity were evaluated. The optimal cut-off points for predicting disease knowledge among asthma patients were determined using the Youden index method. Results: -tests showed significant changes on pre-educational and post-educational tests (t=22.83, df=463, P<0.0001). The optimal cut-off value of the PAKQ total score for assessing patients' knowledge level was 35 points (AUC =0.757). Conclusions: Th...