RhinAsthma Patient Perspective: A short daily asthma and rhinitis QoL assessment

F. Braido, I. Baiardini, E. Stagi, N. Scichilone, O. Rossi, C. Lombardi, E. Ridolo, F. Gani, S. Balestracci, G. Girbino, G. E. Senna, A. Bordo, M. K. Church, G. W. Canonica

Research output: Contribution to journalArticle

Abstract

Background The present study aimed to develop a short validated patient-completed questionnaire, the RhinAsthma Patient Perspective (RAPP), to assess the health-related quality of life (HRQoL) in patients with asthma and comorbid allergic rhinitis in clinical practice. Methods A provisional RAPP questionnaire was formed from candidate items identified through retrospective analysis of 333 RHINASTHMA questionnaires. This was then tested on 150 asthma patients with allergic rhinitis. Results Psychometric analyses identified eight items fitting a unidimensional model to form RAPP. Internal consistency (Cronbach's alpha coefficient > 0.8) and agreement with RHINASTHMA (r = -0.31, P = 0.0001) were excellent. Criterion, discriminant, and convergent validity were good. Reliability in 47 stable patients was very good (intra-class and concordance correlation coefficients were 0.90 and 0.89, respectively). Responsiveness in 103 patients with health improvement or deterioration was significantly associated with changes in Global Rating Scale (r = -0.4965, P <0.01), Rhinitis Visual Analogue Scale (r = 0.5722, P <0.01) and asthma control test (r = -0.6483, P <0.01). Minimal clinical difference in the analyzed population was 2. Conclusion RhinAsthma Patient Perspective is a simple eight-question questionnaire with good measurement properties and sensitivity to health changes, which will provide a valid, reliable and standardized HRQoL measurement in patients with asthma and comorbid allergic rhinitis in clinical practice.

Original languageEnglish (US)
Pages (from-to)1443-1450
Number of pages8
JournalAllergy: European Journal of Allergy and Clinical Immunology
Volume67
Issue number11
DOIs
StatePublished - Nov 2012
Externally publishedYes

Fingerprint

Rhinitis
Asthma
Quality of Life
Health
Visual Analog Scale
Psychometrics
Surveys and Questionnaires

Keywords

  • assessment
  • asthma
  • daily practice
  • quality of life
  • rhinitis

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy

Cite this

Braido, F., Baiardini, I., Stagi, E., Scichilone, N., Rossi, O., Lombardi, C., ... Canonica, G. W. (2012). RhinAsthma Patient Perspective: A short daily asthma and rhinitis QoL assessment. Allergy: European Journal of Allergy and Clinical Immunology, 67(11), 1443-1450. https://doi.org/10.1111/all.12014

RhinAsthma Patient Perspective : A short daily asthma and rhinitis QoL assessment. / Braido, F.; Baiardini, I.; Stagi, E.; Scichilone, N.; Rossi, O.; Lombardi, C.; Ridolo, E.; Gani, F.; Balestracci, S.; Girbino, G.; Senna, G. E.; Bordo, A.; Church, M. K.; Canonica, G. W.

In: Allergy: European Journal of Allergy and Clinical Immunology, Vol. 67, No. 11, 11.2012, p. 1443-1450.

Research output: Contribution to journalArticle

Braido, F, Baiardini, I, Stagi, E, Scichilone, N, Rossi, O, Lombardi, C, Ridolo, E, Gani, F, Balestracci, S, Girbino, G, Senna, GE, Bordo, A, Church, MK & Canonica, GW 2012, 'RhinAsthma Patient Perspective: A short daily asthma and rhinitis QoL assessment', Allergy: European Journal of Allergy and Clinical Immunology, vol. 67, no. 11, pp. 1443-1450. https://doi.org/10.1111/all.12014
Braido, F. ; Baiardini, I. ; Stagi, E. ; Scichilone, N. ; Rossi, O. ; Lombardi, C. ; Ridolo, E. ; Gani, F. ; Balestracci, S. ; Girbino, G. ; Senna, G. E. ; Bordo, A. ; Church, M. K. ; Canonica, G. W. / RhinAsthma Patient Perspective : A short daily asthma and rhinitis QoL assessment. In: Allergy: European Journal of Allergy and Clinical Immunology. 2012 ; Vol. 67, No. 11. pp. 1443-1450.
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abstract = "Background The present study aimed to develop a short validated patient-completed questionnaire, the RhinAsthma Patient Perspective (RAPP), to assess the health-related quality of life (HRQoL) in patients with asthma and comorbid allergic rhinitis in clinical practice. Methods A provisional RAPP questionnaire was formed from candidate items identified through retrospective analysis of 333 RHINASTHMA questionnaires. This was then tested on 150 asthma patients with allergic rhinitis. Results Psychometric analyses identified eight items fitting a unidimensional model to form RAPP. Internal consistency (Cronbach's alpha coefficient > 0.8) and agreement with RHINASTHMA (r = -0.31, P = 0.0001) were excellent. Criterion, discriminant, and convergent validity were good. Reliability in 47 stable patients was very good (intra-class and concordance correlation coefficients were 0.90 and 0.89, respectively). Responsiveness in 103 patients with health improvement or deterioration was significantly associated with changes in Global Rating Scale (r = -0.4965, P <0.01), Rhinitis Visual Analogue Scale (r = 0.5722, P <0.01) and asthma control test (r = -0.6483, P <0.01). Minimal clinical difference in the analyzed population was 2. Conclusion RhinAsthma Patient Perspective is a simple eight-question questionnaire with good measurement properties and sensitivity to health changes, which will provide a valid, reliable and standardized HRQoL measurement in patients with asthma and comorbid allergic rhinitis in clinical practice.",
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AU - Braido, F.

AU - Baiardini, I.

AU - Stagi, E.

AU - Scichilone, N.

AU - Rossi, O.

AU - Lombardi, C.

AU - Ridolo, E.

AU - Gani, F.

AU - Balestracci, S.

AU - Girbino, G.

AU - Senna, G. E.

AU - Bordo, A.

AU - Church, M. K.

AU - Canonica, G. W.

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N2 - Background The present study aimed to develop a short validated patient-completed questionnaire, the RhinAsthma Patient Perspective (RAPP), to assess the health-related quality of life (HRQoL) in patients with asthma and comorbid allergic rhinitis in clinical practice. Methods A provisional RAPP questionnaire was formed from candidate items identified through retrospective analysis of 333 RHINASTHMA questionnaires. This was then tested on 150 asthma patients with allergic rhinitis. Results Psychometric analyses identified eight items fitting a unidimensional model to form RAPP. Internal consistency (Cronbach's alpha coefficient > 0.8) and agreement with RHINASTHMA (r = -0.31, P = 0.0001) were excellent. Criterion, discriminant, and convergent validity were good. Reliability in 47 stable patients was very good (intra-class and concordance correlation coefficients were 0.90 and 0.89, respectively). Responsiveness in 103 patients with health improvement or deterioration was significantly associated with changes in Global Rating Scale (r = -0.4965, P <0.01), Rhinitis Visual Analogue Scale (r = 0.5722, P <0.01) and asthma control test (r = -0.6483, P <0.01). Minimal clinical difference in the analyzed population was 2. Conclusion RhinAsthma Patient Perspective is a simple eight-question questionnaire with good measurement properties and sensitivity to health changes, which will provide a valid, reliable and standardized HRQoL measurement in patients with asthma and comorbid allergic rhinitis in clinical practice.

AB - Background The present study aimed to develop a short validated patient-completed questionnaire, the RhinAsthma Patient Perspective (RAPP), to assess the health-related quality of life (HRQoL) in patients with asthma and comorbid allergic rhinitis in clinical practice. Methods A provisional RAPP questionnaire was formed from candidate items identified through retrospective analysis of 333 RHINASTHMA questionnaires. This was then tested on 150 asthma patients with allergic rhinitis. Results Psychometric analyses identified eight items fitting a unidimensional model to form RAPP. Internal consistency (Cronbach's alpha coefficient > 0.8) and agreement with RHINASTHMA (r = -0.31, P = 0.0001) were excellent. Criterion, discriminant, and convergent validity were good. Reliability in 47 stable patients was very good (intra-class and concordance correlation coefficients were 0.90 and 0.89, respectively). Responsiveness in 103 patients with health improvement or deterioration was significantly associated with changes in Global Rating Scale (r = -0.4965, P <0.01), Rhinitis Visual Analogue Scale (r = 0.5722, P <0.01) and asthma control test (r = -0.6483, P <0.01). Minimal clinical difference in the analyzed population was 2. Conclusion RhinAsthma Patient Perspective is a simple eight-question questionnaire with good measurement properties and sensitivity to health changes, which will provide a valid, reliable and standardized HRQoL measurement in patients with asthma and comorbid allergic rhinitis in clinical practice.

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