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Original Article
Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire
Eun-Hyun Lee
Journal of Korean Academy of Nursing 2009;39(6):781-787.
DOI: https://doi.org/10.4040/jkan.2009.39.6.781
Published online: December 31, 2009

Assistant Professor, Graduate School of Public Health, Ajou University, Suwon, Korea.

Address reprint requests to: Lee, Eun-Hyun. Graduate School of Public Health, Ajou University, San 5 Woncheon-dong, Yeongtong-gu, Suwon 443-721, Korea. Tel: 82-31-219-5296, Fax: 82-31-219-5084, ehlee@ajou.ac.kr
• Received: August 18, 2009   • Accepted: November 11, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to evaluate a computerized touch-screen version of the asthma-specific quality-of-life (cA-QOL) questionnaire against the conventional paper-and-pencil version (pA-QOL) for equivalence, time for completion, user preference, and ease of use.
  • Methods
    A total of 261 patients were recruited. A randomized cross-over design was used. Patients in group A completed the cA-QOL first while waiting to see a physician, and completed the pA-QOL version after seeing the physician. Patients allocated in group B completed these questionnaires in the reverse order. The patients were asked questions about user preference and ease of use of the cA-QOL. The time taken to complete both versions of the questionnaire was measured.
  • Results
    Weighted kappa coefficients of all items showed almost perfect agreement. The time required to complete the pA-QOL is faster than the time for cA-QOL. The patients who preferred the cA-QOL were 37.5%, while those who preferred the pA-QOL were 29.9%. Most patients reported that the cA-QOL was "easy" or "very easy" to complete.
  • Conclusion
    The cA-QOL is the computerized equivalent of the pA-QOL. The findings herein demonstrate that the cA-QOL can be helpful to nurses in busy practices for assessing, collecting, and evaluating their patients' health related quality of life.
  • Keywords: Asthma; Health-related quality of life; Computer; Measurement
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Figure 1
Randomized cross-over design.
cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.
jkan-39-781-g001.jpg
Figure 2
Mean of log time taken to complete the cA-QOL and pA-QOL.
cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.
jkan-39-781-g002.jpg
Table 1
Patient Characteristics (N=261)
jkan-39-781-i001.jpg

*Fisher's exact test.

Group A completed cA-QOL first, followed by the pA-QOL; Group B completed pA-QOL first followed by the cA-QOL; cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

Table 2
Individual Score Agreement between the cA-QOL and pA-QOL: Κw
jkan-39-781-i002.jpg

cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL; Κw=weighted linear and quadratic kappa.

Table 3
Two-Period Cross-Over Study of the Mean of Log Time Taken to Complete the cA-QOL and the pA-QOL
jkan-39-781-i003.jpg

cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
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      Educational Assessment.2018; 23(3): 195.     CrossRef
    • Equivalence of electronic and paper administration of patient-reported outcome measures: a systematic review and meta-analysis of studies conducted between 2007 and 2013
      Willie Muehlhausen, Helen Doll, Nuz Quadri, Bethany Fordham, Paul O’Donohoe, Nijda Dogar, Diane J. Wild
      Health and Quality of Life Outcomes.2015;[Epub]     CrossRef
    • Equivalence of electronic and paper-based patient-reported outcome measures
      Niloufar Campbell, Faraz Ali, Andrew Y. Finlay, Sam S. Salek
      Quality of Life Research.2015; 24(8): 1949.     CrossRef
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    • Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants
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    • Clinical evaluation of the computerized Chronic Urticaria-Specific Quality of Life questionnaire in Korean patients with chronic urticaria
      Y.-M. Ye, J.-W. Park, S.-H. Kim, J.-H. Choi, G.-Y. Hur, H.-Y. Lee, E.-H. Lee, H.-S. Park
      Clinical and Experimental Dermatology.2012; 37(7): 722.     CrossRef

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      • Citation for the content below
      Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire
      J Korean Acad Nurs. 2009;39(6):781-787.   Published online December 31, 2009
      DOI: https://doi.org/10.4040/jkan.2009.39.6.781
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    Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire
    Image Image
    Figure 1 Randomized cross-over design. cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.
    Figure 2 Mean of log time taken to complete the cA-QOL and pA-QOL. cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

    Figure 1

    Figure 2

    Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire

    Patient Characteristics (N=261)

    *Fisher's exact test.

    Group A completed cA-QOL first, followed by the pA-QOL; Group B completed pA-QOL first followed by the cA-QOL; cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

    Individual Score Agreement between the cA-QOL and pA-QOL: Κw

    cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL; Κw=weighted linear and quadratic kappa.

    Two-Period Cross-Over Study of the Mean of Log Time Taken to Complete the cA-QOL and the pA-QOL

    cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.
    Table 1 Patient Characteristics (N=261)

    *Fisher's exact test.

    Group A completed cA-QOL first, followed by the pA-QOL; Group B completed pA-QOL first followed by the cA-QOL; cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

    Table 2 Individual Score Agreement between the cA-QOL and pA-QOL: Κw

    cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL; Κw=weighted linear and quadratic kappa.

    Table 3 Two-Period Cross-Over Study of the Mean of Log Time Taken to Complete the cA-QOL and the pA-QOL

    cA-QOL=computer mode of A-QOL; pA-QOL=paper mode of A-QOL.

    Table 1

    Table 2

    Table 3

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