Eun-Hyun Lee

doi:10.4040/jkan.2009.39.6.781

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 39(6); 2009 > Article

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

160 Views
1 Download
6 Crossref
6 Scopus

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

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

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2007-521-E00158).

REFERENCES

1. Allenby A, Matthews J, Beresford J, McLachlan SA. The application of computer touch-screen technology in screening for psychosocial distress in an ambulatory oncology setting. European Journal of Cancer Care. 2002;11:245–253.Article PubMed PDF
2. American Psychology Association. Guidelines for computer based tests and interpretation. 1986;Washington DC, Author.
3. Armitage P, Berry G. Armitage P, Berry G. Further analysis of categorical data: Kappa measure of agreement. In: Statistical Methods in Medical Research. 1995;3rd ed.Malden, MA, Blackwell Science. 443–447.
4. Bliven BD, Kaufman SE, Spertus JA. Electronic collection of health-related quality of life data: Validity, time benefit, and patient preference. Quality of Life Research. 2001;10:15–22.PubMed
5. Cohen J. Statistical Analysis for the Behavioral Sciences. 1987;Rev. ed.Hillsdale, NJ, Lawrence Erlbaum Association.
6. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health related quality of life in asthma: Development of a questionnaire for use in clinical trials. Thorax. 1992;47:76–83.Article PubMed PMC
7. Kim CW, Chung HW, Shin JI, Bae SW, Park JW, Cho SY, et al. Generic health-related quality of life in patients with bronchial asthma. Korean Journal of Asthma, Allergy and Clinical Immunology. 2002;22:558–566.
8. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.Article PubMed
9. Lee EH. Touch-screen computerized quality-of-life assessment for patients with cancer. Asian Nursing Research. 2009;3:41–48.Article PubMed
10. Lee EH, Kim SH, Choi JH, Jee YG, Nahm DH, Park HS. Development and evaluation of an asthma-specific quality of life (A-QOL) questionnaire. Journal of Asthma. 2009;46:716–721.Article
11. Marks GB, Dunn SM, Woolcock AJ. A scale for the measurement of quality of life in adults with asthma. Journal of Clinical Epidemiology. 1992;45:461–472.Article PubMed
12. Pocock SJ. Clinical Trials. 1983;Chichester, John Wiley & Sons.
13. Pouwer F, Snoek FJ, van der Ploeg HM, Heine RJ, Brand AN. A comparison of the standard and the computerized versions of the Well-Being Questionnaire (WBQ) and the Diabetes Treatment Satisfaction Questionnaire (DTSQ). Quality of Life Research. 1998;7:33–38.PubMed
14. Ryan JM, Corry JR, Attewell R, Smithson MJ. A comparison of an electronic version of the SF-36 general health questionnaire to standard paper version. Quality of Life Research. 2002;11:19–26.PubMed
15. Schmier JK, Chan KS, Leidy NK. The impact of asthma on health-related quality of life. Journal of Asthma. 1998;35:585–597.Article
16. Tooth LR, Ottenbacher KJ. The κ statistics in rehabilitation research: An examination. Archives of Physical Medicine and Rehabilitation. 2004;85:1371–1376.PubMed
17. Velikova G, Wright EP, Smith AB, Cull A, Gould A, Forman D, et al. Automated collection of quality of life data: A comparison of paper and computer touch-screen questionnaire. Journal of Clinical Oncology. 1999;17:998–1007.PubMed
18. Weinberger M, Oddone EZ, Samsa GP, Pamela BL. Are health-related quality of life measures affected by the mode of administration? Journal of Clinical Epidemiology. 1996;49:135–140.Article PubMed
19. Wilson AS, Kitas GD, Karruthers DM, Reay C, Skan J, Harris S, et al. Computerized information-gathering in specialist rheumatology clinics: An initial evaluation of an electronic version of the Short Form 36. Rheumatology. 2002;41:268–273.Article PubMed

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.

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: Κ_w

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

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Tablets instead of paper-based tests for young children? Comparability between paper and tablet versions of the mathematical Heidelberger Rechen Test 1-4
Martin Hassler Hallstedt, Ata Ghaderi
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
Measurement equivalence of touch‐screen computerized and paper‐based diabetes‐specific quality‐of‐life questionnaires
Eun‐Hyun Lee, Young Whee Lee, Kwan‐Woo Lee, Dae Jung Kim, Yong‐Seong Kim, Moon‐Suk Nam
International Journal of Nursing Practice.2014; 20(4): 382. CrossRef
Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants
Jeongyee Bae
Journal of Korean Academy of Nursing.2013; 43(2): 203. CrossRef
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

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract 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

XML Download

Figure

We recommend

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

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

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: Κ_w

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