Hye-Sook Lee; Eunok Park

doi:10.4040/jkan.2016.46.5.675

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Original Article
Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults: Hye-Sook Lee, Eunok Park; Journal of Korean Academy of Nursing 2016;46(5):675-686.
DOI: https://doi.org/10.4040/jkan.2016.46.5.675
Published online: October 31, 2016

¹The Environmental Health Center·School of Medicine, Jeju National University, Jeju, Korea.

²College of Nursing, Jeju National University, Jeju, Korea.

Address reprint requests to: Park, Eunok. College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju-si, Jeju 63243, Korea. Tel: +82-64-754-3882, Fax: +82-64-702-2686, eopark@jejunu.ac.kr

• Received: April 1, 2016 • Revised: June 27, 2016 • Accepted: June 28, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES
Appendix

Abstract

Purpose
The purpose of this study was to develop an Allergic Rhinitis-Specific Quality of Life (ARSQOL) scale and verify its validity and reliability.
Methods
ARSQOL was developed in 5 steps. Items for the preliminary instrument of ARSQOL were developed through a literature review and deep interviews with allergic rhinitis patients. Face validity with Content Validity Index (CVI), construct validity using factor analysis, and known group comparison, criterion validity test using correlation between ARSQOL and total nasal symptoms score (TNSS) were conducted to evaluate the validity of ARSQOL. Cronbach's α was used to evaluate the reliability of ARSQOL.
Results
CVI for the items in the final ARSQOL were. 92. Five factors including discomfort associated with nasal symptoms (4 items), physical function (7 items), mental function (5 items), sleep disorder and social function (4 items), and problems of daily life (6 items) were identified through factor analysis and these five factors explained 66.6% of the total variance. The correlation coefficient between TNSS and the total score of life quality was -.69. In the group comparison, the persistent allergic rhinitis group showed lower ARSQOL scores than the intermittent patient group, and moderate to the severe allergic rhinitis patient group presented poorer ARSQOL than the mild symptom patient group. The Cronbach's α reliability coefficient was .95.
Conclusion
Results show that the ARSQOL has good reliability and validity and thus ARSQOL is a useful scale for clinical practices and research as a measure of quality of life in adults with allergicr hinitis.
Keywords: Allergic Rhinitis; Quality of Life; Instrument; Adult

This manuscript is a condensed form of the first author's master's thesis from Jeju National University.

This study was supported by the Environmental Health Center, the Ministry of Environment.

The authors declared no conflict of interest.

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Appendix

Appendix 1

Table 1

Factor Analysis and Reliability

F=Factor.

Table 2

Comparison of Quality of Life according to Allergic Rhinitis Symptoms (N=223)

ARSQOL=Allergic rhinitis-specific quality of life; AR=Allergic rhinitis.

Table 3

Correlation of Final Scale and Total Nasal Symptom Score (N=223)

TNSS=Total nasal symptom score; ARSQOL=Allergic rhinitis-specific quality of life.

Figure & Data

REFERENCES

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Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults

J Korean Acad Nurs. 2016;46(5):675-686. Published online October 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.675

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Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults

Table 1

Factor Analysis and Reliability

F=Factor.

Table 2

Comparison of Quality of Life according to Allergic Rhinitis Symptoms (N=223)

ARSQOL=Allergic rhinitis-specific quality of life; AR=Allergic rhinitis.

Table 3

Correlation of Final Scale and Total Nasal Symptom Score (N=223)

TNSS=Total nasal symptom score; ARSQOL=Allergic rhinitis-specific quality of life.

Table 1 Factor Analysis and Reliability

F=Factor.

Table 2 Comparison of Quality of Life according to Allergic Rhinitis Symptoms (N=223)

ARSQOL=Allergic rhinitis-specific quality of life; AR=Allergic rhinitis.

Table 3 Correlation of Final Scale and Total Nasal Symptom Score (N=223)

TNSS=Total nasal symptom score; ARSQOL=Allergic rhinitis-specific quality of life.