Reliability and validity of a korean version of the leicester cough questionnaire

Jae Woo Kwon, Ji Yong Moon, Sae Hoon Kim, Woo Jung Song, Min Hye Kim, Min Gyu Kang, Kyung Hwan Lim, So Hee Lee, Sang Min Lee, Jin Young Lee, Hyouk Soo Kwon, Kyung Mook Kim, Sang Heon Kim, Sang Hoon Kim, Jae Won Jeong, Cheol Woo Kim, Sang Heon Cho, Byung Jae Lee, Work Group for Chronic Cough, the Korean Academy of Asthma, Allergy and Clinical Immunology, Jae Woo Kwon, Ji Yong Moon, Sae Hoon Kim, Woo Jung Song, Min Hye Kim, Min Gyu Kang, Kyung Hwan Lim, So Hee Lee, Sang Min Lee, Jin Young Lee, Hyouk Soo Kwon, Kyung Mook Kim, Sang Heon Kim, Sang Hoon Kim, Jae Won Jeong, Cheol Woo Kim, Sang Heon Cho, Byung Jae Lee, Work Group for Chronic Cough, the Korean Academy of Asthma, Allergy and Clinical Immunology

Abstract

Purpose: There are no specific tools for measurement of the severity of chronic cough in Korea. We developed a Korean version of the Leicester Cough Questionnaire (LCQ) and tested its scaling and clinical properties.

Methods: The LCQ was adapted for Korean conditions following a forward-backward translation procedure. All patients referred to chronic cough clinics at 5 university hospitals between May 2011 and October 2013 completed 2 questionnaires, the LCQ and the Short-Form 36 (SF-36), upon presentation and completed the LCQ and the Global Rating of Change (GRC) upon follow-up visits after 2 or 4 weeks. Concurrent validation, internal consistency, repeatability, and responsiveness were determined.

Results: For the concurrent validation, the correlation coefficients (n=202 patients) between the LCQ and SF-36 varied between 0.42 and 0.58. The internal consistency of the LCQ (n=207) was high for each of the domains with a Cronbach's alpha coefficient of 0.82-0.94. The repeatability of the LCQ in patients with no change in cough (n=23) was high, with intra-class correlation coefficients of 0.66-0.81. Patients who reported an improvement in cough (n=30) on follow-up visits demonstrated significant improvement in each of the domains of the LCQ.

Conclusions: The Korean version of the LCQ is a valid and reliable questionnaire for measurement of the severity of cough in patients with chronic cough.

Keywords: Cough; chronic disease; quality of life; questionnaires.

Conflict of interest statement

There are no financial or other issues that might lead to conflict of interest.

References

    1. Pratter MR, Brightling CE, Boulet LP, Irwin RS. An empiric integrative approach to the management of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129:222S–231S.
    1. Morice AH. Epidemiology of cough. Pulm Pharmacol Ther. 2002;15:253–259.
    1. Morice AH, Fontana GA, Belvisi MG, Birring SS, Chung KF, Dicpinigaitis PV, et al. ERS guidelines on the assessment of cough. Eur Respir J. 2007;29:1256–1276.
    1. Birring SS, Prudon B, Carr AJ, Singh SJ, Morgan MD, Pavord ID. Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ) Thorax. 2003;58:339–343.
    1. Huisman AN, Wu MZ, Uil SM, van den Berg JW. Reliability and validity of a Dutch version of the Leicester Cough Questionnaire. Cough. 2007;3:3.
    1. Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MH. Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. J Am Soc Nephrol. 2001;12:2797–2806.
    1. Marsden PA, Smith JA, Kelsall AA, Owen E, Naylor JR, Webster D, et al. A comparison of objective and subjective measures of cough in asthma. J Allergy Clin Immunol. 2008;122:903–907.
    1. Hsu JY, Stone RA, Logan-Sinclair RB, Worsdell M, Busst CM, Chung KF. Coughing frequency in patients with persistent cough: assessment using a 24 hour ambulatory recorder. Eur Respir J. 1994;7:1246–1253.
    1. Juniper EF, Guyatt GH, Willan A, Griffith LE. Determining a minimal important change in a disease-specific Quality of Life Questionnaire. J Clin Epidemiol. 1994;47:81–87.
    1. Kocks JW, Tuinenga MG, Uil SM, van den Berg JW, Ståhl E, van der Molen T. Health status measurement in COPD: the minimal clinically important difference of the clinical COPD questionnaire. Respir Res. 2006;7:62.
    1. Leconte S, Ferrant D, Dory V, Degryse J. Validated methods of cough assessment: a systematic review of the literature. Respiration. 2011;81:161–174.
    1. Decalmer SC, Webster D, Kelsall AA, McGuinness K, Woodcock AA, Smith JA. Chronic cough: how do cough reflex sensitivity and subjective assessments correlate with objective cough counts during ambulatory monitoring? Thorax. 2007;62:329–334.
    1. Birring SS, Matos S, Patel RB, Prudon B, Evans DH, Pavord ID. Cough frequency, cough sensitivity and health status in patients with chronic cough. Respir Med. 2006;100:1105–1109.
    1. Kalpaklioglu AF, Kara T, Kurtipek E, Kocyigit P, Ekici A, Ekici M. Evaluation and impact of chronic cough: comparison of specific vs generic quality-of-life questionnaires. Ann Allergy Asthma Immunol. 2005;94:581–585.

Source: PubMed

3
Abonnieren