A parent-completed respiratory questionnaire for one-year olds: repeatability

Marie-Pierre F Strippoli ¹, Michael Silverman ², Gisela Michel ¹ and Claudia E Kuehni ^1*

¹ University of Berne, Switzerland
² University of Leicester, United Kingdom

^* To whom correspondence should be addressed. E-mail: kuehni{at}ispm.unibe.ch.

Accepted 24 April 2007

Abstract

Background and aims: There are few standardised questionnaires for the assessment of respiratory symptoms in preschool children. We have developed and tested the short-term repeatability of a postal questionnaire on respiratory symptoms for one-year olds.

Methods: A newly developed postal questionnaire for the assessment of wheeze and other respiratory symptoms was sent to parents of a population-based random sample of 4300 children aged 12 to 24 months. After an interval of 3 months, a random sample of 800 respondents received the questionnaire a second time. The responses were compared using Cohen’s kappa (k) to assess agreement corrected for chance.

Results: The first questionnaire was returned by 3194 (74%) families, the second one by 460/800 (58%). Repeatability was excellent (k 0.80-0.96) for questions on household characteristics, environmental exposures and family history, good (k 0.61-0.80) for questions on prevalence, severity and treatment of wheeze, and moderate (k 0.39-0.66) for chronic cough and upper respiratory symptoms.

Conclusions: This short postal questionnaire designed for use in population-based studies has excellent repeatability for family and household characteristics and good repeatability for questions on wheeze. Short-term changes in symptom status might be responsible for variable answers on recent chronic cough and upper respiratory symptoms. Overall, the questionnaire is a valuable instrument for community-based research on respiratory symptoms in one to two-year old children.

Keywords: asthma, kappa, preschool, questionnaire, repeatability

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