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A parent-completed respiratory questionnaire for 1-year-old children: repeatability
  1. Marie-Pierre F Strippoli1,
  2. Michael Silverman2,
  3. Gisela Michel1,
  4. Claudia E Kuehni1
  1. 1
    Swiss Paediatric Respiratory Research Group, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
  2. 2
    The Leicester Children’s Asthma Centre, Division of Child Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK
  1. Dr Claudia E Kuehni, Institute of Social and Preventive Medicine, Finkenhubelweg 11, CH-3012 Bern, Switzerland; kuehni{at}


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 1-year-old children.

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 12–24 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 (κ) 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 (κ 0.80–0.96) for questions on household characteristics, environmental exposures and family history, good (κ 0.61–0.80) for questions on prevalence, severity and treatment of wheeze, and moderate (κ 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 1 to 2-year-old children.

  • preschool
  • asthma
  • kappa
  • repeatability
  • questionnaire

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  • Funding: The work presented in this paper was funded by the Swiss National Science Foundation (PROSPER grant 3233-069348 and 3200-069349, and SNF grant 823B-046481) and the UK Department of Health (grant no. 0020014). Initial data collection was supported by a research grant from Trent NHS Executive (Trent Research Scheme, RBF no. 98XX3).

  • Competing interests: None.

  • The Leicestershire Health Authority Research Ethics Committee approved the study.

  • Abbreviations:
    intraclass correlation coefficients
    International Study of Asthma and Allergy in Childhood

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