Validation of the Chinese version OSA-18 quality of life questionnaire in Taiwanese children with obstructive sleep apnea

Kun-Tai Kang; Wen-Chin Weng; Te-Huei Yeh; Pei-Lin Lee; Wei-Chung Hsu

doi:10.1016/j.jfma.2012.10.002

Validation of the Chinese version OSA-18 quality of life questionnaire in Taiwanese children with obstructive sleep apnea

J Formos Med Assoc. 2014 Jul;113(7):454-62. doi: 10.1016/j.jfma.2012.10.002. Epub 2012 Nov 28.

Authors

Kun-Tai Kang¹, Wen-Chin Weng², Te-Huei Yeh³, Pei-Lin Lee⁴, Wei-Chung Hsu⁵

Affiliations

¹ Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Otolaryngology, Taipei Hospital, Department of Health, New Taipei City, Taiwan; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
² Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan; Sleep Center, National Taiwan University Hospital, Taipei, Taiwan.
³ Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Sleep Center, National Taiwan University Hospital, Taipei, Taiwan.
⁴ Sleep Center, National Taiwan University Hospital, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
⁵ Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Sleep Center, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: hsuwc@ntu.edu.tw.

PMID: 24961188
DOI: 10.1016/j.jfma.2012.10.002

Abstract

Background/purpose: The OSA-18 questionnaire is one of the most widely-used sleep quality measurements in children. We tested the applicability and cross-cultural validation of the traditional Chinese version OSA-18 questionnaire.

Methods: This cross-sectional study was conducted in a tertiary medical referral center. The translation and cultural adaptation of the OSA-18 questionnaire were performed based on Brislin's revised model. A total of 109 children aged 2-18 years old with sleep problems were recruited. Overnight polysomnography and the OSA-18 questionnaire were administered. The reliability and validity of the traditional Chinese version of OSA-18 questionnaire were verified.

Results: Excellent test-retest reliability and good internal consistency were achieved, and the validity of OSA-18 with overnight polysomnography was confirmed. The domain of sleep disturbance, daytime function, caregiver concerns, and the OSA-18 total scores were significantly higher in sleep apnea patients. The domain of caregiver concern had the highest score, while those of emotional distress had the lowest scores. The optimal cut-off point of the OSA-18 total scores for detecting obstructive sleep apnea was 67.

Conclusion: The traditional Chinese version of OSA-18 demonstrated high reliability and good validity in our study. The domain of caregiver concern is the major element in Taiwanese children with sleep-disordered breathing.

Keywords: children; quality of life; sleep-disordered breathing.

Publication types

Validation Study

MeSH terms

Adolescent
Caregivers / psychology
Child
Child, Preschool
Cross-Sectional Studies
Female
Humans
Language
Male
Polysomnography
Quality of Life*
ROC Curve
Reproducibility of Results
Sleep Apnea, Obstructive / diagnosis*
Surveys and Questionnaires*
Taiwan
Translating