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Recent alcohol intake as estimated by the Health Habits and History Questionnaire, the Harvard Semiquantitative Food Frequency Questionnaire, and a more detailed alcohol intake questionnaire.

Epidemiologic studies often rely on food frequency questionnaires (FFQs) to collect information on alcoholic beverage intake. However, estimation of alcohol intake using FFQs may be of some concern because of limited questions concerning alcohol intake. The authors compared estimates of alcohol intake during the 12-24 months prior to interview obtained from the Health Habits and History Questionnaire and the Harvard Semiquantitative Food Frequency Questionnaire with those from a more extensive alcohol questionnaire, the Drinking Pattern Questionnaire, among 133 healthy subjects (75 men, 58 women) aged 35-73 years, residents of western New York State. Data were collected in 1995 during two separate interviewer-administered computer-assisted interviews conducted approximately 2 weeks apart. For each questionnaire, average daily ounces (1 oz = 30 ml) of alcohol intake from alcoholic beverages were calculated as the product of the reported beverage-specific drink size (ounces) and the average daily frequency of intake multiplied by a factor representing the percentage of alcohol provided by each beverage. Estimates of total alcohol and liquor intake, but not of beer and wine intake, tended to be higher for the Drinking Pattern Questionnaire compared with the FFQs. Spearman's correlation coefficients ranged from 0.69 to 0.84. These results suggest that although the Drinking Pattern Questionnaire produced higher estimates than either FFQ, both FFQs provide a reasonable ranking of participants' alcohol intake.

Adult↗

Comparison of questionnaires: the BMRC and NHLI respiratory questionnaires and a new self-completion questionnaire.

Interviewer-administered National Heart and Lung Institute (NHLI) and British Medical Research Council (BMRC) respiratory questionnaires were compared with each other and with a self-administered questionnaire of our own design in 2,350 adults enrolled in a longitudinal community study. There was a basic 10% disagreement between responses to any 2 questionnaires for all questions that inquired about a perception of a complaint or a disease, but much less disagreement for more factual questions, such as those concerning smoking. Little effect was noted from minor variations in wording, order of questions, method of administration, inclusion of other questions, or time between questionnaires (as long as this interval was less than 1 month). For questions with similar wording, the BMRC and NHLI questionnaires yielded very similar results in terms of over-all prevalence of responses, relationships to answers on an independent questionnaire, and inter-relationships of positive responses. The new self-completion questionnaire used in this study detected more abnormalities and better delineated cough and phlegm "syndromes" than either the NHLI or the BMRC questionnaire, and we believe that self-administration was a very satisfactory technique in the type of population surveyed in this study.

Adult↗

A comparison of the validity of two psychiatric screening questionnaires: the Arabic General Health Questionnaire (AGHQ) and Self-Reporting Questionnaire (SRQ-20) in UAE, using Receiver Operating Characteristic (ROC) analysis.

This study compared the ability of the Arabic General Health questionnaire (AGHQ) and Self-Reporting Questionnaire (SRQ-20) to screen ICD-10 psychiatric disorders in an Arab community in Al Ain, United Arab Emirates. Standardised psychiatric assessments of subjects using the Composite International Diagnostic Interview (CIDI) were carried out. The Receiver Operating Characteristic (ROC) analysis was used to determine validity indices for the AGHQ and SRQ-20. For the AGHQ, sensitivity, specificity and area under the curve (AUC) were 86, 85 and 93% respectively, while for the SRQ-20, validity indices were 83, 83 and 90% respectively. Overall performance of the AGHQ was significantly better than the SRQ-20, especially in males and those under the age of 30 years. We conclude that both questionnaires are valid screening instruments in an Arab community in the UAE.

Adult↗

Comparison of a traditional questionnaire with an icon/calendar-based questionnaire to assess occupational history.

BACKGROUND: Self-reported work histories are an essential tool for estimating exposure in many occupational epidemiologic studies. However, the transience of some occupations such as farm work can hamper recall, resulting in inaccurate reporting. To address this problem, we have developed an icon/calendar-based questionnaire. This study compares work histories collected via this questionnaire to those collected via a traditional questionnaire. METHODS: Eighty-nine farmworkers and non-farmworkers were interviewed twice, 8-10 months apart, about their lifetime employment. In the first interview, subjects were asked to recount their entire work history, starting from the interview date and moving backwards in time ("traditional questionnaire"). In the second interview, subjects were first asked about important life events, which were recorded with icons on a calendar. They were then asked to recount their work history, which was recorded, job-by-job, on the calendar with icons ("icon-calendar questionnaire"). RESULTS: Number of jobs and amount of work time accounted for since first employment were significantly greater using the icon-calendar questionnaire than the traditional questionnaire, the disparity increasing with time from the date of interview. The ratio of number of jobs in the traditional questionnaire to number of jobs in the icon-calendar questionnaire decreased from 100.0% in the most recent time period to 0.0% in the earliest time period. While the percentage of time explained by employment remained relatively constant across time periods in the icon-calendar questionnaire, ranging from 86.3 to 98.9%, it rapidly decreased with time in the traditional questionnaire, from 77.9% in the most recent time period to 0.0% in the earliest time period. CONCLUSIONS: The icon-calendar questionnaire was more effective than the traditional questionnaire for obtaining complex work histories during interviews, producing a more complete picture of a person's work history.

Adult↗

Does length of questionnaire matter? A randomised trial of response rates to a mailed questionnaire.

OBJECTIVE: To assess whether length of questionnaire affects response rates. METHODS: A quasi-randomised trial of women aged 70 years and over in a general practice in England. Three questionnaires of different lengths: a clinical questionnaire (four pages); the same questionnaire plus the EuroQol (five pages); the same questionnaire plus the SF-12 (seven pages). The impact of length on the proportion of returned questionnaires and item completion rates was assessed. RESULTS: In total, 847 questionnaires were mailed; response rates were 49%, 49% and 40% to the short, medium and long questionnaires, respectively. This difference was statistically significant when the short questionnaire was compared against the longest instrument (9% difference; 95% confidence interval (CI) of difference = 0.3% to 16.6%). Item completion rates for the clinical questionnaire did not differ. Respondents did not differ in age or self-reported health status between the three groups. CONCLUSIONS: Increasing the length of a questionnaire from five to seven pages reduces response rates from women aged 70 years and over. However, lengthening a questionnaire does not seem to affect the quality of responses to questions near the front of the questionnaire.

Aged↗

[Evaluation of the self-administered respiratory questionnaire recommended by the Japanese Labour Ministry based on the standardized interviewer-administered BMRC questionnaire].

The self-administered respiratory questionnaire on persistent cough or sputum prepared and recommended by the Japanese Labour Ministry to detect pneumoconiosis was evaluated and compared with the Japanese version of the standardized interviewer-administered respiratory questionnaire developed by the British Medical Research Council (BMRC). The two questionnaires were given to 800 subjects on the same day. Because the wording of the questions was similar, the two questionnaires yielded very similar results. In terms of the overall prevalence of persistent cough or sputum, no important differences could be demonstrated between the results of the two questionnaires. The results of this study indicate that the self-administered questionnaire has good concordance with the BMRC questionnaire. When compared to the BMRC questionnaire, the specificity of the self-administered questionnaire was found to be more than 99%, but the sensitivity was inferior to the specificity, being less than 80%. When confined to subjects with persistent cough or sputum for two years or more, the sensitivity was up to 84%. These findings suggest the responses of the subjects to the self-administered questionnaire tend to be negative. A validity of the self-administered questionnaire needs to be further studied among dust workers including pneumoconiotics.

Adult↗

Reliability of the Manchester Respiratory Activities of Daily Living Questionnaire as a postal questionnaire.

BACKGROUND: The Manchester Respiratory Activities of Daily Living Questionnaire is a new scale designed to assess respiratory disability in elderly outpatients with chronic obstructive pulmonary disease. However, it has not been examined for its reliability as a postal questionnaire. OBJECTIVE: To investigate test-retest reliability of the Manchester Respiratory Activities of Daily Living as a postal questionnaire and to compare face-to-face administration by a physiotherapist with postal completion. DESIGN: Two single-blind studies were performed to investigate test-retest reliability of the Manchester Respiratory Activities of Daily Living Questionnaire in elderly patients with chronic obstructive pulmonary disease. Study 1 comprised 51 subjects (27 men) with chronic obstructive pulmonary disease, aged 61-87 (mean 74) years. They completed the Manchester Respiratory Activities of Daily Living Questionnaire twice mailed to them at home (second questionnaire after two weeks). Study 2 comprised a separate and previously unstudied group of 36 subjects with chronic obstructive pulmonary disease (24 men), aged 60-82 (mean 71) years who also completed the Manchester Respiratory Activities of Daily Living Questionnaire twice, first face-to-face by a physiotherapist and then two weeks later at home. RESULTS: Mean (SD) one second forced expiratory volume (FEV1) were: Study 1=0.93 (0.30) litres; Study 2=1.01 (0.43) litres. Mean [SEM] difference between two periods Manchester Respiratory Activities of Daily Living Questionnaire score (Study 1) was 0.07 [0.3] and (Study 2) was 0.17 [0.5]. The 95% limits of agreement were -0.69 to +0.54 and -1.21 to +0.87 and standard error of measurement of 'repeatability' square root 1.55 and 1.71 respectively for Manchester Respiratory Activities of Daily Living Questionnaire. Intraclass correlation coefficients were Study 1, ICC (1,1)=0.92, 95% confidence interval 0.87 to 95; Study 2, ICC (1,1)=0.86, 95% confidence interval (0.79 to 94). CONCLUSION: The Manchester Respiratory Activities of Daily Living Questionnaire scale is acceptable and repeatable as a postal questionnaire in elderly patients with chronic obstructive pulmonary disease.

Activities of Daily Living↗

Acromegaly Quality of Life Questionnaire (ACROQOL) a new health-related quality of life questionnaire for patients with acromegaly: development and psychometric properties.

OBJECTIVE: To develop a disease-specific questionnaire suitable to measure health-related quality of life (HRQOL) in acromegaly (ACROQOL). DESIGN, PATIENTS AND MEASUREMENTS: For the development of the ACROQOL questionnaire different sources of information were used: First, a literature search was performed to identify relevant papers describing the impact of acromegaly in HRQOL. Second, 10 endocrinologists identified the main domains of impact on HRQOL in patients with acromegaly. Third, 10 in-depth, semistructured interviews were conducted in acromegalic patients to identify domains and items related to the self-perceived impact of acromegaly in patients' life. Qualitative analyses of the information were performed identifying domains and items to be included in the questionnaire. Those items considered ambiguous, complicated to read, double-barrelled, with jargon terms, too long, or negatively worded were excluded. Each remaining item was subsequently rated by the same panel of endocrinologists and experts in HRQOL evaluation, and assessed according to clarity of wording, frequency of occurrence and importance among patients with acromegaly. Analysis of internal consistency of the questionnaire was evaluated with a Cronbach's Alpha. A preliminary questionnaire was administered to 72 patients with acromegaly. Rasch analysis (dichotomous logistic response model) of the answers given by these patients allowed parameter estimates and model data fit indices to be computed and misfitting items deleted. Frequency of occurrence and degree of agreement with the statements were selected as response choices in a 5-point Likert type scale. RESULTS: The following domains related to HRQOL in acromegaly were identified: physical and psychological functions, social, daily activities, symptoms, cognition, general health perception, sleep, sexual function, pain, energy and body image. An initial set of 204 expressions were identified from the initial transcripts of the patient interviews. After elimination of ambiguous or unclear expressions, 142 items remained drafted in question form. From the quantitative analysis of the item rank position within each of the three areas of clarity, frequency and importance, the 38-item questionnaire was produced, with satisfactory internal consistency (Cronbach's Alpha 0.94). Rasch analysis produced a further reduction to the final 22-item questionnaire (Cronbach's Alpha 0.91) containing two scales that evaluate physical (eight questions) and psychological aspects related to appearance and personal relations (seven items each). The evaluation of the item parameters confirmed the construct validity of the new instrument. The substantial reliability of the questionnaire suggested the sample was well targeted by the questionnaire. The initial Spanish version was translated into English and presented to five English-speaking Australian patients with acromegaly to assess and correct for comprehension, clarity, cultural relevance and suitable wording. CONCLUSIONS: We present the ACROQOL questionnaire, developed and preliminarily validated to specifically assess HRQOL in patients with acromegaly.

Acromegaly↗

Development and testing of a visit-specific patient satisfaction questionnaire: the Princess Margaret Hospital Satisfaction With Doctor Questionnaire.

PURPOSE: To develop a psychometrically sound patient-satisfaction-with-physician questionnaire that can be used in an outpatient oncology setting. PATIENTS AND METHODS: The questionnaire was developed by a four-step process involving a total of 277 cancer patients. The item-generation process utilized input from 95 oncology outpatients, three medical researchers, and the relevant literature. Items were tested by 70 of the above patients. Initial item reduction was achieved by input from another eight patients. Factor analysis and validity testing used data derived from a different group of 174 oncology outpatients. Convergent validity was tested by correlating the Princess Margaret Hospital Patient Satisfaction with Doctor Questionnaire (PMH/PSQ-MD) with Rubin et al's Physician subscale of the Patient's Viewpoint Questionnaire (PS-PVQ) and Smith et al's Patient-Doctor Interaction Scale (PDIS). Divergent validity was tested by comparing these questionnaires with Spitzer's quality of life (QOL) questionnaire. RESULTS: The final PMH/PSQ-MD is a 29-item self-administered questionnaire with four response categories and a "does not apply" category. Four domains were confirmed by factor analysis: (1) information exchange, (2) interpersonal skills, (3) empathy, and (4) quality of time. The questionnaire has an overall Cronbach's alpha of 0.97; the values for each domain are, respectively, 0.92, 0.90, 0. 88, and 0.88. The PMH/PSQ-MD correlated well with both the PDIS and the PS-PVQ (P <.001 for both). Divergent validity was confirmed with Spitzer's QOL questionnaire. CONCLUSION: The PMH/PSQ-MD is an outpatient satisfaction questionnaire specific to the patient-physician interaction that has shown excellent internal consistency, is feasible, and has strong support for validity in this oncology population.

Adult↗

Electronic quality of life questionnaires: a comparison of pen-based electronic questionnaires with conventional paper in a gastrointestinal study.

The use of pen-based electronic questionnaires and conventional paper questionnaires was compared in a randomized crossover study. Forty-six patients, aged 17-81 years, suffering from gastro-intestinal disorders, initially filled in a paper quality of life questionnaire for familiarization purposes, then on two subsequent visits completed electronic and paper questionnaires in randomized order. At the last visit they completed a preference survey. The results showed a high degree of acceptability of the electronic questionnaire, with 57% of patient preferring electronic and 13% preferring paper, while the remaining 30% expressed no preference. Neither age, gender nor familiarity with technology showed any marked association with patients' preferences. All patients found both paper and electronic questionnaires easy to use. Data were more complete on the electronic questionnaire (100%) than on the paper (99.1%). Data handling procedures were greatly simplified. These results show that major benefits in completeness of data, speed of data flow, and data handling workload can be obtained from the use of pen-based electronic questionnaires.

Adolescent↗

Validation of a questionnaire to assess fecal incontinence and associated risk factors: Fecal Incontinence Questionnaire.

PURPOSE: Although fecal incontinence is a topic of considerable importance, there are no validated self-report measures of fecal incontinence available. The aim of this study was to develop a questionnaire to measure fecal incontinence and its risk factors in the community. METHOD: The reliability and concurrent validity of the fecal incontinence questionnaire were measured by test-retest procedures in a population of clinic patients. The questionnaire was created for a sixth-grade reading level, with large print. Ninety-four adult patients were surveyed. Thirty-four patients repeated the questionnaire through the mail. Forty-one patients were independently retested over the telephone by a physician to assess concurrent validity. Nine patients refused retest, and ten patients did not respond to a second contact. RESULTS: The fecal incontinence questionnaire was well understood and well accepted. Reliability (overall median kappa, 0.68; interquartile range, 0.03-1) and validity (overall median kappa, 0.59; interquartile range, 0.27-1) were acceptable for the mailed retest and the telephone retest, respectively. The presence of fecal incontinence as measured by questionnaire was greatly increased when compared with physician history in clinical records; only 3 percent of patients reported no fecal incontinence on the questionnaire when the clinic chart had documented this problem. CONCLUSION: Our initial results indicated that this new self-report questionnaire is a useful tool for assessing the presence of fecal incontinence in the population and has greater sensitivity compared with a standard physician interview. Specific attention should be given to identifying fecal incontinence and associated symptoms during history taking.

Adult↗

An empirical comparison of the St George's Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a clinical trial setting.

BACKGROUND: The Chronic Respiratory Questionnaire (CRQ) and the St George's Respiratory Questionnaire (SGRQ) are the two most widely used quality of life questionnaires in chronic obstructive pulmonary disease (COPD). A study was undertaken to compare directly the self-administered version of the CRQ and the SGRQ with respect to feasibility, internal consistency, validity, and sensitivity to changes resulting from bronchodilator therapy. METHODS: One hundred and forty four patients with moderate or severe COPD were randomly assigned to receive three months of treatment with either salmeterol, salmeterol + ipratropium bromide, or placebo. Quality of life was measured at baseline and after 12 weeks of treatment. RESULTS: The proportions of missing values per patient were low for both questionnaires (0.54% for the CRQ and 2% for the SGRQ). The internal consistency was good for both questionnaires (Cronbach's alpha coefficients >/= 0.84 for the CRQ and >/= 0.76 for the SGRQ). Factor analysis confirmed the original domain structure of the CRQ but not of the SGRQ. Correlations with forced expiratory volume in one second (FEV(1)) % predicted and peak expiratory flow rate (PEFR) were low for both questionnaires but better for the SGRQ than for the CRQ. The ability to discriminate between subjects with different levels of FEV(1) was somewhat better for the SGRQ. The correlations with symptom scores were comparable for both questionnaires. Cross sectionally, the scores of the two questionnaires were moderately to highly correlated (coefficients ranged from 0.35 to 0.72). Longitudinally, these correlations were lower (coefficients ranged from 0.17 to 0.54) but were still significant. The CRQ total and emotions score and the SGRQ symptoms score were the most responsive to change. The SGRQ symptoms domain was the only domain where the improvement in patients receiving combination treatment crossed the threshold for clinical relevance. CONCLUSIONS: Since this analysis of reliability, validity, and responsiveness to change did not clearly favour one instrument above the other, the choice between the CRQ and the SGRQ can be based on other considerations such as the required sample size or the availability of reference values.

Adult↗

Comparison of the ISAAC video questionnaire (AVQ3.0) with the ISAAC written questionnaire for estimating asthma associated with bronchial hyperreactivity.

BACKGROUND: A standardized protocol is essential for international comparisons of asthma prevalence and severity. The International Study of Asthma and Allergies in Childhood (ISAAC) used a standardized written questionnaire (WQ) and a video questionnaire (AVQ3.0) to survey the prevalence and severity of asthma in 13-14-year-old schoolchildren in different countries. OBJECTIVE: To compare the effectiveness of WQ and AVQ3.0 in predicting bronchial hyperresponsiveness (BHR), defined as having a provocation dose of inhaled methacholine causing a 20% fall in baseline FEV1 of 7.8 mumol. METHODS: One hundred and eighty-nine Chinese schoolchildren completed a written questionnaire followed by a video questionnaire on asthma symptoms. They then underwent bronchial challenge to methacholine. RESULTS: Fair correlations were seen between the first two corresponding questions (moderate wheezing at rest and exercise wheeze) in the two questionnaires with Kapper indices of 0.44 and 0.43, respectively. The ability to predict BHR, as indicated by the Youden's index, was similar between the corresponding questions of the two questionnaires, except for 'severe wheeze' which had a significantly higher Youden's index in AVQ3.0 (0.44) than the corresponding question in WQ (0.11, P < 0.05). CONCLUSION: The ISAAC International video questionnaire is at least as effective as the ISAAC written questionnaire in predicting BHR. It therefore provides a simple and valid tool for international comparisons of asthma prevalence and severity.

Adolescent↗

[Do questionnaires for patients improve the diagnosis of craniomandibular dysfunction with chronic facial pain? A patients' questionnaire study from outpatient practice].

PURPOSE: The differential diagnosis of craniomandibular dysfunction (CMD) is of central importance for the therapy and diagnosis of chronic facial pain. Nevertheless, opinions on causes and treatment differ extremely and are sometimes even contradictory. The necessity of obtaining a precise and thorough patient history is indisputable. This raises the question of whether a questionnaire can offer additional information in order to improve the quality of the history, diagnosis and therapy. MATERIAL AND METHODS: From May 1998 until February 1999, 230 patients who received a monoblock were requested to fill out a questionnaire referring to the previous 4-6 weeks, as an addition to the initial diagnostic tests. In 175 cases we were able to repeatedly examine the patient and compare the effects of therapy with the questionnaires. The questionnaire contains 14 visual, 11-step analogue scales, which are to be marked spontaneously and subjectively. The test-retest reliance at 1 week before treatment was r=0.82 ( n=86). The questionnaire requests information on diverse kinds of pain, sensations and findings in the dental, oral, maxillary and facial areas. For evaluation, a summation-score is built. RESULTS: To our surprise, from a total of 175 patients 41.7% ( n=73) indicated their pain exclusively on the questionnaire. The number and frequency of answers indicated CMD. The average score of the patients whose pain was only mentioned on the questionnaire (31.16+/-19.16) was just slightly below the score of patients with additional, verbal pain descriptions (36.49+/-20.79). CONCLUSION: The picture provided by the answers is impressive for the patient, improves compliance and makes diagnosis easier. In the same way, one can document the success of therapy and explore individual outcomes which show a resistance to therapy.

Adolescent↗

The Edinburgh Claudication Questionnaire: an improved version of the WHO/Rose Questionnaire for use in epidemiological surveys.

The WHO/Rose Questionnaire on intermittent claudication was developed in 1962 for use in epidemiological surveys, and has been widely used. Several population studies have shown, however, that it is only moderately sensitive (60-68%), although highly specific (90-100%). In this study, reasons for the poor sensitivity and good specificity were determined following its application to 586 claudicants and to 61 subjects with other causes of leg pain. The results showed two important findings: firstly, that over half of the false negatives were produced by one question alone; and secondly that only three questions were required to maintain the specificity of the questionnaire. This knowledge, in conjunction with the pre-testing of additional questions, enabled a new questionnaire to be constructed: the "Edinburgh Claudication Questionnaire". This questionnaire was tested on 300 subjects aged over 55 years attending their general practitioner, and found to be 91.3% (95% CI 88.1-94.5%) sensitive and 99.3% (95% CI 98.9-100%) specific in comparison to the diagnosis of intermittent claudication made by a physician. The repeatability of the questionnaire after 6 months was excellent (kappa = 0.76, p < 0.001). These results suggest that this revised version of the WHO/Rose Questionnaire should be adopted for use in future epidemiological surveys of peripheral vascular disease.

Aged↗

The Dutch EPIC food frequency questionnaire. I. Description of the questionnaire, and relative validity and reproducibility for food groups.

BACKGROUND: A self-administered food frequency questionnaire was developed for the Dutch cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC). Habitual consumption of 178 food items can be calculated from the questionnaire data. METHODS: Reproducibility and relative validity for food group intake were investigated in a population of 121 Dutch men and Women. The questionnaire was administered three times at 6-month intervals in order to determine the reproducibility. To assess the relative validity 12 monthly 24-hour recalls served as the reference method. RESULTS: Spearman rank order correlation coefficients between estimates of food group intake assessed by repeated questionnaires ranged from 0.45 to 0.92. For men, Spearman correlation coefficients between estimates of food group intake based on the questionnaire and those based on 24-hour recalls ranged from 0.21 for cooked vegetables to 0.78 for sugar and sweet products, with a range of 0.61. For women the median was 0.53, with a minimum of 0.31 for vegetables and a maximum of 0.87 for alcoholic beverages. The photographs in the questionnaire for the estimation of portion sizes contributed little to the relative validity of the ranking of subjects. However, on the group level most median food group estimates based on photographic portion sizes were closer to the median intakes as assessed by 24-hour recalls than those based on standard portion sizes. CONCLUSIONS: The questionnaire seems adequate for ranking Dutch EPIC subjects according to intake of most food groups, although the relative validity for some food groups, such as vegetables and fish, remains of concern.

Adult↗

Exploratory factor analysis of the Sport Orientation Questionnaire and the Task and Ego Orientation in Sport Questionnaire in a Japanese sport setting.

This study examined sport achievement orientation within the japanese sport setting. 1,836 male and 425 female athletes (M age = 18.6 yr.) from 47 sports completed the Japanese version of the Sport Orientation Questionnaire (24 items), and 1,781 males and 421 females (M age = 18.6 yr.) from 47 sports completed that of the Task and Ego Orientation in Sport Questionnaire (14 items). While the original English versions of the questionnaires are composed of three and two factors, respectively, present exploratory factor analyses identified four factors in the Sport Orientation Questionnaire and three in the Task and Ego Orientation in Sport Questionnaire. In this study, two types of the SOQ Competitiveness and the TEOSQ Ego Orientation emerged even though the original versions included only one type. A one-way analysis of variance indicated that sex differences were significant for all subscales. Sex differences in the Sport Orientation Questionnaire of Japanese resembled those of Americans. The overall factor reliability and validity based on the sample suggested that the modified Japanese versions of the two questionnaires can be valuable in the investigation of sport achievement orientation in Japanese sport and exercise settings.

Achievement↗

Validity of the responses to self-administered questionnaires as compared with the responses to interviews using a structured questionnaire.

A comparison of responses obtained in interviews using a structured questionnaire and those obtained using a self-administered questionnaire about parental history of liver diseases and personal smoking and drinking habits was made to evaluate whether the self-administered questionnaire is an effective means for collecting information on these variables in place of an interview. The subjects used in the present analyses were 46 male hepatocellular carcinoma (HCC) cases and 46 hospital controls who were interviewed between January, 1996 and January, 1997 for HCC cases and between January, 1996 and April, 1997 for hospital controls. Ages at start or stop of smoking and drinking were grouped into four categories as categorical variables. The cumulative number of cigarettes and cumulative alcohol consumption were also grouped into four categories. Generally speaking, the degree of agreement was substantially high for both categorical and continuous variables, particularly for parental history of liver diseases, and smoking (ICC = 0.929 and 0.912 for cases and controls, respectively) and drinking (ICC = 0.899 and 0.882, respectively) habits that are originally nominal categorical variables. On the other hand, the cumulative number of cigarettes (ICC = 0.928 and 0.716, respectively) and the cumulative alcohol consumption (ICC = 0.761 and 0.825, respectively) seemed to have a lower degree of agreement than other variables. For these variables, there was a tendency for the self-administered questionnaire to produce larger values compared with the interview. Therefore, the self-administered questionnaire seemed to be an effective means for collecting information on categorical variables, while the interview using a structured questionnaire seemed to be preferable to the self-administered questionnaire with regard to the lifetime exposure to cigarettes and alcohol.

Adult↗