Cultural adaptation of a compliance questionnaire for patients with rheumatoid arthritis to a Korean version

Korean J Intern Med. 2011 Mar;26(1):28-33. doi: 10.3904/kjim.2011.26.1.28. Epub 2011 Mar 2.

Abstract

Background/aims: The Compliance Questionnaire-Rheumatology (CQR) is a validated scale to evaluate patient compliance for anti-rheumatic medications. We developed a Korean version of the CQR (KCQR) and confirmed its reliability and validity.

Methods: We prepared the KCQR by translating and back-translating the original CQR with modifications to adapt it to Korean culture. Fifty Korean patients with rheumatoid arthritis (RA) were enrolled in this study. The test-retest reliability of the KCQR was evaluated at a 2-week interval using the intraclass correlation coefficient (ICC). The validity of the KCQR was assessed by identifying associations between KCQR scores and patient compliance, measured using pharmacy refill data.

Results: The reliability of the KCQR was adequate, with an ICC of 0.71 for test-retest reliability. With respect to validity, the summed score of the weighted KCQR showed a significant correlation with pharmacy refill data (r² = 0.57) on multiple regression analysis.

Conclusions: Our results indicate that the KCQR is a reliable, valid instrument to evaluate compliance of Korean patients for RA medications.

Keywords: Arthritis, rheumatoid; Compliance; Korea; Questionnaires.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Arthritis, Rheumatoid / drug therapy*
  • Cross-Cultural Comparison
  • Female
  • Humans
  • Korea
  • Male
  • Medication Adherence*
  • Middle Aged
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Validation Studies as Topic