Validation of the Chinese version OSA-18 quality of life questionnaire in Taiwanese children with obstructive sleep apnea.
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.
['Kang|Kun-Tai|KT|', 'Weng|Wen-Chin|WC|', 'Yeh|Te-Huei|TH|', 'Lee|Pei-Lin|PL|', 'Hsu|Wei-Chung|WC|']
D000293:Adolescent D017028:Caregivers D002648:Child D002675:Child, Preschool D003430:Cross-Sectional Studies D005260:Female D006801:Humans D007802:Language D008297:Male D017286:Polysomnography D011788:Quality of Life D012372:ROC Curve D015203:Reproducibility of Results D020181:Sleep Apnea, Obstructive D011795:Surveys and Questionnaires D013624:Taiwan D014175:Translating
quality of life children sleep-disordered breathing