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Validation of an Asbestos Exposure Questionnaire (QEAS-7) for Clinical Practice

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  • Jaume Ferrer

    (Servicio de Neumología, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Departamento de Medicina, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain
    Centro de Investigación Biomédica en Red, CIBER de Enfermedades Respiratorias (CIBERES), 08036 Barcelona, Spain)

  • Galo Granados

    (Servicio de Neumología, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Departamento de Medicina, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain)

  • Santos Hernández

    (Institut Català de Seguretat i Salut Laboral, Departament de Treball, Afers Socials i Famílies, Generalitat de Catalunya, 08019 Barcelona, Spain)

  • María-Jesús Cruz

    (Servicio de Neumología, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Centro de Investigación Biomédica en Red, CIBER de Enfermedades Respiratorias (CIBERES), 08036 Barcelona, Spain)

  • Júlia Sampol

    (Servicio de Neumología, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Institut Català de Seguretat i Salut Laboral, Departament de Treball, Afers Socials i Famílies, Generalitat de Catalunya, 08019 Barcelona, Spain)

  • Daniel Álvarez Simón

    (Servicio de Neumología, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain)

  • José-María Ramada

    (Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, 08003 Barcelona, Spain
    Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Parc de Salut Mar, 08003 Barcelona, Spain
    Centro de Investigación Biomédica en Red, CIBER de Epidemiología y Salud Pública (CIBERESP), 08036 Barcelona, Spain)

Abstract

Introduction: The seven-item QEAS-7 questionnaire (exposure to asbestos questionnaire) has been designed as a useful and simple tool to establish the probability of exposure to asbestos. The objective of the present study is to validate the QEAS-7 following the recommended methodology. Methods: The QEAS-7 was prospectively administered to 90 subjects with and without asbestos-related disease (ARD), on two consecutive occasions by two independent researchers. Logical and content validity was evaluated by a committee of experts and construct validity through hypothesis testing. Intra- and interobserver reliability was assessed by calculating Cohen’s Kappa index (κ), which was estimated as weak if below 0.40, moderate if between 0.41 and 0.60 and good/very good if above 0.60. The comparison between proportions was examined using Pearson’s Chi-square test. Results: The majority of participants (88.9%) were male. Mean age was 70.8 years (SD = 8.4) and most of the sample had completed primary education but had not progressed further (62.2%). Forty-three had ARD. The logical, content and construct validity of the QEAS-7 was considered adequate both by a committee of experts and by the users interviewed. The mean administration time was 9 min and 25 s (SD = 3 min and 49 s). The verification of the five hypotheses confirmed the construct validity and the intra- and interobserver reliability to be κ = 0.93 and κ = 0.50 respectively. The concordance in the estimation of asbestos exposure was κ = 0.65. Conclusions: The QEAS-7 is a simple, valid and reliable tool for estimating the probability of exposure to asbestos. Its application in clinical practice appears justified. What is already known about this subject? No studies have been published to date on the validation of specific questionnaires designed to determine asbestos exposure for routine use by healthcare staff in the clinical setting. What are the new findings? This questionnaire can be considered a comprehensible, viable, valid and reliable instrument for identifying exposure to asbestos. Its brevity and simplicity of administration make it ideally suited for use in daily clinical practice. How might this impact on policy or clinical practice in the foreseeable future? This questionnaire can be of help for physicians attending to patients with suspected asbestos-related diseases both in the hospital and in the primary care setting.

Suggested Citation

  • Jaume Ferrer & Galo Granados & Santos Hernández & María-Jesús Cruz & Júlia Sampol & Daniel Álvarez Simón & José-María Ramada, 2020. "Validation of an Asbestos Exposure Questionnaire (QEAS-7) for Clinical Practice," IJERPH, MDPI, vol. 17(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9167-:d:458689
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    References listed on IDEAS

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    1. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    2. Sugio Furuya & Odgerel Chimed-Ochir & Ken Takahashi & Annette David & Jukka Takala, 2018. "Global Asbestos Disaster," IJERPH, MDPI, vol. 15(5), pages 1-11, May.
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    Cited by:

    1. Galo Granados & María Sáez-López & Cristina Aljama & Júlia Sampol & María-Jesús Cruz & Jaume Ferrer & Se-COVID-19 Team, 2022. "Asbestos Exposure and Severity of COVID-19," IJERPH, MDPI, vol. 19(23), pages 1-10, December.

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