title: Development and validation of a low-literacy Chronic Obstructive Pulmonary Disease knowledge Questionnaire (COPD-Q).
abstract: OBJECTIVE
  The objective of this study was to develop a content valid, understandable, readable, and reliable Chronic Obstructive Pulmonary Disease knowledge Questionnaire (COPD-Q).
  
  
  METHODS
  Twenty-one questions were generated as potential items to include in the COPD-Q. Twenty-two content experts provided both qualitative and quantitative assessments of two COPD-Q drafts. Ten patient volunteers completed a field test to assess clarity of individual COPD-Q items. An additional 24 patient volunteers completed a pilot test to determine internal consistency and test-retest reliability of the COPD-Q. The Flesch Reading Ease (FRE) was used to assess reading grade level of the COPD-Q.
  
  
  RESULTS
  Thirteen items were rated as "essential" (content validity ratio= p <0.05) by content experts and composed the final COPD-Q. Internal consistency, using Cronbach's alpha, was 0.72. Test-retest reliability, using intraclass correlation coefficient, was 0.90. The FRE score of the COPD-Q was 74.7 (equivalent to a 5th grade reading level).
  
  
  CONCLUSIONS
  The COPD-Q is a valid, readable and reliable knowledge assessment instrument for assessing COPD knowledge in patients who may have low health literacy skills.
  
  
  CONCLUSIONS
  Health care providers can use the COPD-Q to tailor counseling efforts according to individual patient needs, and to assess the effectiveness of their educational interventions.
authors.affiliation: Parkwest Medical Center, USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Maples
authors.forename: Andrea
authors.initials: A
authors.lastname: Franks
authors.forename: Shaunta'
authors.initials: S
authors.lastname: Ray
authors.forename: Amy Barger
authors.initials: AB
authors.lastname: Stevens
authors.forename: Lorraine S
authors.initials: LS
authors.lastname: Wallace
mesh_terms: D000368:Aged; D032882:Comprehension; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013714:Tennessee