Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children: Factor and Rasch analyses study

Walid Al-Qerem; Anan Jarab; Abdel Qader Al Bawab; Judith Eberhardt; Fawaz Alasmari; Alaa Hammad; Enas Al-Zayadnehe; Montaha Al-Iede; Lujain al-sa’di; Raghd Obidat

doi:10.2147/JAA.S486682

Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children: Factor and Rasch analyses study

Walid Al-Qerem, Anan Jarab, Abdel Qader Al Bawab, Judith Eberhardt, Fawaz Alasmari, Alaa Hammad, Enas Al-Zayadnehe, Montaha Al-Iede, Lujain al-sa’di, Raghd Obidat

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Abstract

Background: The increasing global prevalence of asthma necessitates effective disease management, with patients and their families playing a central role. Enhancing health literacy (HL) among caregivers is critical to improving asthma outcomes.
Purpose: This study aimed to validate the Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) to address the gap in HL assessment tools for Arabic-speaking populations.
Patients and Methods: A total of 400 parents of children with asthma completed the Ar-ANQ at an outpatient respiratory clinic. Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the psychometric properties of the instrument.
Results: CFA supported the unidimensional structure of the Ar-ANQ, with excellent model fit indices (χ²/df = 4.6, SRMR = 0.02, CFI = 0.99, GFI = 0.99, TLI = 0.96) and high internal consistency (Cronbach’s α = 0.82). Rasch analysis further demonstrated psychometric robustness, with high person and item separation reliabilities (0.74 and 0.99, respectively) and acceptable infit and outfit statistics.
Conclusion: The Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) is a reliable and valid instrument for assessing health literacy among parents of children with asthma.

Original language	English
Pages (from-to)	13-25
Number of pages	13
Journal	Journal of Asthma and Allergy
Volume	18
DOIs	https://doi.org/10.2147/JAA.S486682
Publication status	Published - 7 Jan 2025

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Al-Qerem, W., Jarab, A., Al Bawab, A. Q., Eberhardt, J., Alasmari, F., Hammad, A., Al-Zayadnehe, E., Al-Iede, M., al-sa’di, L., & Obidat, R. (2025). Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children: Factor and Rasch analyses study. Journal of Asthma and Allergy, 18, 13-25. https://doi.org/10.2147/JAA.S486682

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title = "Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children: Factor and Rasch analyses study",

abstract = "Background: The increasing global prevalence of asthma necessitates effective disease management, with patients and their families playing a central role. Enhancing health literacy (HL) among caregivers is critical to improving asthma outcomes. Purpose: This study aimed to validate the Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) to address the gap in HL assessment tools for Arabic-speaking populations. Patients and Methods: A total of 400 parents of children with asthma completed the Ar-ANQ at an outpatient respiratory clinic. Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the psychometric properties of the instrument. Results: CFA supported the unidimensional structure of the Ar-ANQ, with excellent model fit indices (χ²/df = 4.6, SRMR = 0.02, CFI = 0.99, GFI = 0.99, TLI = 0.96) and high internal consistency (Cronbach{\textquoteright}s α = 0.82). Rasch analysis further demonstrated psychometric robustness, with high person and item separation reliabilities (0.74 and 0.99, respectively) and acceptable infit and outfit statistics. Conclusion: The Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) is a reliable and valid instrument for assessing health literacy among parents of children with asthma.",

author = "Walid Al-Qerem and Anan Jarab and \{Al Bawab\}, \{Abdel Qader\} and Judith Eberhardt and Fawaz Alasmari and Alaa Hammad and Enas Al-Zayadnehe and Montaha Al-Iede and Lujain al-sa{\textquoteright}di and Raghd Obidat",

year = "2025",

month = jan,

day = "7",

doi = "10.2147/JAA.S486682",

language = "English",

volume = "18",

pages = "13--25",

journal = "Journal of Asthma and Allergy",

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T1 - Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children

T2 - Factor and Rasch analyses study

AU - Al-Qerem, Walid

AU - Jarab, Anan

AU - Al Bawab, Abdel Qader

AU - Eberhardt, Judith

AU - Alasmari, Fawaz

AU - Hammad, Alaa

AU - Al-Zayadnehe, Enas

AU - Al-Iede, Montaha

AU - al-sa’di, Lujain

AU - Obidat, Raghd

PY - 2025/1/7

Y1 - 2025/1/7

N2 - Background: The increasing global prevalence of asthma necessitates effective disease management, with patients and their families playing a central role. Enhancing health literacy (HL) among caregivers is critical to improving asthma outcomes. Purpose: This study aimed to validate the Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) to address the gap in HL assessment tools for Arabic-speaking populations. Patients and Methods: A total of 400 parents of children with asthma completed the Ar-ANQ at an outpatient respiratory clinic. Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the psychometric properties of the instrument. Results: CFA supported the unidimensional structure of the Ar-ANQ, with excellent model fit indices (χ²/df = 4.6, SRMR = 0.02, CFI = 0.99, GFI = 0.99, TLI = 0.96) and high internal consistency (Cronbach’s α = 0.82). Rasch analysis further demonstrated psychometric robustness, with high person and item separation reliabilities (0.74 and 0.99, respectively) and acceptable infit and outfit statistics. Conclusion: The Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) is a reliable and valid instrument for assessing health literacy among parents of children with asthma.

AB - Background: The increasing global prevalence of asthma necessitates effective disease management, with patients and their families playing a central role. Enhancing health literacy (HL) among caregivers is critical to improving asthma outcomes. Purpose: This study aimed to validate the Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) to address the gap in HL assessment tools for Arabic-speaking populations. Patients and Methods: A total of 400 parents of children with asthma completed the Ar-ANQ at an outpatient respiratory clinic. Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the psychometric properties of the instrument. Results: CFA supported the unidimensional structure of the Ar-ANQ, with excellent model fit indices (χ²/df = 4.6, SRMR = 0.02, CFI = 0.99, GFI = 0.99, TLI = 0.96) and high internal consistency (Cronbach’s α = 0.82). Rasch analysis further demonstrated psychometric robustness, with high person and item separation reliabilities (0.74 and 0.99, respectively) and acceptable infit and outfit statistics. Conclusion: The Arabic version of the Asthma Numeracy Questionnaire (Ar-ANQ) is a reliable and valid instrument for assessing health literacy among parents of children with asthma.

U2 - 10.2147/JAA.S486682

DO - 10.2147/JAA.S486682

M3 - Article

SN - 1178-6965

VL - 18

SP - 13

EP - 25

JO - Journal of Asthma and Allergy

JF - Journal of Asthma and Allergy

ER -

Validation of the Arabic version of Asthma Numeracy Questionnaire (ANQ) among parents of asthmatic children: Factor and Rasch analyses study

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