Intern
ati
o
n
a
l
Jo
urn
a
l
o
f
P
u
b
lic Hea
l
th Science (IJ
P
HS)
V
o
l.3
,
No
.3
, Sep
t
em
b
e
r
20
14, pp
. 179
~184
I
S
SN
: 225
2-8
8
0
6
1
79
Jo
urn
a
l
h
o
me
pa
ge
: h
ttp
://iaesjo
u
r
na
l.com/
o
n
lin
e/ind
e
x.ph
p
/
IJPHS
Reliability and Validaty of
St George Respiratory
Questi
on
naire (S
GRQ) in
to Ind
o
nesian Version
Adn
a
n
1
,
Perw
i
t
as
ari
D
A
1
, Mulya
n
i UA
2
1
F
acul
t
y
of
P
h
ar
m
a
c
y
, Univ
ers
i
t
a
s
Ahm
a
d Dahla
n
, Yog
y
ak
arta
2
Nation
a
l
Heal
t
h
Institut
e
, Jakar
t
a, Indonesi
a
Article Info
A
B
STRAC
T
Article histo
r
y:
Received
J
u
l 12, 2014
Rev
i
sed
Au
g
20
, 20
14
Accepted Aug 26, 2014
Tubercu
l
osis (TB) is one of th
e diseas
es as the highest contr
i
butor to the
disease burden in Indonesia. Tu
berculosis
can affect th
e
p
a
tients
’
quality
of
life, such as psy
c
ho
logical, phy
sical,
and social functioning.
St. George'
s
Respirator
y
Questionnair
e (SGRQ) is a special instrument
which was
widely
used to m
easur
e the
pa
tien
t
s’
q
u
alit
y
of
l
i
fe w
ith
r
e
s
p
irator
y
d
i
s
eas
e.
The
objec
tive
of th
is stud
y
was
to
un
derstand
the r
e
l
i
a
bili
t
y
and to
v
a
lid
ate
the
Indonesian version of the SGRQ as inst
rument to collect data. A descriptiv
e
cross section d
e
sign with 61
subject
s was conducted
at th
e Pulmonar
y
Clinics
and
Prim
ar
y
H
eal
th Cent
ers in the r
e
gio
n
of Yog
y
ak
art
a
within 3
months. The valid
ation process included the known gro
up validity
,
convergen
t and
discriminant v
a
lidity
and
factor
analy
s
is. All of the domains
me
t
t
h
e
re
li
a
b
ili
ty
c
r
it
e
r
ia
(Cronba
c
h
-
α
was
≥
0.7). Ther
e
w
e
re
14 items
question numbers
which
did no
t meet th
e cr
iter
i
a for convergent
validity
an
d
9 items which
did
not meet
th
e crit
eria for discriminant valid
i
ty
.
Known
group validity
analy
s
is on gend
er showed
that of
the thr
e
e domain
s
of SGRQ,
the ac
tivit
y dom
ain gave s
t
at
is
ti
cal
l
y
s
i
gnif
i
c
a
nt
res
u
lt. The fa
ct
or anal
y
s
is
showed the resu
lt of Kaiser Meyer Olki
n a
n
a
l
y
s
is (KMO)
wa
s le
ss tha
n
0.
5.
W
ith a few mo
difications, t
he
Indonesian version of SGR
Q
is valid and
reli
able
for m
e
asuring qua
lit
y
of
l
i
fe
in tub
e
rcu
l
osi
s
pati
ents.
Keyword:
In
d
onesi
a
SGRQ
Tu
berc
ul
osi
s
Valid
atio
n
Copyright ©
201
4 Institut
e
o
f
Ad
vanced
Engin
eer
ing and S
c
i
e
nce.
All rights re
se
rve
d
.
Co
rresp
ond
i
ng
Autho
r
:
Perwitasa
ri D
A
,
Faculty of Pha
r
m
acy,
Uni
v
ersi
t
y
o
f
Ahm
a
d Da
hl
an
Y
ogy
a
k
art
a
,
Jl
Pr
of
D
r
S
o
e
pom
o Ja
nt
ura
n
Y
ogy
a
k
art
a
,
K
a
m
pus
II
I,
U
A
D
.
Em
a
il: d
i
ah
p
e
rwitasari20
03@yah
o
o
.
co
m
1.
INTRODUCTION
Tuberc
ulosis (TB) is a disease that affects many
p
e
op
le in
th
e wo
rl
d
.
In
1992, t
h
e
Worl
d Healt
h
Or
ga
ni
zat
i
on
(
W
H
O
)
decl
a
r
e
d
TB
as
a "Gl
o
bal
Em
ergency
"
[1]
.
Tu
berc
ul
osi
s
ca
n af
fect
t
h
e pat
i
e
nt
'
s
q
u
a
l
ity
of l
i
f
e
,
s
u
ch
a
s
psy
c
hol
ogi
ca
l
heal
t
h
,
p
h
y
s
i
cal
fu
nct
i
o
ni
n
g
, a
n
d s
o
ci
al
r
o
l
e
[
2
]
.
Sai
n
t
Geo
r
ge'
s
R
e
sp
i
r
at
ory
Qu
esti
o
n
n
a
ire
(SGR
Q) is a
sp
ecial in
strumen
t
wh
ich
was widely u
s
ed
to m
easu
r
e
th
e qu
ality o
f
life of
patients, es
peci
ally in respi
r
atory
disease
[3].
In s
o
m
e
count
r
i
es, suc
h
as C
h
i
n
a, M
o
rocc
o,
In
di
a, ha
ve
do
ne t
r
an
sl
at
i
on a
nd
val
i
d
at
i
o
n o
f
t
h
e S
G
R
Q
to
m
easu
r
e qu
ality
o
f
life in
p
a
tien
t
s with
resp
iratory
d
i
seases su
ch
as asthma, ch
ron
i
c o
b
stru
ctiv
e pu
lmo
n
a
ry
d
i
sease
(COPD) and
bron
ch
iectasis, and
th
e
resu
lt is th
e SGRQ v
a
li
d
and
reliab
l
e for m
e
a
s
u
r
i
n
g th
e
qu
ality o
f
life o
f
p
a
tien
t
s
with
resp
iratory d
i
seas
e [
4
]-
[6
].
I
n
I
ndo
n
e
sia,
th
e I
ndo
n
e
si
an ve
rsion of the SGR
Q
was
created
to
b
e
u
s
ed
as in
stru
m
e
n
t
s to
measu
r
e
q
u
a
lity o
f
life of
p
a
tien
t
s with
TB.
TB is a resp
irato
r
y d
i
sease that can
affect the
p
a
tien
t
's q
u
a
lity o
f
life.
Assesm
en
t o
f
v
a
lid
ation
and
reliab
ility SGRQ In
don
es
ian
v
e
rsi
o
n
h
a
s n
o
t
b
een
do
n
e
,
th
erefo
r
e,
with
t
h
e di
ffe
rence
s
i
n
et
hni
c
bac
k
gr
o
u
n
d
,
cul
t
u
re
, an
d
l
a
n
gua
ge,
i
t
i
s
ve
ry
i
m
port
a
nt
t
o
d
o
as
say
of
val
i
d
at
i
o
n
an
d
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
I
J
PH
S Vo
l. 3
,
N
o
. 3
,
Sep
t
emb
e
r
201
4
:
1
79
–
18
4
18
0
reliab
ility SGRQ in Ind
o
n
e
sian
v
e
rsi
o
n.
Th
is st
u
d
y
was aim
e
d
to
test th
e
v
a
lid
ity an
d reliab
ility of the
Indo
n
e
sian
v
e
rsio
n of th
e SGRQ in
st
ru
m
e
n
t
d
a
ta co
llect
o
r
s to
en
su
re th
at research
d
a
ta produ
ced v
a
li
d
an
d
reliab
l
e.
2.
R
E
SEARC
H M
ETHOD
Desig
n
The de
scriptive cross section design was c
o
nducted
at the Pu
lm
o
n
a
ry Clin
ics
an
d
Primary Health
C
e
nt
ers
i
n
t
h
e regi
on of Y
o
g
y
a
kart
a.
Dat
a
col
l
ect
i
on w
a
s
do
ne
by
di
rec
t
obse
r
vat
i
o
n
usi
n
g a q
u
est
i
on
nai
r
e
conducted at
a
n
y gi
ven tim
e.
Su
bj
ect
s
Su
bject
s i
n
t
h
i
s
st
udy
were
pat
i
e
nt
s
wh
o
were
di
a
g
n
o
s
ed
wi
t
h
pul
m
onary
TB
wh
o t
a
ke t
h
e
m
e
di
cat
i
on at
Pul
m
onary
C
l
i
n
i
c
s an
d
Primary Health Centers
in
Yogy
akarta. T
h
e inclusion criteria were
n
e
wly
d
i
agn
o
sed
p
u
l
m
o
n
a
ry
TB p
a
tien
t
s, ag
ed m
o
re th
an
17
years,
willin
g
t
o
en
g
a
g
e
in
research
, and
n
o
t
illi
terate.
Da
t
a
C
o
llectio
n
We co
llected
ag
e,
g
e
n
d
e
r, edu
catio
n, an
d
patien
t
s’
qu
ality o
f
life as
d
e
mo
grap
h
i
cs
d
a
ta. Th
e
SGR
Q
in
stru
m
e
n
t
was g
i
v
e
n
t
o
th
e resp
ond
en
t to b
e
filled
.
Th
e d
a
ta was co
llected
b
e
t
w
een No
v
e
m
b
er
2
0
1
2
t
o
Janu
ar
y 2
013
.
S
t
a
tistica
l
ana
lysis
The dem
ogr
ap
hi
c dat
a
was p
r
esent
e
d as des
c
ri
pt
i
v
e dat
a
w
i
t
h
m
eans and
st
anda
rd
devi
at
i
ons (
S
Ds
)
.
Th
e con
v
e
rg
ent an
d
d
i
scrim
i
n
a
n
t
v
a
lid
ities were assessed
b
y
Pearson
correl
a
tio
n
test. Th
e co
nv
erg
e
n
t
v
a
l
i
d
ity
was rev
ealed
i
f
th
e ite
m
d
o
m
a
i
n
correlation
was
≥
0
.
40
,
while th
e requ
iremen
ts for d
i
scri
m
i
n
a
n
t
v
a
lid
ity were
satisfied
if th
e v
a
lu
e of correl
a
tio
n
co
efficien
ts b
e
tween
the ite
m an
d
its
o
w
n
do
m
a
in
was h
i
g
h
e
r th
an
o
t
h
e
r
dom
ai
ns. T
h
e
kn
o
w
n
-
g
r
ou
p
v
a
l
i
d
i
t
y
was eva
l
uat
e
d
base
d
o
n
di
ffe
re
nt
di
a
g
n
o
ses
usi
n
g t
-
t
e
st
.
3.
R
E
SU
LTS AN
D ANA
LY
SIS
The I
n
d
o
n
esi
a
n ver
s
i
o
n of t
h
e SGR
Q
val
i
d
at
i
on i
s
th
e
first stu
d
y
abo
u
t
sp
ecific qu
estion
n
a
ire
v
a
lid
ity in
TB p
a
tien
t
s cond
ucted
in
In
don
esia. SGR
Q
orig
in
al v
e
rsion
was d
e
v
e
lop
e
d in
1
990
b
y
Jon
e
s
et a
l
[7
] to m
easu
r
e th
e im
p
act o
f
th
e
d
i
sease
on
th
e health
an
d well-b
e
ing
in
p
a
tien
t
s wit
h
ch
ron
i
c ob
st
ru
ctiv
e
pul
m
onary
di
s
ease
(C
OP
D).
Table I
present
s
the s
u
bjects’
char
acteristics in
th
is stud
y. Th
e
d
i
stribu
tio
n
o
f
pu
lm
o
n
a
ry TB p
a
tien
t
s
base
d o
n
t
h
e
g
e
nde
r cl
assi
fi
c
a
t
i
on i
n
t
h
i
s
st
udy
was
32 m
a
l
e
s (5
2.
5%)
a
nd
2
9
w
o
m
e
n (4
7.
5%
). T
h
e
ot
he
r
st
udy
o
f
Li
et al
[8]
,
rec
r
ui
t
e
d 2
06 m
e
n (63
.
8%
) an
d 1
17
wom
e
n (3
6.
2
%
). H
o
weve
r,
Pasi
pa
no
dy
a
et al
[9]
obt
ai
ne
d t
h
e ra
t
i
o
bet
w
een m
e
n an
d w
o
m
e
n 69%:
3
1
%. T
h
e p
r
evi
ous st
udy
co
n
duct
e
d
by
i
n
Yo
gy
ak
art
a
i
n
20
1
1
[
1
0]
, sh
o
w
ed t
h
e rat
i
o
n
of m
a
l
e
-fem
a
le was
56%:
4
4
%. T
h
e
r
e wa
s o
n
e di
f
f
e
r
ent
fr
om
Paki
st
an st
udy
conducted by Codlin
et al
[
1
1]
w
h
i
c
h
rec
r
ui
t
e
d m
o
re w
o
m
e
n as
TB
s
u
f
f
er
er t
h
a
n
m
e
n.
Acc
o
r
d
i
n
g t
o
t
h
e
W
H
O, t
h
e
pre
v
al
ence o
f
pul
m
onary
t
u
berc
ul
osi
s
i
n
m
e
n 2,3 t
i
m
es
m
o
re t
h
an
wom
e
n, especi
ally in developing count
ries, because
the
men do m
o
re social activitie
s. Com
p
arison of the
pre
v
al
ence
o
f
pul
m
onary
t
u
b
e
rcul
osi
s
am
on
g m
e
n an
d
wo
m
e
n al
i
k
e u
n
t
i
l
t
h
e age
o
f
a
d
ol
escence
,
but
aft
e
r
adolesce
nce,
prevale
n
ce in male is higher than fem
a
le.
This is presum
ably due to the adolescent only contacts
with
sm
al
l en
v
i
ron
m
en
ts b
u
t
ad
u
lt m
a
les
h
a
v
e
con
t
acts with
th
e larg
er en
v
i
ron
m
en
t o
u
tsid
e th
e h
o
m
e th
an
wom
e
n i
n
a
d
di
t
i
on t
o
bi
ol
o
g
i
c
al
fact
or
s, i
n
cl
udi
ng
s
o
ci
oc
ul
t
u
ral
st
i
g
m
a
of
TB
[
12]
.
An
ot
he
r
fact
or
t
h
at
co
ul
d s
u
pp
o
r
t
w
h
y
m
e
n
have a
hi
ghe
r TB
pre
v
al
en
ce t
h
an
w
o
m
e
n i
s
sm
oki
n
g
habi
t
.
R
e
s
earc
h
c
o
n
d
u
ct
ed
b
y
W
a
n
g
a
n
d
S
h
en
[
1
3]
, rec
o
m
m
e
nded sm
oki
n
g
cessat
i
on
i
n
t
e
r
v
ent
i
o
ns
fo
r TB
in
fection
co
n
t
ro
l in
C
h
in
a.
From
t
h
e dat
a
of e
d
ucat
i
o
n, i
t
was i
n
di
cat
ed t
h
at
the h
i
g
h
est lev
e
l of edu
catio
n of TB
p
a
tien
t
s was
bachel
or (
1
1.
5
%
). I
n
a pre
v
i
o
us st
u
d
y
i
n
Yo
gy
aka
r
t
a
by
R
a
t
n
asari
[
14]
sho
w
e
d
t
h
at
m
o
st
respo
n
d
ent
s
(4
6%
)
had
a
rel
a
t
i
v
el
y
hi
g
h
l
e
vel
o
f
ed
ucat
i
o
n
hi
g
h
er
ed
ucat
i
o
n.
In
t
h
i
s
st
udy
,
t
h
e l
e
vel
o
f
e
d
u
cat
i
on
of
re
sp
o
nde
nt
s
i
n
t
h
e hi
g
h
cat
ego
r
y
,
whe
r
e t
h
e l
e
vel
of e
d
u
cat
i
on hi
g
h
sch
ool
t
o
c
o
l
l
e
ge
was
hu
ge am
ount
t
h
at
was
39
(6
4
%
)
.
In
th
is case, t
h
e assu
m
p
tio
n th
at th
e level of education affects the in
ci
de
nce o
f
T
B
i
s
not
appl
i
cabl
e
.
Howev
e
r, th
e
resu
lts of th
is
stu
d
y
show that th
e
m
o
re
edu
cated
p
e
op
le
are no
t related with
h
a
v
i
ng
b
e
tter
aware
n
ess
about health.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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S I
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6
Relia
b
ility a
nd Va
lida
tion
o
f
S
t
Geo
r
g
e
Resp
ira
t
o
r
y
Qu
estio
nna
ire (SGRQ)
in
to
In
don
esia
n .... (Adn
an
)
18
1
Table 1. Subje
c
ts
Characte
r
istics
n
%
Age, years
(n = 61
)
M
ean
(
S
D)
39.
2 (
16.
3)
Range
18-
79
Sex (
61)
Male
3
2
52.
5
F
e
m
a
le
2
9
47.
5
E
ducation (
n
= 61)
Pr
i
m
ary
school
7
11.
4
Junior
High sch
ool
15
24.
6
Senior
High school
28
45.
9
Junior
college
4
6.
6
Ba
ch
elo
r
7
11.
5
Table
2 s
h
ows
that the a
v
era
g
e sc
or
e
o
f
symp
to
m
d
o
m
ain
s
w
a
s
56
,6
4 ±
22
,4
2, activ
ity do
m
a
in
s w
a
s
5
2
.46
±
2
6
.02
an
d
im
p
act d
o
main
was 4
6
,78
± 19
,54
.
Th
e p
e
rcen
tag
e
of
th
e v
a
lu
e
o
f
fl
o
o
r and
ceilin
g effects
for all th
ree d
o
main
s were quite lo
w, all were less th
an
20%. Th
e th
ird
fl
o
o
r of th
e ran
g
e o
f
do
m
a
in
v
a
lu
es
were
ran
g
e
d
fr
om
1.6% -
6.
6
%
and t
h
e cei
l
i
ng
val
u
e
ran
g
e
were i
n
t
h
e ra
nge
of
1.
6 -
4.
9%, s
o
i
n
t
h
i
s
st
udy
,
we di
d n
o
t
fi
n
d
fl
o
o
r
an
d cei
l
i
ng ef
f
ects. T
a
ble II als
o
de
scribes the i
n
ternal consistency of the SGRQ.
As
sho
w
n i
n
Tabl
e 2, t
h
e val
u
e
of C
r
on
bac
h
'
s
al
pha coe
ffi
ci
e
n
t
fo
r al
l
t
h
ree dom
ai
ns abo
v
e
0.7
0
. T
h
e fl
o
o
r
val
u
e
for all do
m
a
in
s (sym
p
t
o
m
s, activ
ity, an
d
i
m
p
act) were 1.6
%
,
6
.
6
%
, and 1
.
6
%
,
resp
ectiv
ely. Sequ
en
tially to
ceilin
g
v
a
l
u
e fo
r all do
m
a
in
s (sym
p
t
o
m
s, activ
ity, an
d
im
p
act) were 4.9%, 4
.
9
%
, and
1
.
6%. Th
is
resu
lt is th
e
sam
e
as that expresse
d
by Pa
sipanodya
et al
[9
] i
n
th
eir stud
y th
at th
ere
were no
floo
r and
ceilin
g effects fo
r
all th
ree do
main
s of th
e
SGRQ. Th
es
e resu
lts prov
id
e ad
d
ition
a
l fact th
at th
e SGRQ is an
approp
riate
in
stru
m
e
n
t
to
be u
s
ed
t
o
m
eas
u
r
e qu
ality o
f
life in
p
a
tien
t
s
with
TB.
Tabl
e
2. M
e
a
n
,
SD
, Fl
oo
r a
n
d
C
e
i
l
i
ng ef
fect
,
and
I
n
t
e
r
n
al
C
onsi
s
t
e
ncy
Do
m
a
in
Mean
SD
Floor (%
)
Ceiling (%)
Cronbach’s
α
coefficien
t
Sy
m
p
to
m
56,
64
22,
42
1.
6
4.
9
0.
752
Activ
i
ty
52,
46
26,
02
6.
6
4.
9
0.
877
Im
p
a
c
t
46,
78
19,
54
1.
6
1.
6
0.
839
Research in M
o
rocc
o by Rha
z
i
et al
[5]
,
wh
o pe
rf
orm
e
d i
n
ast
h
m
a
and C
O
P
D
pat
i
e
nt
s,
rep
o
rt
e
d
t
h
at
t
h
e
C
r
on
bac
h
al
pha val
u
e
s
o
f
al
l
t
h
ree
d
o
m
a
i
n
s
o
f
SGR
Q
were g
r
eat
er
t
h
an 0.
70
. An
ot
h
e
r
st
u
d
y
by
X
u
et al
[4
], i
n
C
h
in
a th
e
v
a
lid
ation
SGRQ in
C
O
PD
p
a
tien
t
s,
re
p
o
rt
e
d
t
h
at
t
h
e
C
r
o
nbac
h
al
p
h
a
val
u
e
gene
ra
t
e
d w
a
s
sim
i
l
a
r t
o
our
st
udy
. T
h
ese
r
e
sul
t
s
can
be
use
d
as e
v
i
d
e
n
ce, that the SGRQ is a
re
l
i
a
bl
e i
n
st
r
u
m
e
nt
or a
s
a
reliab
l
e too
l
for m
easu
r
ing
q
u
ality o
f
life in
p
a
tien
t
s
with
TB.
Table
3
shows that
there was no significant diffe
re
nce i
n
t
h
e t
w
o
d
o
m
a
i
n
s of
SGR
Q
(
s
y
m
pt
om
s, and
im
pact
) base
d
on
ge
nde
r
di
ff
erences
i
n
m
e
n and
w
o
m
e
n (P
> 0:
0
5
)
,
exce
pt
fo
r act
i
v
i
t
y
do
m
a
i
n
(P<0
,0
5
)
.
Thi
s
fact exp
l
ain
e
d
th
at th
e
o
ppo
si
te g
e
nd
er
will
g
i
v
e
d
i
fferen
t
resu
lts on
t
h
e activ
ity d
o
m
ain
.
Tabl
e 3.
K
now
n gro
u
p
v
a
l
i
d
i
t
y
Gender N
S
y
mp
t
o
ms
Mean ±
SD
Activity
Mean ±
SD
I
m
pact
Mean ±
SD
Fe
m
a
le
29
60,
7±21,
6
53,
7±30,
6
49,
7±20,
1
Male
32
52,
9±22,
8
51,
3±21,
5
44,
2±18,
9
P value
-
0,
85
0,
04
0,
71
Tab
l
e 4
p
r
esents th
e resu
lts of conv
erg
e
n
t
valid
ity an
d
d
i
scrimin
a
n
t
v
a
lidity an
alysis. Th
e qu
estion
s
num
bers
1-
8 w
h
i
c
h
were t
h
e
dom
ai
n of sy
m
p
t
o
m
s
,
m
e
t
t
h
e cri
t
e
ri
a of c
o
n
v
er
ge
nt
and
di
scri
m
i
nant
val
i
d
i
t
y
.
Th
e qu
estion
s
in
activ
ity d
o
m
ain
m
e
t th
e crit
eria for conv
erg
e
n
t
v
a
lid
ity, ex
cep
t for th
e ite
m
s
n
u
m
b
e
r 11
and
13
. The i
m
pact dom
ai
n consi
s
t
i
ng of
26 i
t
e
m
s
of q
u
est
i
o
ns m
e
t
t
h
e cri
t
e
ri
a of co
nve
r
g
ent
val
i
d
i
t
y
, excep
t
for
t
h
e
i
t
e
m
i
n
q
u
e
s
t
i
on num
ber 2
5
, 3
0
, 31
, 32
, 3
3
, 3
4
, 35
, 45
, 4
6
, 4
7
, 48
,
a
n
d
49
. Ove
r
al
l
,
Ta
bl
e
4 desc
ri
bes
t
h
at
,
in
g
e
n
e
ral all ite
m
s
meet t
h
e d
i
scrimin
a
n
t
v
a
lid
ity q
u
estio
n
s
,
un
less th
e qu
estion n
u
m
b
e
r
1
1
(activ
ity
dom
ai
n), a
n
d t
h
e
num
bers
2
3
,
3
0
,
32
,
45
,
4
6
,
4
7
,
4
8
,
an
d
49
(i
m
p
act
d
o
m
ai
n) w
h
i
c
h
d
o
not
m
eet
t
h
e cri
t
e
ri
a
fo
r di
scri
m
i
nant
val
i
d
i
t
y
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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:
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06
I
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PH
S Vo
l. 3
,
N
o
. 3
,
Sep
t
emb
e
r
201
4
:
1
79
–
18
4
18
2
Tabl
e
4. C
o
n
v
e
r
ge
nt
a
n
d
di
sc
r
i
m
i
nant
val
i
d
i
t
y
The bold nu
m
b
ers
showed that the coef
f
i
cient corre
lation between the ite
ms and its own do
m
a
in were
≤
0.
40.
The nu
m
b
e
r
with
* showed that the
coe
fficient correlation between the ite
m
and othe
r do
m
a
in was higher than the coeff
i
cient
cor
r
e
lation of the item
and its own do
m
a
in.
All the
values in the boxes wer
e
significantly
cor
r
e
lated.
Tabl
e 4 s
h
ows
t
h
e di
scri
m
i
nant
an
d co
n
v
er
g
e
nt
val
i
d
i
t
y
of
al
l
quest
i
o
ns o
n
S
G
R
Q
.
A t
o
t
a
l
of
72
%
(36
o
f
50
item
q
u
e
stio
nn
aire)
g
a
v
e
sign
ificant co
rrelatio
n.
It
is the
sam
e
as
that c
o
nveyed in
researc
h
i
n
India
by
A
gga
rwal
et a
l
[6
], th
at the resu
lts for all d
o
m
ain
s
o
f
t
h
e SG
RQ
pr
ov
i
d
ed
a go
od
co
rr
elation, e
x
ce
pt in the
im
pact
dom
ai
n. Acc
o
r
d
i
n
g t
o
Ag
ga
rwal
et al
[6]
,
t
h
e l
o
w c
o
r
r
el
at
i
on c
o
ul
d be
seen
fr
om
t
h
e res
p
o
n
se
o
f
t
h
e
resp
o
nde
nt
s an
swer
que
st
i
ons
t
h
at
t
h
e
answe
r
was "yes and no".
It
m
eans th
at all o
f
th
e ite
m
s
met
th
e criteria
of c
o
n
v
er
ge
nt
val
i
d
i
t
y
and di
scri
m
i
nant
val
i
d
i
t
y
, except
f
o
r t
h
e im
pact
dom
ai
n. There
were s
o
m
e
quest
i
ons
th
at d
i
d
no
t m
e
et th
e ite
m co
nv
erg
e
n
t
an
d
d
i
scrimin
a
n
t
v
a
lidity. Th
is stu
d
y
sh
owed
th
at, the ite
m
s
th
at d
i
d
no
t
Ques
tio
n
Do
m
a
in
Sy
m
p
to
m
s
Activ
i
ty
Im
p
a
c
t
1 .
603
.
261
.
369
2 .
515
.
058
.
195
3 .
506
.
238
.
344
4 .
721
.
220
.
436
5 .
718
.
109
.
446
6 .
698
-
.
025
.
286
7 .
518
.
137
.
213
8 .
549
-
.
111
.
194
11
.
420
*
.
285
.
390
12
.
450
.
551
.
460
13
.
307
.
364
.
364
14
.
173
.
602
.
441
15
-
.
089
.
700
.
264
16
-
.
122
.
558
.
120
17
-
.
219
.
605
.
121
36
.
351
.
555
.
428
37
.
277
.
523
.
399
38
.
236
.
694
.
521
39
.
010
.
632
.
449
40
-
.
078
.
752
.
386
41
-
.
122
.
660
.
264
42
-
.
028
.
780
.
415
43
-
.
003
.
707
.
362
44
-
.
015
.
734
.
407
9
.
361
.
243
.
577
10
.
313
.
241
.
575
18
.
413
.
056
.
493
19
.
363
.
273
.
602
20
.
329
.
328
.
637
21
.
441
.
435
.
527
22
.
244
.
285
.
581
23
.
071
.
512
.
468
24
.
226
.
057
.
418
25
.
363
.
038
.
376
26
.
207
.
185
.
507
27
.
411
.
170
.
559
28
.
413
.
230
.
476
29
.
231
.
287
.
546
30
.
054
.
373
*
.
245
31
.
177
.
222
.
361
32
.
330
*
.
115
.
321
33
.
213
.
185
.
357
34
.
211
.
008
.
327
35
.
043
.
200
.
326
45
-
.
091
.
548
*
.
288
46
.
057
.
408
*
.
317
47
.
103
.
503
*
.
346
48
.
164
.
563
*
.
383
49
.
165
.
344
*
.
332
50
.
243
.
504
.
564
Sy
m
p
to
m
1
.
183
.
527
Activity
.
183
1
.
617
I
m
pact
.
527
.
617
1
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
PH
S I
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:
225
2-8
8
0
6
Relia
b
ility a
nd Va
lida
tion
o
f
S
t
Geo
r
g
e
Resp
ira
t
o
r
y
Qu
estio
nna
ire (SGRQ)
in
to
In
don
esia
n .... (Adn
an
)
18
3
m
eet
t
h
e quest
i
on
of c
o
nve
r
g
e
n
t
val
i
d
i
t
y
had
l
o
w c
o
r
r
el
at
i
o
n with
th
e do
m
a
in
itself. Th
is i
s
as sho
w
n
in
i
t
e
m
q
u
e
stio
n nu
m
b
er
1
1
an
d 13
(do
m
ain
activ
ity)
and
item
q
u
e
st
io
n nu
m
b
er
2
5
, 30
, 31
, 32
,
3
3
, 34
, 35
, 45
,
4
6
, 47
,
48
,
an
d 49 (
d
o
m
ai
n
effect
) h
a
d
at
he val
u
e cor
r
el
at
i
on
c
o
e
fficien
t
o
f
less th
an
0
.
4
0
,
s
o
they did
not meet the
cri
t
e
ri
a f
o
r c
o
n
v
e
r
ge
nt
val
i
d
i
t
y
. Thi
s
h
a
ppe
ns
p
r
o
b
a
b
l
y
beca
use t
h
e re
sp
o
nde
nt
s ha
d
pr
obl
e
m
s
i
n
u
n
d
e
rstand
ing
th
e in
ten
t
o
f
the q
u
e
stion
,
and
th
e resp
ond
en
t h
a
d
d
i
fficu
lty to
tran
slate
wh
at th
ey feel. Th
u
s
,
i
m
p
r
ov
em
en
ts sh
ou
l
d
b
e
m
a
d
e
to
th
e qu
estion
s
t
h
at will b
e
m
o
re easily u
n
d
e
rst
o
od
b
y
resp
ond
en
ts.
B
a
sed o
n
t
h
e c
r
i
t
e
ri
a of
di
scri
m
i
nant
val
i
d
i
t
y
, t
h
e q
u
est
i
o
n n
u
m
b
er 11
(
d
o
m
ai
n act
i
v
i
t
y
)
di
d
not
m
eet
th
e criteria
b
e
cau
s
e it sh
ou
ld
b
e
co
rr
elated
with
th
e activ
ity d
o
m
ain
h
a
s t
e
nde
d t
o
c
o
rrelate
m
o
re strongly to
sy
m
p
to
m d
o
m
ain
s
. Th
ese resu
lts sho
w
th
at
respon
d
e
n
t
s in
t
e
rpreted
th
e activ
ity o
f
sittin
g
o
r
lyin
g
d
o
wn co
u
l
d
cau
se p
a
i
n
was a sy
m
p
to
m
ra
th
er th
an
an
activ
ity. So
th
e qu
estion
ite
m
n
u
m
b
e
rs 2
3
, 30
, 3
2
,
4
5
, 46
,
4
7
, 4
8
,
and
49 (
d
om
ain effect
) were
m
o
re correl
a
t
e
d wi
t
h
t
h
e i
m
p
act dom
ain, infact, m
o
re prec
isely correlated with
th
e activ
ity d
o
main
. Th
is h
a
pp
ens cou
l
d
b
e
cau
sed
b
y
th
e
d
i
fficu
lty o
f
resp
ond
en
t in
in
t
e
rpretin
g
t
h
e i
n
ten
t
of
th
e qu
estio
n.
Th
e qu
estion
n
u
m
b
e
rs 45-49
wh
ich
were
th
e
con
t
en
ts of
an
y pr
ob
lems
in the chest, such as
coul
d
not
exe
r
ci
se or
l
i
e
d
o
w
n, ca
n
not
g
o
o
n
vacat
i
o
n, ca
n
not
g
o
out
o
f
t
h
e
ho
use
,
ca
nn
ot
d
o
y
o
u
r
h
o
m
ewor
k
and ca
nn
ot
st
ep away
fr
om
the be
d or seat
s
whi
c
h we
re
all i
m
p
acts
o
f
the p
r
ob
lem
s
in
t
h
e ch
est, m
o
re lik
ely
to be
perceive
d as an activit
y rather
th
an
an
im
p
act b
y
resp
ond
en
t. It is th
erefo
r
e n
e
cessary to
rep
a
i
r
s th
e
que
st
i
ons
s
o
t
h
at
t
h
e res
p
on
de
nt
s w
o
ul
d
be
e
a
si
er t
o
u
nde
rst
a
nd
t
h
e
q
u
est
i
o
n.
4.
CO
NCL
USI
O
N
Accord
ing
to
th
e an
alysis resu
lt, ov
erall, the Ind
o
nesi
a
n
v
e
rsi
o
n o
f
S
G
R
Q
can
be use
d
a val
i
d
a
n
d
reliab
l
e in
strumen
t
to
m
easu
r
e th
e qu
ality
o
f
life of TB p
a
tien
t
s. Howev
e
r, so
m
e
m
o
d
i
ficatio
n
s
n
e
ed to
b
e
do
ne
o
n
t
h
e
q
u
e
st
i
on t
o
m
a
ke i
t
m
o
re easi
l
y
un
de
rst
o
od
by
resp
o
nde
nt
s.
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06
I
J
PH
S Vo
l. 3
,
N
o
. 3
,
Sep
t
emb
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r
201
4
:
1
79
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18
4
18
4
BIOGRAP
HI
ES OF
AUTH
ORS
Adnan, M.Sc.,
Apt gr
aduat
e
d
from
F
acult
y o
f
P
h
arm
a
c
y
, U
n
iversity
of
Ahmad Dahlan
Yog
y
ak
arta
. Cu
rrentl
y
,
He
is
working as
l
e
c
t
urer and
res
e
ar
cher
in F
a
cult
y of P
h
arm
a
c
y
,
University
of Ahmad
Dahlan
Yog
y
ak
art
a
.
Dr. D
y
ah A P
e
rwitas
a
r
i
was
graduat
e
d fro
m
Leiden Uni
v
ers
i
t
y
M
e
di
ca
l
Center
, Th
e
Netherl
a
nds in t
h
e fie
l
d of C
lini
cal Pharm
a
c
y
an
d Toxico
log
y
.
T
h
e thesis was r
e
l
a
ted wi
th th
e
canc
e
r pat
i
en
ts
’ qualit
y of
life
a
nd pharm
acogen
e
ti
c. Curren
t
l
y
, s
h
e is
working as
lectur
er and
res
earch
er
in F
a
cult
y
of P
h
arm
a
c
y
, Univ
ers
i
t
y
of
Ahm
a
d Dahlan
Yog
y
ak
arta
.
Ull
y
Adhi Mul
y
ani, M.Sc., Apt
i
s
resear
cher
fro
m
National
Heal
th Institu
te, Jak
a
rta, Indonesi
a.
Evaluation Warning : The document was created with Spire.PDF for Python.