OBJECTIVE the RhinAsthma Patient Perspective (RAPP) is the only available tool to assess HRQoL in daily practice. The aim of this study is to cross-culturally validate the RAPP in Spanish. METHODS The RAPP was translated into Spanish. Adult patients receiving usual care for asthma and allergic rhinitis (AR) were recruited consecutively and assessed twice with a four-week interval between visits to test the psychometric properties of the questionnaire. RESULTS 149 patients (62.8% female) with a mean age of 37.7 years completed the study. Exploratory and confirmatory factor analysis confirmed the uni-dimensional structure of the questionnaire. Internal consistency (0.73 at visit 1; 0.87 at visit 2), convergent and discriminant validity (p<.05 at both visits) were satisfactory. Reliability was confirmed by an ICC of 0.69 and a CCC of 0.74. Responsiveness was supported by a significant association with VAS (r=0.28, p<0.003) and ACT (r=-0.35, p<0.01). The minimal clinical difference (MID) value in the analyzed population was 2. CONCLUSIONS The Spanish version of RAPP was demonstrated to have satisfactory psychometric properties and is a valid, reliable and responsive tool for the assessment of asthma and AR HRQoL in clinical practice.

中文翻译：

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跨文化适应和西班牙Rhin哮喘患者观点（RAPP）的验证。

目的Rhin哮喘患者的观点（RAPP）是在日常实践中评估HRQoL的唯一可用工具。这项研究的目的是跨文化验证西班牙语中的RAPP。方法RAPP被翻译成西班牙语。连续招募接受哮喘和变应性鼻炎（AR）常规治疗的成年患者，并在两次访视之间间隔四周评估两次，以测试问卷的心理计量学特性。结果149例患者（女性62.8％）平均年龄为37.7岁，完成了研究。探索性和验证性因素分析证实了问卷的一维结构。内部一致性（第一次访问时为0.73；第二次访问时为0.87），收敛性和判别有效性（两次访问时p <.05）都令人满意。ICC为0.69，CCC为0.74证实了可靠性。与VAS（r = 0.28，p <0.003）和ACT（r = -0.35，p <0.01）的显着相关性支持了响应能力。在分析的人群中，最小临床差异（MID）值为2。结论西班牙版本的RAPP被证明具有令人满意的心理计量特性，并且是在临床实践中评估哮喘和AR HRQoL的有效，可靠和响应工具。