Validation of the Leicester Cough Questionnaire in Brazilian Portuguese


Objective: To validate the previously translated Brazilian Portuguese version of the Leicester Cough Questionnaire (LCQ-Br). Methods: This cross-sectional study was approved by the Research Ethics Committee, and all ethical standards required by Brazilian legislation were upheld. Validation procedures followed the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN). Psychometric properties assessed included construct validity (structural validity), criterion validity (concurrent validity), reliability (internal consistency and test-retest reliability), and responsiveness. The sample comprised 98 patients diagnosed with chronic cough (CC), with a mean age of 49 years and 79% female participants. Data collection included an initial assessment in which all participants completed a sociodemographic questionnaire, the Brazilian version of the Leicester Cough Questionnaire (LCQ-Br), the Cough Severity Index (CSI-Br), the Laryngeal Hypersensitivity Questionnaire (LHQ-Br), and three self-assessment instruments for laryngeal sensitivity, cough frequency, and intensity. Participants completed the LCQ-Br on three additional occasions, with a 2–14-day interval from the initial assessment and before and after a speech therapy intervention for CC. Data analysis was conducted using IBM SPSS Statistics 29 and IBM SPSS Amos 29. Results: Structural validity confirmed the LCQ-Br factor structure with an SRMR of 0.064. Concurrent validity showed significant negative correlations between the LCQ-Br’s physical, psychological, social, and total scores and self-reported laryngeal sensitivity, cough frequency, and intensity, as well as with all CSI-Br factors, and significant positive correlations with the LHQ-Br (p<0.001 for all). Internal consistency reliability yielded Cronbach’s alpha coefficient ranging from 0.869 to 0.952, and test-retest reliability demonstrated an intraclass correlation coefficient between 0.332 and 0.629. Responsiveness analysis indicated a significant post-intervention reduction in LCQ-Br scores for the physical (p=0.001), psychological (p=0.023), and total (p=0.009) domains. Conclusion: The LCQ-Br is a valid, reliable, and responsive instrument for assessing the health status of patients with CC and has potential for use in both clinical practice and research.

Rodrigo
Vanessa
Alice
Surinder
Mara
Dornelas
Veis Ribeiro
Lopes
Birring
Behlau