Journal of Ophthalmic and Optometric Sciences

Vol. 9 No. 3 (2025)

Validity and Reliability Assessment of the Persian ASQ-17 Questionnaire

Journal of Ophthalmic and Optometric Sciences, Vol. 9 No. 3 (2025), 22 Tir 2025 , Page 1-10
https://doi.org/10.22037/joos.v9i3.51237

Abstract

Purpose: To evaluate the reliability, content validity, and cultural appropriateness of the Persian translation of the Asthenopia Questionnaire (ASQ-17) among Persian-speaking adults.
Materials and Methods: Thirty adults aged 20–54 years completed the Persian ASQ-17. Translation followed a forward–backward protocol. Internal consistency was assessed using Cronbach’s alpha for the total scale and its subscales. Content validity was evaluated by 20 experts using the Content Validity Index (CVI). Face validity was assessed through structured cognitive interviews.
Results: The overall scale demonstrated strong internal consistency (α = 0.888). Subscale coefficients ranged from 0.618 to 0.841. All items achieved CVI values between 0.80 and 1.00. Interview feedback confirmed clarity, comprehensibility, and cultural suitability of all items.
Conclusion: The Persian ASQ-17 shows strong reliability, content validity, and face validity, supporting its use for assessing asthenopia symptoms in Persian-speaking adults.

Keywords:
  • Asthenopia
  • Eye Strain
  • Surveys and Questionnaires
  • Psychometrics
  • Reproducibility of Results
  • Translations
  • Cross-Cultural Comparison

How to Cite

Abdollahi, A., Rahmani , S., Kangari , H., Golmakani , A., & Sahiholnasab , S. S. (2025). Validity and Reliability Assessment of the Persian ASQ-17 Questionnaire. Journal of Ophthalmic and Optometric Sciences, 9(3), 1–10. https://doi.org/10.22037/joos.v9i3.51237

References

1. Sheedy JE, Hayes JN EJ. Is all asthenopia the same? Optom Vis Sci 2003;80:732-9.

2. Sheedy JE, Gowrisankaran S, Hayes JR. Blink rate decreases with eyelid squint. Optom Vis Sci. 2005;82(10):905-11.

3. Association OBoCM. Ophthalmology Branch of Chinese Medical Association. Expert consensus for the diagnosis and treatment of asthenopia (2014) (in Chinese). Chin J Optom Ophthalmol Vis Sci. 2014;16(7):385-7.

4. Deng RZ, Zhu Y ZJ, Lin N, Li XM, Lin YZ, Zheng JW, et al. Investigation of asthenopia and related factors in the general public in China. Chin J Optom Ophthalmol Vis Sci 2019;21(9):668-76.

5. Nakazawa T, Okubo Y, Suwazono Y, Kobayashi E, Komine S, Kato N, et al. Association between duration of daily VDT use and subjective symptoms. Am J Ind Med. 2002;42(5):421-6.

6. Mvitu MM, Kaimbo WK. Manifestations of asthenopia in Black subjects. Bull Soc Belge Ophtalmol. 2003;289(289):45-9. (Article in French)

7. Neugebauer A, Fricke J, Russmann W. Asthenopia: frequency and objective findings. Ger J Ophthalmol. 1992;1(2):122-4.

8. Graf HP, Flammer J. Asthenopia in clinical practice: a comparative study of complaints, clinical findings and results of therapy in asthenopic patients (author's transl). Klin Monbl Augenheilkd. 1980;176(4):577-82. (Article in German)

9. Vilela MA, Castagno VD, Meucci RD, Fassa AG. Asthenopia in schoolchildren. Clin Ophthalmol. 2015;9:1595-603.

10. Kowalska M, Zejda JE, Bugajska J, Braczkowska B, Brozek G, Malińska M. Eye symptoms in office employees working at computer stations. Med Pr. 2011;62(1):1-8. (Article in Polish)

11. Bhanderi DJ, Choudhary S, Doshi VG. A community-based study of asthenopia in computer operators. Indian J Ophthalmol. 2008;56(1):51-5.

12. Mocci F, Serra A, Corrias GA. Psychological factors and visual fatigue in working with video display terminals. Occup Environ Med. 2001;58(4):267-71.

13. Ye Z, Honda S, Abe Y, Kusano Y, Takamura N, Imamura Y, et al. Influence of work duration or physical symptoms on mental health among Japanese visual display terminal users. Ind Health. 2007;45(2):328-33.

14. Sterner B, Gellerstedt M, Sjöström A. Accommodation and the relationship to subjective symptoms with near work for young school children. Ophthalmic Physiol Opt. 2006;26(2):148-55.

15. Sheppard AL, Wolffsohn JS. Digital eye strain: prevalence, measurement and amelioration. BMJ Open Ophthalmol. 2018;3(1):e000146.

16. Vaz FT, Henriques SP, Silva DS, Roque J, Lopes AS, Mota M. Digital Asthenopia: Portuguese Group of Ergophthalmology Survey. Acta Med Port. 2019;32(4):260-5.

17. Chalmers RL, Begley CG, Caffery B. Validation of the 5-Item Dry Eye Questionnaire (DEQ-5): Discrimination across self-assessed severity and aqueous tear deficient dry eye diagnoses. Cont Lens Anterior Eye. 2010;33(2):55-60.

18. Mylona I, Glynatsis MN, Dermenoudi M, Glynatsis NM, Floros GD. Validation of the Digital Eye Strain Questionnaire and pilot application to online gaming addicts. Eur J Ophthalmol. 2022;32(5):2695-2701.

19. Cantó-Sancho N, Ronda E, Cabrero-García J, Casati S, Carta A, Porru S, et al. Rasch-Validated Italian Scale for Diagnosing Digital Eye Strain: The Computer Vision Syndrome Questionnaire IT©. Int J Environ Res Public Health. 2022;19(8):4506.

20. Rossi GCM, Bettio F, González-Pérez M, Briola A, Pasinetti GLM, Scudeller L. The 17-Item Computer Vision Symptom Scale Questionnaire (CVSS17): Translation, Validation and Reliability of the Italian Version. Int J Environ Res Public Health. 2022;19(5):2517.

21. Rouse MW, Borsting EJ, Mitchell GL, Scheiman M, Cotter SA, Cooper J, et al. Validity and reliability of the revised convergence insufficiency symptom survey in adults. Ophthalmic Physiol Opt. 2004;24(5):384-90.

22. Lin YY, Deng RZ, Li ZH, Zhang JF, Li XM, Lin N, et al. A new valid and reliable questionnaire of asthenopia: development and evaluation. Zhonghua Yan Ke Za Zhi. 2021;57(4):284-91. (Article in Chinese)

23. Boone WJ. Rasch Analysis for Instrument Development: Why, When, and How? CBE Life Sci Educ. 2016 Winter;15(4):rm4.

24. Lin N, Li XM, Yang MY, Tian L, Li ZH, Mao JL, et al. Development of a new 17-item Asthenopia Survey Questionnaire using Rasch analysis. Int J Ophthalmol. 2023;16(11):1867-75.

25. Hashemi H, Saatchi M, Yekta A, Ali B, Ostadimoghaddam H, Nabovati P, et al. High Prevalence of Asthenopia among a Population of University Students. J Ophthalmic Vis Res. 2019;14(4):474-82.

26. Moldovan HR, Voidazan ST, Moldovan G, Vlasiu MA, Moldovan G, Panaitescu R. Accommodative asthenopia among Romanian computer-using medical students-A neglected occupational disease. Arch Environ Occup Health. 2020;75(4):235-41.

27. Xu Y, Deng G, Wang W, Xiong S, Xu X. Correlation between handheld digital device use and asthenopia in Chinese college students: a Shanghai study. Acta Ophthalmol. 2019;97(3):e442-7.

28. Vilela MA, Pellanda LC, Fassa AG, Castagno VD. Prevalence of asthenopia in children: a systematic review with meta-analysis. J Pediatr (Rio J). 2015;91(4):320-5.

29. Kuze J, Ukai J. Subjective evaluation of visual fatigue caused by motion images. Displays. 2008;29(2):159-66.

30. Zheng F, Hou F, Chen R, Mei J, Huang P, Chen B, et al. Investigation of the Relationship Between Subjective Symptoms of Visual Fatigue and Visual Functions. Front Neurosci. 2021;15:686740.

31. Guo F, Zhang Q, Fan MN, Ma L, Chen C, Liu XH, et al. Fruit and vegetable consumption and its relation to risk of asthenopia among Chinese college students. Int J Ophthalmol. 2018;11(6):1020-7.

32. Rattray J, Jones MC. Essential elements of questionnaire design and development. J Clin Nurs. 2007;16(2):234-43.

33. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53-5.

34. Lin N, Chen X, Wu XT, Tian FY, Yang MY, Liu YS, et al. Sleep and mental status as key factors to asthenopia in Chinese adults. Int J Ophthalmol. 2025;18(4):716-22.

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