The first round
The expert panel consisted of six categories (doctors, pharmacists,
pulmonologists, academics, people with asthma, and last-year pharmacy
students). Each item included in the AAMQ-V1 was evaluated by the expert
panel in terms of readability, clarity of words, consistency of the
style layout, relevance, and importance (22). The experts were requested
to rank the importance of each item included in the AMMQ-V1 using a
5-point Likert scale (strongly agree this item is important, agree this
item is important, neutral, agree this item is not important, and
strongly agree this item is not important). The mean score for the
importance of each item was calculated. Items agreed upon as being
important questions by a percentage of 70% or more of the panel (mean
item importance score ≥4, i.e. strongly agree this item is important or
agree this item is important) were included in the final version of the
questionnaire. Items with no clear consensus such as those that had an
agreement score between 50% and 70% produce the second version of the
questionnaire (AAMQ-V2) and were retained in the second round
(21,25,26). The expert panel was also asked about the appropriate
acceptable number of items that should be included in the adherence
assessment questionnaire. In round one, adding, deleting, editing, and
rephrasing of the items were undertaken based on panel review (26).