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Abdelhamid AS, Elzayat S, Amer MA, Elsherif HS, Lekakis G, Most SP. Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients. J Otolaryngol Head Neck Surg 2023; 52:11. [PMID: 36759927 PMCID: PMC9912650 DOI: 10.1186/s40463-022-00613-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 12/07/2022] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect body dysmorphic disorder in rhinoplasty patients. This study aimed to translate, culturally adapt, and validate BDDQ-AS to Arabic as a novel tool for screening and detecting BDD in Arabic rhinoplasty individuals. METHODS BDDQ-AS was translated from English to Arabic following the international consensus guidelines. We tested the translation on ten Arabic-speaking rhinoplasty patients to ensure that the final version was understandable and acceptable. The proposed Arabic version was then completed by 112 patients whose average age was 28.79 ± 9.32 years. The screening is assumed positive if the patients expressed bother and preoccupation about their appearance (questions 1 and 2 "yes"), as well as a moderately disrupted everyday life (question 7 "yes" or questions 3, 4, 5, or 6 are equal to or greater than "3''). The internal consistency, test-retest reliability, and item-response theory (IRT) were used to evaluate psychometric validations. RESULTS The Arabic BDDQ had a high level of internal consistency, as measured by Cronbach's alpha 0.995. The A-BDDQ-AS was deemed reliable with an Intraclass Correlation Coefficient (ICC) of 0.989. A-BDDQ had good discrimination scores (above 2.0) with adequate difficulty parameters. The overall scale content validity average was 0.83, affirming that all items were relevant, clear, and straightforward. CONCLUSION The Arabic version of the BDDQ-AS is reliable, culturally adapted, and psychometrically validated to be readily used and incorporated into clinical practice. It is a beneficial tool that can guide the screening of Arabic rhinoplasty patients suffering from body dysmorphic disorder and be utilized in further studies to optimize patient outcomes.
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Affiliation(s)
- Ahmed S. Abdelhamid
- grid.411978.20000 0004 0578 3577Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Kafrelsheikh University, El-Geish Street, Kafrelsheikh, 33155 Egypt
| | - Saad Elzayat
- grid.411978.20000 0004 0578 3577Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Kafrelsheikh University, El-Geish Street, Kafrelsheikh, 33155 Egypt
| | - Mohamed A. Amer
- grid.412258.80000 0000 9477 7793Department of Otorhinolaryngology, Faculty of Medicine, Tanta University, El-Gesih St., Tanta, Egypt
| | - Hossam S. Elsherif
- grid.412258.80000 0000 9477 7793Department of Otorhinolaryngology, Faculty of Medicine, Tanta University, El-Gesih St., Tanta, Egypt
| | - Garyfalia Lekakis
- Department of Otorhinolaryngology, Head and Neck Surgery, Moliere Longchamp Hospital, Rue Marconi 142, 1190 Brussels, Belgium
| | - Sam P. Most
- grid.168010.e0000000419368956Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road Palo Alto, Stanford, CA 94304 USA
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Pinsonnault-Skvarenina A, Soucy W, Noël J, Doucet F, Lévesque É, Fuente A, Leroux T. Supra-threshold deficits in normal hearing military recruits exposed to impulse noise. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2022; 152:2419. [PMID: 36319241 DOI: 10.1121/10.0014829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 09/23/2022] [Indexed: 06/16/2023]
Abstract
The aim of this study was to determine the effect of impulse noise exposure on various proxy measures of cochlear synaptopathy in young military recruits. A total of 27 military recruits with exposure to firearm and artillery noise and 13 non exposed participants were recruited. All presented with normal hearing thresholds and the presence of distortion product otoacoustic emissions (DPOAEs). The Noise Exposure Structured Interview (NESI) was used to quantify noise exposure. Speech perception in noise (SPiN), equivalent rectangular bandwidth (ERB) of auditory filters, auditory brainstem response wave I amplitude, wave I amplitude growth function, wave I/V amplitude ratio, wave V latency, wave V latency shift with ipsilateral noise, and the summating potential/action potential ratio of the electrocochleography were measured. In military participants, SPiN was worse, ERB at 4 kHz was larger, wave I amplitude at 75 dBnHL was reduced, and wave V latency was delayed. However, no significant correlations were observed between NESI and auditory measures, once multiplicity of tests was controlled for. These results suggest that military recruits may exhibit supra-threshold deficits, despite presenting with normal hearing thresholds and presence of DPOAEs. Future studies should include a measure of auditory filters in their test battery.
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Affiliation(s)
| | - William Soucy
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
| | - Jonathan Noël
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
| | - Félicia Doucet
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
| | - Élise Lévesque
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
| | - Adrian Fuente
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
| | - Tony Leroux
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, H3C 3J7, Canada
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Saadoun A, Schein A, Péan V, Legrand P, Aho Glélé LS, Bozorg Grayeli A. Frequency Fitting Optimization Using Evolutionary Algorithm in Cochlear Implant Users with Bimodal Binaural Hearing. Brain Sci 2022; 12:brainsci12020253. [PMID: 35204015 PMCID: PMC8870060 DOI: 10.3390/brainsci12020253] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 01/26/2022] [Accepted: 01/28/2022] [Indexed: 02/04/2023] Open
Abstract
Optimizing hearing in patients with a unilateral cochlear implant (CI) and contralateral acoustic hearing is a challenge. Evolutionary algorithms (EA) can explore a large set of potential solutions in a stochastic manner to approach the optimum of a minimization problem. The objective of this study was to develop and evaluate an EA-based protocol to modify the default frequency settings of a MAP (fMAP) of the CI in patients with bimodal hearing. Methods: This monocentric prospective study included 27 adult CI users (with post-lingual deafness and contralateral functional hearing). A fitting program based on EA was developed to approach the best fMAP. Generated fMAPs were tested by speech recognition (word recognition score, WRS) in noise and free-field-like conditions. By combining these first fMAPs and adding some random changes, a total of 13 fMAPs over 3 generations were produced. Participants were evaluated before and 45 to 60 days after the fitting by WRS in noise and questionnaires on global sound quality and music perception in bimodal binaural conditions. Results: WRS in noise improved with the EA-based fitting in comparison to the default fMAP (41.67 ± 9.70% versus 64.63 ± 16.34%, respectively, p = 0.0001, signed-rank test). The global sound quality and music perception were also improved, as judged by ratings on questionnaires and scales. Finally, most patients chose to keep the new fitting definitively. Conclusions: By modifying the default fMAPs, the EA improved the speech discrimination in noise and the sound quality in bimodal binaural conditions.
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Affiliation(s)
- Alexis Saadoun
- Department of Otolaryngology—Head and Neck Surgery, Dijon University Hospital, 21000 Dijon, France; (A.S.); (A.S.)
| | - Antoine Schein
- Department of Otolaryngology—Head and Neck Surgery, Dijon University Hospital, 21000 Dijon, France; (A.S.); (A.S.)
| | - Vincent Péan
- Clinical Support Department, MED-EL, 75012 Paris, France;
| | - Pierrick Legrand
- Institute of Mathematics of Bordeaux, UMR CNRS 5251, ASTRAL Team, Inria Bordeaux Sud-Ouest, University of Bordeaux, 33405 Talence, France;
| | - Ludwig Serge Aho Glélé
- Department of Hospital Epidemiology and Infection Control, Dijon University Hospital, 21000 Dijon, France;
| | - Alexis Bozorg Grayeli
- Department of Otolaryngology—Head and Neck Surgery, Dijon University Hospital, 21000 Dijon, France; (A.S.); (A.S.)
- ImVia Research Laboratory, Bourgogne-Franche Comté University, 21000 Dijon, France
- Correspondence:
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Wijaya WA, Liu Y, Zhou M, Qing Y, Li Z. Translation, cross-cultural adaptation and validation of the Mandarin version of the BDDQ-AS for rhinoplasty patients. J Otolaryngol Head Neck Surg 2022; 51:6. [PMID: 35123589 PMCID: PMC8818153 DOI: 10.1186/s40463-022-00557-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 01/02/2022] [Indexed: 02/08/2023] Open
Abstract
Background The BDDQ-AS (Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery) is a simple and reliable patient-reported outcome measure. It can be used as a screening tool for body dysmorphic disorder (BDD) in patients undergoing aesthetic rhinoplasty. The aim of this study was to translate and culturally adapt the Mandarin version of the BDDQ-AS (M-BDDQ-AS) and evaluate its selected psychometric validation in patients after rhinoplasty. Method According to international guidelines, the BDDQ-AS questionnaire was translated from English to Mandarin. Twenty Mandarin-speaking rhinoplasty patients were interviewed in order to evaluate the understandability and acceptability of the translation and produce a final version. It was then administered to 137 patients with a mean age of 38.75 ± 6.24 years. Psychometric validation were evaluated using reliability (internal consistency, test–retest reliability) and item-reponse theory (IRT) test. Result High internal consistency of 0.823 was found using Cronbach’s α coefficient. Reliability of the M-BDDQ-AS resulted in Intraclass Correlation Coefficient (ICC) = 0.863. Besides, based on IRT analysis, the discrimination abilities of all the items were good (over 2.0), and their difficulty estimates were reasonable. Conclusion The M-BDDQ-AS is a reliable and valid self-reported questionnaire that can be used in rhinoplasty patients. The very good psychometric validation of the M-BDDQ-AS indicates that it can be used in clinical practice and scientific research. Graphical Abstract ![]()
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Affiliation(s)
- Wilson A Wijaya
- Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu City, Sichuan Province, 61000, People's Republic of China
| | - Yu Liu
- Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu City, Sichuan Province, 61000, People's Republic of China
| | - Min Zhou
- Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu City, Sichuan Province, 61000, People's Republic of China
| | - Yong Qing
- Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu City, Sichuan Province, 61000, People's Republic of China.
| | - Zhengyong Li
- Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu City, Sichuan Province, 61000, People's Republic of China
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Garcier M, Lavedrine A, Gagneux C, Eluecque T, Bozorg Grayeli A. Bone-Anchored and Closed Skin Bonebridge Implant in Adults: Hearing Performances and Quality of Life. Audiol Neurootol 2021; 26:310-316. [PMID: 33662952 DOI: 10.1159/000512496] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 10/05/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Bonebridge® is a novel active bone-anchored hearing implant. The purpose of this study was to evaluate the ease of implantation, the hearing performances, and the patient-reported benefit. MATERIALS AND METHODS This is a prospective cross-sectional study of 24 consecutive adult patients implanted for a mixed hearing loss (13 chronic otitis media (COM) and 11 other aetiologies). Twenty-one implants were placed in the retrosigmoid position and 3 in the mastoid. Audiometry, Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire, as well as 5 implant-specific questions (analogue visual scale [AVS] 0-10 score), was administered. RESULTS Surgery lasted 73 ± 29.7 min on average. No major complication occurred. All patients were users at the last follow-up visit (median: 9-month range: 3-25). The average prosthetic gain was similar in COM and other aetiologies (43 ± 4.8 dB and 50 ± 7.2, respectively, not significant, Wilcoxon test). Bone-conduction thresholds were not deteriorated by surgery (Kruskal-Wallis test, not significant). APHAB scores improved in all categories except aversiveness (global score 45 ± 7.0% in COM and 32 ± 10.2% in others, not significant, and Wilcoxon test). Local pain (AVS: 3.23 ± 3.2, n = 16) and manipulation difficulties (3.1 ± 3.69) were low. The device was considered aesthetic (8.3 ± 2.49). Perfectible autonomy (5.0 ± 2.8) and difficulties wearing the implant during sport or at work (5.1 ± 3.47) were the weakest points. CONCLUSIONS BoneBridge® implant provides reproducible results for the rehabilitation of mixed hearing losses and unilateral hearing loss.
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Affiliation(s)
- Martin Garcier
- Otolaryngology Department, Dijon University Hospital, Dijon, France
| | - Angela Lavedrine
- Otolaryngology Department, Dijon University Hospital, Dijon, France
| | - Claude Gagneux
- Otolaryngology Department, Dijon University Hospital, Dijon, France.,Entendre Hearing Aid Center, Dijon, France
| | | | - Alexis Bozorg Grayeli
- Otolaryngology Department, Dijon University Hospital, Dijon, France, .,ImVia Research Laboratory, Université Bourgogne-Franche-Comté, Dijon, France,
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Fuentes-López E, Fuente A, Valdivia G, Luna-Monsalve M. Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire. PLoS One 2019; 14:e0226085. [PMID: 31856164 PMCID: PMC6922414 DOI: 10.1371/journal.pone.0226085] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 11/18/2019] [Indexed: 11/20/2022] Open
Abstract
Hearing aids are the most common rehabilitation strategy for age-related hearing loss. However, 25% to 50% of older adults fitted with hearing aids do not wear them post-fitting. Hearing aid self-efficacy has been suggested as one of the key factors that may explain adherence to hearing aids in older adults. The primary aim of this study was to determine a possible association between educational level and hearing aid self-efficacy in older adult hearing aid users from a Latin American country (i.e., Chile). The secondary aim was to determine if in this sample of older adults, hearing aid self-efficacy predicted hearing aid adherence as previously suggested by other studies. The MARS-HA (Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids) questionnaire was used to measure hearing aid self-efficacy. This questionnaire was initially adapted into Spanish (S-MARS-HA) using forward and backward translations by bilingual English-Spanish speakers. A sample of 252 older adults fitted with hearing aids at a public hospital in Santiago, Chile, was investigated. Educational level was measured as the number of years of formal education. Participants responded to the S-MARS-HA along with questions exploring social support, attitudes in using hearing aids, participation in social events, and vision and joint problems. Hearing aid adherence was investigated with the use of a question from the International Outcome Inventory for Hearing Aids. All these procedures were conducted at the participants' homes. Pure-tone average (PTA; 500-4000 Hz) in the fitted ear was obtained from the participants' medical records. Univariate and multivariate regression models were constructed to investigate the association between educational level and hearing aid self-efficacy controlling for the covariates of interest (e.g., social support, attitudes in using hearing aids, PTA). The S-MARS-HA showed an adequate construct validity along with a good reliability. Results of the multivariate regression analyses showed that educational level significantly predicted hearing aid self-efficacy. Covariates significantly associated with this outcome included attitudes in using hearing aids and PTA in the fitted ear. Finally, a significant association between hearing aid self-efficacy and adherence to hearing aid use was observed. In conclusion, this study showed a significant association between educational level and hearing aid self-efficacy in older adults from a developing Latin American country. Thus, this variable should be considered when designing and delivering aural rehabilitation programs such as hearing aids to older adults, especially those from developing countries.
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Affiliation(s)
- Eduardo Fuentes-López
- Carrera de Fonoaudiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Adrian Fuente
- École d’orthophonie et d’audiologie, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Montréal, Québec, Canada
| | - Gonzalo Valdivia
- Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Manuel Luna-Monsalve
- Escuela de Fonoaudiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, Chile
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Venail F, Picot MC, Marin G, Falinower S, Samson J, Cizeron G, Balcon M, Blanc D, Bricaud J, Lorenzi A, Ceccato JC, Puel JL. Speech perception, real-ear measurements and self-perceived hearing impairment after remote and face-to-face programming of hearing aids: A randomized single-blind agreement study. J Telemed Telecare 2019; 27:409-423. [PMID: 31694484 DOI: 10.1177/1357633x19883543] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Current literature does not provide strong evidence that remote programming of hearing aids is effective, despite its increasing use by audiologists. We tested speech perception outcomes, real-ear insertion gain, and changes in self-perceived hearing impairment after face-to-face and remote programming of hearing aids in a randomized multicentre, single-blind crossover study. METHODS Adult experienced hearing aid users were enrolled during routine follow-up visits to audiology clinics. Hearing aids were programmed both face to face and remotely, then participants randomly received either the face-to-face or remote settings in a blinded manner and were evaluated 5 weeks later. Participants then received the other settings and were evaluated 5 weeks later. RESULTS Data from 52 out of 60 participants were analysed. We found excellent concordance in performance of hearing aids programmed face to face and remotely for speech understanding in quiet (phonetically balanced kindergarten test - intraclass correlation coefficient of 0.92 (95% confidence interval: 0.87-0.95)), and good concordance in performance for speech understanding in noise (phonetically balanced kindergarten +5 dB signal-to-noise ratio - intraclass correlation coefficient of 0.71 (95% confidence interval: 0.55-0.82)). Face-to-face and remote programming took 10 minutes (±2.9) and 10 minutes (±2.8), respectively. Real-ear insertion gains were highly correlated for input sound at 50, 65 and 80 dB sound pressure levels. The programming type did not affect the abbreviated profile of hearing aid questionnaire scores. CONCLUSIONS In experienced hearing aid users, face-to-face and remote programming of hearing aids give similar results in terms of speech perception, with no increase in the time spent on patients' care and no difference in self-reported hearing benefit. CLINICALTRIALS.GOV IDENTIFIER NCT02589561.
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Affiliation(s)
- Frederic Venail
- ENT and Audiology Department, University Hospital Gui de Chauliac, France.,Auditory Disorders, Institute for Neurosciences of Montpellier, INSERM, France
| | - Marie C Picot
- Biostatistics & Clinical Research Unit, University Montpellier, France
| | - Gregory Marin
- Biostatistics & Clinical Research Unit, University Montpellier, France
| | | | | | | | - Maxime Balcon
- ENT and Audiology Department, University Hospital Gui de Chauliac, France.,Alliance Audition, Montpellier, France
| | | | | | - Antoine Lorenzi
- ENT and Audiology Department, University Hospital Gui de Chauliac, France.,Auditory Disorders, Institute for Neurosciences of Montpellier, INSERM, France.,Alliance Audition, Montpellier, France
| | - Jean-Charles Ceccato
- Auditory Disorders, Institute for Neurosciences of Montpellier, INSERM, France.,Audiology Department and Hearing Aid Dispenser Formation Center, CREFA, University of Montpellier, France
| | - Jean-Luc Puel
- Auditory Disorders, Institute for Neurosciences of Montpellier, INSERM, France.,Audiology Department and Hearing Aid Dispenser Formation Center, CREFA, University of Montpellier, France
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Milad D, Atallah MR, Benamer YH, Saltychev M, Most SP, Moubayed SP. French translation, cultural adaptation and validation of the BDDQ-AS for rhinoplasty patients. J Otolaryngol Head Neck Surg 2019; 48:20. [PMID: 31092284 PMCID: PMC6521352 DOI: 10.1186/s40463-019-0343-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Accepted: 05/02/2019] [Indexed: 11/15/2022] Open
Abstract
The Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery (BDDQ-AS) is a validated questionnaire that is used as a screening tool for body dysmorphic disorder (BDD) in aesthetic rhinoplasty patients. The BDDQ-AS questionnaire was translated from English to French according to international guidelines. Ten French-speaking rhinoplasty patients were interviewed in order to evaluate the understandability and acceptability of the translation and produce a final version. It was then administered to 165 consecutive patients. Psychometric properties were evaluated using item-reponse theory (IRT). Internal consistency was high, with Cronbach’s alpha of 0.90 (95% lower CL 0.88). While the discrimination abilities of all the items were good (over 2.0), their difficulty parameters were shifted towards greater severity of symptoms. That shift could also be observed in information function graph for the entire scale. In other words, the BDDQ-AS performed better in patients with more severe body dysmorphic symptoms. In conclusion, the BDDQ-AS was translated, adapted, and psychometrically validated for use in a French-speaking population.
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Affiliation(s)
- Daniel Milad
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, 5400 Boul Gouin O, Montréal, QC, H4J 1C5, Canada
| | - Marie-Renée Atallah
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, 5400 Boul Gouin O, Montréal, QC, H4J 1C5, Canada
| | - Youcef-Hamza Benamer
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, 5400 Boul Gouin O, Montréal, QC, H4J 1C5, Canada
| | - Mikhail Saltychev
- Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, P.B. 28, FIN-20701, Turku, Finland
| | - Sam P Most
- Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, 801 Welch Road Palo Alto, Stanford, CA, 94304, USA
| | - Sami P Moubayed
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, 5400 Boul Gouin O, Montréal, QC, H4J 1C5, Canada.
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Perez-Garcia IC, Peñaranda A, Cobo R, Hernandez AV, Moubayed SP, Most SP. Spanish Translation, Cultural Adaptation, and Validation of the Standardized Cosmesis and Health Nasal Outcomes Survey Questionnaire. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2019; 7:e2153. [PMID: 31044120 PMCID: PMC6467619 DOI: 10.1097/gox.0000000000002153] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 12/19/2018] [Indexed: 11/30/2022]
Abstract
Background: The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) questionnaire is a new instrument that was developed to evaluate both functional and cosmetic components of rhinoplasty. It is a reliable, consistent, and validated patient-reported outcome measure that is not available in Spanish. Methods: The SCHNOS questionnaire was forward translated, back translated, and culturally adapted following international guidelines. Its psychometric validity was tested with native Spanish speakers in 2 centers in Colombia. The authors measured internal consistency, correlation, and reproducibility to determine validity of the instrument. Results: The final Spanish version of the SCHNOS was administered to 76 native Spanish speakers. Both the SCHNOS-O (obstructive domain) and SCHNOS-C (cosmetic domain) showed a high internal consistency with Cronbach’s alpha of 0.84 and 0.94, respectively. The Spearman correlations between the items of SCHNOS-O (0.38–0.82) and SCHNOS-C (0.49–0.88) were positive and significant. Spearman’s rank correlation in the test–retest analysis for SCHNOS-O (r = 0.87) and SCHNOS-C (r = 90) was positive and statistically significant. There was statistical significance in responses obtained for SCHNOS-O (P < 0.001) but not for SCHNOS-C (P = 0.222). Conclusions: In this study, the SCHNOS was successfully translated and culturally adapted into Spanish. The Spanish version of the SCHNOS was shown to be a reliable and valid instrument that we recommend it should be used in Spanish-speaking patients who are having functional or cosmetic rhinoplasty.
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Affiliation(s)
- Irene C Perez-Garcia
- Division of Otolaryngology, Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia.,Clinical Teacher, Universidad de los Andes, Bogotá, Colombia
| | - Augusto Peñaranda
- Division of Otolaryngology, Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia.,Clinical Teacher, Universidad de los Andes, Bogotá, Colombia
| | - Roxana Cobo
- Division of Otolaryngology, Department of Surgery, Centro Médico Imbanaco Cali, Colombia
| | - Ana V Hernandez
- Otolaryngology, Fundación de Ciencias de la Salud, Bogotá, Colombia
| | - Sami P Moubayed
- Department of Otorhinolaryngology, Université de Montréal, Montréal, Québec, Canada
| | - Sam P Most
- Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, Calif
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Atallah MR, Milad D, Benamer YH, Saltychev M, Most SP, Moubayed SP. Translation, cultural adaptation and validation of the SCHNOS in French. J Otolaryngol Head Neck Surg 2019; 48:17. [PMID: 30894227 PMCID: PMC6425707 DOI: 10.1186/s40463-019-0339-6] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 03/12/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) is a validated questionnaire that assesses functional and aesthetic outcomes of rhinoplasty patients. There are 274 million French speakers worldwide, and this questionnaire is currently not available in French. The purpose of this study was to translate, adapt, and validate a French version of the SCHNOS questionnaire. METHODS The SCHNOS questionnaire was translated from English to French according to international guidelines. Ten French-speaking rhinoplasty patients were interviewed in order to evaluate the understandability and acceptability of the translation and produce a final version. The final version was administered prospectively to 25 rhinoplasty patients and 25 controls at two-week intervals. It was then administered to 165 consecutive patients. Psychometric properties were evaluated using the Item Reponse Theory (IRT) and confirmatory factor analysis (CFA). RESULTS Three items from the original SCHNOS were modified to produce the French-SCHNOS (F-SCHNOS). Discrimination abilities of F-SCHNOS-O and F-SCHNOS-C were perfect, with values of 2.18(p < 0.001, 95% CI 1.74 to 2.62) for SCHNOS-O and 2.62(p < 0.001, 95% CI 2.03 to 3.21). Internal consistency was high, with Cronbach's alpha of 0.93 for F-SCHNOS-O and 0.95 for F-SCHNOS-C. IRT showed good psychometric properties with almost each step up or down across the scale associating with meaningful differences in outcome severity. All four SCHNOS-O items were equally "important" in defining the total score. The F-SCHNOS-C total score was defined by mostly four out of six items. CONCLUSIONS The SCHNOS was translated, adapted, and psychometrically validated for use in a French-speaking population.
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Affiliation(s)
- Marie-Renée Atallah
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, Montréal, Québec, Canada.
| | - Daniel Milad
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, Montréal, Québec, Canada
| | - Youcef-Hamza Benamer
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, Montréal, Québec, Canada
| | - Mikhail Saltychev
- Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland
| | - Sam P Most
- Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Sami P Moubayed
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, Montréal, Québec, Canada
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