Quality of questionnaires for the assessment of otitis media with effusion in children

Objectives Audiometric tests provide information about hearing in otitis media with effusion (OME). Questionnaires can supplement this information by supporting clinical history‐taking as well as potentially providing a standardized and comprehensive assessment of the impact of the disease on a chi...

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Main Authors: Wei Chern Gan, Richard, Daniel, Matija, Ridley, Matthew, Barry, Johanna G.
Format: Article
Published: Wiley 2017
Online Access:https://eprints.nottingham.ac.uk/47903/
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author Wei Chern Gan, Richard
Daniel, Matija
Ridley, Matthew
Barry, Johanna G.
author_facet Wei Chern Gan, Richard
Daniel, Matija
Ridley, Matthew
Barry, Johanna G.
author_sort Wei Chern Gan, Richard
building Nottingham Research Data Repository
collection Online Access
description Objectives Audiometric tests provide information about hearing in otitis media with effusion (OME). Questionnaires can supplement this information by supporting clinical history‐taking as well as potentially providing a standardized and comprehensive assessment of the impact of the disease on a child. There are many possible candidate questionnaires. This study aimed to assess the quality and usability of parent / child questionnaires in OME assessment. Design and main outcome measures Fifteen, published questionnaires, commonly used in audiological departments (Auditory Behaviour in Everyday Life (ABEL), Children's Auditory Performance Scale (CHAPS), Children's Home Inventory for Listening Difficulties (CHILD), Children's Outcome Worksheets (COW), Evaluation of Children's Listening and Processing Skills (ECLiPS), Early Listening Function (ELF), Fisher's Auditory Problem Checklist (FAPC), Hearing Loss 7 (HL‐7), Listening Inventory for Education‐ Revised (LIFE‐R Student), Listening Inventory for Education UK Individual Hearing Profile (LIFE‐UK IHP), LittlEARS Auditory Questionnaire (LittlEARS), Listening Situations Questionnaire (LSQ), Otitis Media 6 (OM‐6), Quality of Life in Children's Ear Problems (OMQ‐14), Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) were assessed according to the following 8 criteria: conceptual clarity, respondent burden, reliability, validity, normative data, item bias, ceiling/ floor effects, and administrative burden. Results ECLiPS, LittlEARS and PEACH scored highest overall based on the assessment criteria established for this study. None of the questionnaires fully satisfied all 8 criteria. Although all questionnaires assessed issues considered to be of at least adequate relevance to OME, the majority had weaknesses with respect to the assessment of psychometric properties, such as item bias, floor/ceiling effects or measurement reliability and validity. Publications reporting on the evaluation of reliability, validity, normative data, item bias and ceiling/floor effects were not available for most of the questionnaires. Conclusions This formal evaluation of questionnaires, currently available to clinicians, highlights three questionnaires as potentially offering a useful adjunct in the assessment of OME in clinical or research settings. These were the ECLiPS, which is suitable for children aged 6 years and older, and either the LittlEARS or the PEACH for younger children. The latter two are narrowly focused on hearing, whereas ECLiPS has a broader focus on listening, language and social difficulties.
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spelling nottingham-479032020-05-04T19:21:13Z https://eprints.nottingham.ac.uk/47903/ Quality of questionnaires for the assessment of otitis media with effusion in children Wei Chern Gan, Richard Daniel, Matija Ridley, Matthew Barry, Johanna G. Objectives Audiometric tests provide information about hearing in otitis media with effusion (OME). Questionnaires can supplement this information by supporting clinical history‐taking as well as potentially providing a standardized and comprehensive assessment of the impact of the disease on a child. There are many possible candidate questionnaires. This study aimed to assess the quality and usability of parent / child questionnaires in OME assessment. Design and main outcome measures Fifteen, published questionnaires, commonly used in audiological departments (Auditory Behaviour in Everyday Life (ABEL), Children's Auditory Performance Scale (CHAPS), Children's Home Inventory for Listening Difficulties (CHILD), Children's Outcome Worksheets (COW), Evaluation of Children's Listening and Processing Skills (ECLiPS), Early Listening Function (ELF), Fisher's Auditory Problem Checklist (FAPC), Hearing Loss 7 (HL‐7), Listening Inventory for Education‐ Revised (LIFE‐R Student), Listening Inventory for Education UK Individual Hearing Profile (LIFE‐UK IHP), LittlEARS Auditory Questionnaire (LittlEARS), Listening Situations Questionnaire (LSQ), Otitis Media 6 (OM‐6), Quality of Life in Children's Ear Problems (OMQ‐14), Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) were assessed according to the following 8 criteria: conceptual clarity, respondent burden, reliability, validity, normative data, item bias, ceiling/ floor effects, and administrative burden. Results ECLiPS, LittlEARS and PEACH scored highest overall based on the assessment criteria established for this study. None of the questionnaires fully satisfied all 8 criteria. Although all questionnaires assessed issues considered to be of at least adequate relevance to OME, the majority had weaknesses with respect to the assessment of psychometric properties, such as item bias, floor/ceiling effects or measurement reliability and validity. Publications reporting on the evaluation of reliability, validity, normative data, item bias and ceiling/floor effects were not available for most of the questionnaires. Conclusions This formal evaluation of questionnaires, currently available to clinicians, highlights three questionnaires as potentially offering a useful adjunct in the assessment of OME in clinical or research settings. These were the ECLiPS, which is suitable for children aged 6 years and older, and either the LittlEARS or the PEACH for younger children. The latter two are narrowly focused on hearing, whereas ECLiPS has a broader focus on listening, language and social difficulties. Wiley 2017-12-04 Article PeerReviewed Wei Chern Gan, Richard, Daniel, Matija, Ridley, Matthew and Barry, Johanna G. (2017) Quality of questionnaires for the assessment of otitis media with effusion in children. Clinical Otolaryngology, 43 (2). pp. 572-583. ISSN 1749-4486 http://onlinelibrary.wiley.com/doi/10.1111/coa.13026/abstract doi:10.1111/coa.13026 doi:10.1111/coa.13026
spellingShingle Wei Chern Gan, Richard
Daniel, Matija
Ridley, Matthew
Barry, Johanna G.
Quality of questionnaires for the assessment of otitis media with effusion in children
title Quality of questionnaires for the assessment of otitis media with effusion in children
title_full Quality of questionnaires for the assessment of otitis media with effusion in children
title_fullStr Quality of questionnaires for the assessment of otitis media with effusion in children
title_full_unstemmed Quality of questionnaires for the assessment of otitis media with effusion in children
title_short Quality of questionnaires for the assessment of otitis media with effusion in children
title_sort quality of questionnaires for the assessment of otitis media with effusion in children
url https://eprints.nottingham.ac.uk/47903/
https://eprints.nottingham.ac.uk/47903/
https://eprints.nottingham.ac.uk/47903/