Development and Validation of a Shortened Severity Measurement Tool for Tinnitus.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2024-12-12 DOI:10.1002/ohn.1076

Lauren Mueller, Emma R Dear, Juan Turcois, Madelyn R Frumkin, Harrison Smith, Dorina Kallogjeri, Thomas L Rodebaugh, Jay F Piccirillo

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引用次数: 0

Abstract

Objective: There is a need to develop and validate a brief questionnaire to measure tinnitus severity that can meet the needs of clinicians and researchers. The objective of this study is to demonstrate the validity and reliability of the 9-item Tinnitus Severity Short Form (TS-SF).

Study design: A cohort study of online survey respondents recruited in October 2020 from the American Tinnitus Association electronic mailing list with a 2-week follow-up time interval.

Setting: Online.

Methods: Face and content validity, factor analysis, internal consistency, convergent validity, reliability, and minimal clinically important difference (MCID) were analyzed.

Results: Of 1121 participants that started the survey, 325 (29%) completed the baseline TS-SF. Through confirmatory factor analysis, the 9-item survey demonstrated a bifactor model with a substantive distress factor and a method factor. The instrument had high internal consistency with Cronbach's α of .96. Convergent validity determined the TS-SF score to be a predictor of tinnitus severity. Of 261 follow-up respondents, the test-retest reliability of r = 0.69 (95% confidence interval, 0.62-0.75) was determined. The MCID was determined using a distribution approach to be a 12-point change.

Conclusion: The TS-SF demonstrates good internal consistency, validity, and reliability. This patient-reported outcome measure for tinnitus can be used in tinnitus treatment trials and clinical practice. The 9-item survey is less likely to result in respondent survey fatigue than longer surveys, and the 2-week reference interval allows for monitoring of tinnitus severity change in an appropriate timeframe.

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耳鸣严重程度简易测量工具的开发与验证

目的：有必要开发并验证一种简短的耳鸣严重程度测量问卷，以满足临床医生和研究人员的需求。本研究旨在证明 9 项耳鸣严重程度简表（TS-SF）的有效性和可靠性：研究设计：2020 年 10 月从美国耳鸣协会电子邮寄名单中招募的在线调查对象的队列研究，随访时间间隔为 2 周：方法对表面和内容效度、因素分析、内部一致性、收敛效度、可靠性和最小临床重要差异（MCID）进行分析：在开始调查的 1121 名参与者中，有 325 人（29%）完成了基线 TS-SF。通过确认性因子分析，9 个项目的调查显示了一个包含实质性困扰因子和方法因子的双因子模型。该工具具有较高的内部一致性，Cronbach's α 为 0.96。聚合效度确定 TS-SF 分数可预测耳鸣的严重程度。在 261 名随访受访者中，测试-再测可靠性为 r = 0.69（95% 置信区间，0.62-0.75）。采用分布法确定的MCID为12点变化：TS-SF具有良好的内部一致性、有效性和可靠性。结论：TS-SF 具有良好的内部一致性、有效性和可靠性，可用于耳鸣治疗试验和临床实践。与时间较长的调查相比，9 个项目的调查不太可能导致受访者产生调查疲劳，而且 2 周的参考时间间隔可在适当的时间范围内监测耳鸣严重程度的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.