| Title | Measuring health-related quality of life in chronic otitis media in a Chinese population: cultural adaption and validation of the Zurich Chronic Middle Ear Inventory (ZCMEI-21-Chn) |
| Authors | Yang, Ruizhe Zhang, Ying Han, Weiju Li, Yi Li, Shan Ke, Jia Song, Yu Liu, Junxiu Roeoesli, Christof Huber, Alexander M. Baechinger, David Ma, Furong |
| Affiliation | Peking Univ, Dept Otolaryngol Head & Neck Surg, Hosp 3, Beijing 100191, Peoples R China Capital Med Univ, Natl Ctr Childrens Hlth, Beijing Childrens Hosp, Ctr Clin Epidemiol & Evidence Based Med, Beijing 100045, Peoples R China Chinese Peoples Liberat Army Gen Hosp, Dept Otorhinolaryngol Head & Neck Surg, Beijing 100853, Peoples R China Capital Med Univ, Tongren Hosp, Dept Otorhinolaryngol, Beijing 100730, Peoples R China Univ Hosp Zurich, Dept Otorhinolaryngol Head & Neck Surg, Zurich, Switzerland Univ Zurich, Zurich, Switzerland |
| Keywords | QUESTIONNAIRE |
| Issue Date | 8-Jul-2020 |
| Publisher | HEALTH AND QUALITY OF LIFE OUTCOMES |
| Abstract | Background The demand for assessing health-related quality of life (HRQoL) in chronic otitis media (COM) is increasing globally. The currently available Chinese-language patient-reported outcome measurement (PROM) specific for COM includes merely a limited range of related symptoms and dimensions. Hence, in this study, we aim to translate, culturally adapt, and validate the Zurich Chronic Middle Ear Inventory (ZCMEI-21) in Chinese, to enable a comprehensive evaluation of the patients' subjective health outcome in COM. Methods We sampled and surveyed 223 COM patients at three tertiary referral centers in China, using the Chinese translation of ZCMEI-21 (ZCMEI-21-Chn) and the EQ-5D questionnaire, a generic measure of HRQoL. Confirmatory factor analysis (CFA) was performed to investigate the structural model fit to the dataset. Cronbach's alpha and test-retest reliability coefficient were calculated to establish reliability, and correlation was tested between ZCMEI-Chn scores and EQ-5D scores for convergent validity. Results A total of 208 adult patients with COM were included, with a mean age of 46 years (SD 14 years) and a male proportion of 41% (85/208). A modified bifactor model with omega(H)of 0.65 and ECV of 0.47 was found to fit the scale scores, indicating fair general factor saturation and multidimensionality of the instrument. ZCMEI-21-Chn demonstrated good reliability (Cronbach's alpha = 0.88, test-retest reliability = 0.88). The total scores of ZCMEI-21-Chn had a moderate correlation with a question directly addressing HRQoL (r = 0.40,p < 0.001), EQ-5D descriptive system score (r = 0.57,p < 0.001), and EQ-5D visual analogous scale (r = 0.30,p < 0.001). Conclusions The ZCMEI-21-Chn is valid, reliable and culturally adapted to Chinese adult patients with COM. This study offers clinicians an efficient and comprehensive instrument to quantify COM patients' self-reported health outcomes, which could facilitate the standardization of HRQoL data aggregation in COM on a global scale. |
| URI | http://hdl.handle.net/20.500.11897/590519 |
| DOI | 10.1186/s12955-020-01461-6 |
| Indexed | SCI(E) |
| Appears in Collections: | 第三医院 |
