Validation of a Spanish version of the health-related quality of life (HRQoL) measure for Chronic Otitis Media (COMQ-12)

Health and Quality of Life Outcomes

Ricardo Sánchez-Pedraza¹  John S. Phillips²  Ana M. Otoya-Tono³  Daniel Peñaranda³  Juan Manuel García⁴  Augusto Peñaranda⁵  Sergio Moreno-López⁶  Lucía C. Pérez-Herrera⁶ 

[1] Clinical Research Institute, Universidad Nacional de Colombia, Bogotá, Colombia;Ear, Nose and Throat Department, Norfolk and Norwich University Hospital Foundation Trust, Norwich, Norfolk, UK;Fundación Universitaria de Ciencias de la Salud – Hospital de San José, Bogotá, Colombia;Fundación Universitaria de Ciencias de la Salud – Hospital de San José, Bogotá, Colombia;Universidad de Los Andes, Cra 1 Nº 18A – 12, Bogotá, Colombia;Hospital Universitario Fundación Santa Fe de Bogotá, Cra. 7 #117 – 15, Bogotá, Colombia;Universidad de Los Andes, Cra 1 Nº 18A – 12, Bogotá, Colombia;Hospital Universitario Fundación Santa Fe de Bogotá, Cra. 7 #117 – 15, Bogotá, Colombia;Universidad de Los Andes, Cra 1 Nº 18A – 12, Bogotá, Colombia;Otolaryngology and Allergology Research Groups, Unimeq-Orl, Bogotá, Colombia;

关键词: Chronic Suppurative Otitis Media;    Health-related quality of life;    COMQ-12;    Validity;   

DOI  :  10.1186/s12955-020-01616-5

来源: Springer

【 摘 要 】

BackgroundEvaluation of health-related quality of life (HRQoL) is considered an important aspect of clinical assessment and health research. Chronic Otitis Media (COM) is related to the quality of life deterioration subsequent to COM symptoms, social communication impairments, and lower work performance. However, there is no reliable information regarding the impact of this disease on health and quality of life in many resource-poor countries. Therefore, we translated into Spanish the Chronic Otitis Media Questionnaire-12 (COMQ-12) for the evaluation of HRQoL of Chronic Otitis Media (COM) in adult patients. Also, we assessed the psychometric properties of the Spanish version of the questionnaire.MethodsTwo otology referral centers in Bogotá, Colombia were included. The Spanish version of COMQ-12 was applied twice to 200 adult patients with confirmed COM diagnosis and 31 healthy controls to perform the validation process and assess the internal consistency of this questionnaire. Psychometric characteristics (internal consistency, test–retest reliability, and construct validity) of the COMQ-12 were assessed. Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted via structural equation modeling to test the questionnaire’s structure.ResultsThe Spanish version of the COMQ-12 showed good internal consistency (Cronbach’s Alpha: 0.86, McDonald’s Omega: 0.89). Coefficients corresponding to Lin’s Concordance test and test–retest reliability were 0.95 and 0.83 respectively. Correlation between the Visual Analogue Scale (VAS) and the COMQ-12 was 0.68 (95% CI 0.59–0.75, p value < 0.001). Factor analysis of the Spanish version of the COMQ-12 indicated a questionnaire structure with three domains: smelly discharge related symptoms; hearing loss related symptoms; and impact on work, lifestyle, and health services.ConclusionThis Spanish version of the COMQ-12 showed high reliability and high internal consistency. This questionnaire can be used as an objective clinical tool to assess the HRQoL of patients who have a COM diagnosis.Trial registrationHospital Universitario Fundación Santa Fe, Ethical Committee Registration ID: CCEI-8807-2018. Hospital de San José, Ethical Committee: Record number 500, DI-I-0632-18.

【 授权许可】

CC BY