Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale

Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale
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DOI:
10.1016/j.otohns.2003.09.016
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发表时间:
2004-02-01
影响因子:
3.4
通讯作者:
Hannley, MT
Hannley, MT
中科院分区:
医学2区
文献类型:
--
作者:
Stewart, MG;Witsell, DL;Hannley, MT

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目的:本研究的目标是验证一种疾病特异性的健康状况仪器用于患者鼻塞。设计,设置,和患者:本研究包括一个前瞻性的仪器验证进行了4个学术医疗中心与32名成人鼻中隔畸形。方法:前瞻性仪器验证发生在2个阶段。第一阶段是拟订可能项目的初步文书(α版)。第2阶段是一个测试的阿尔法版本的项目性能,内部一致性,和重测信度;结构,判别,标准效度,和响应性;和创建的最终instrument.RESULTS:性能不佳的项目被淘汰的阿尔法版本的仪器。在测试的最终工具,重测信度是足够的0.702,内部一致性信度也是足够的0.785。确认使用相关性和比较分析的有效性,并响应灵敏度是优秀的。结论:鼻塞症状评估量表是一个有效的,可靠的,和响应的工具,是简单,易于完成,并有潜在的使用结果研究在成人鼻塞。
OBJECTIVE: The study goal was to validate a disease-specific health status instrument for use in patients with nasal obstruction.DESIGN, SETTINGS, AND PATIENTS: The study consisted of a prospective instrument validation conducted at 4 academic medical centers with 32 adults with nasal septal deformity.METHODS: Prospective instrument validation occurred in 2 stages. Stage 1 was the development of a preliminary (alpha-version) instrument of potential items. Stage 2 was a test of the alpha-version for item performance, internal consistency, and test-retest reliability; construct, discriminant, criterion validity, and responsiveness; and creation of the final instrument.RESULTS: Items with poor performance were eliminated from the alpha-version instrument. In testing the final instrument, test-retest reliability was adequate at 0.702; internal consistency reliability was also adequate at 0.785. Validity was confirmed using correlation and comparison analysis, and response sensitivity was excellent.CONCLUSIONS: The Nasal Obstruction Symptom Evaluation Scale is a valid, reliable, and responsive instrument that is brief and easy to complete and has potential use for outcomes studies in adults with nasal obstruction.