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Validation and psychometric evaluation of the Swedish version of the Nasal Obstruction Symptom Evaluation scale

Sunnergren, Ola ; Pakpour, Amir H. ; Bergquist, Henrik ; Sahlstrand-Johnson, Pernilla LU ; Stjärne, Pär and Broström, Anders (2023) In Laryngoscope Investigative Otolaryngology 8(2). p.357-366
Abstract

Objectives: The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific quality-of-life questionnaire for patients suffering from nasal obstruction. The instrument is designed specifically for patients with septal deviation and for the evaluation of the outcome of septoplasty. The aim of this study was to validate a Swedish version of the NOSE instrument for use in clinical practice and research. Methods: A Swedish version of the NOSE was tested in a case group consisting of 125 subjects with nasal obstruction (of which 31 underwent septoplasty) and a control group consisting of 65 healthy subjects. Base line data for the case and control groups were used to evaluate face validity, known groups validity, construct... (More)

Objectives: The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific quality-of-life questionnaire for patients suffering from nasal obstruction. The instrument is designed specifically for patients with septal deviation and for the evaluation of the outcome of septoplasty. The aim of this study was to validate a Swedish version of the NOSE instrument for use in clinical practice and research. Methods: A Swedish version of the NOSE was tested in a case group consisting of 125 subjects with nasal obstruction (of which 31 underwent septoplasty) and a control group consisting of 65 healthy subjects. Base line data for the case and control groups were used to evaluate face validity, known groups validity, construct validity, internal consistency and factor structure analysis. Fifty participants in both the case groups and control groups were assessed both at baseline and after 2 weeks to evaluate test–retest reliability. The participants who underwent septoplasty were assessed at baseline and after 3–6 months to evaluate responsiveness. Results: The S-NOSE was found to be reliable, valid, and responsive. Both Cronbach's α and McDonald Omega coefficients were >0.7, and the intra class coefficient was 0.942. The S-NOSE scores were significantly correlated with nasal patency VAS in both the case group and the control group (p <.001 and p =.018, respectively). After septoplasty, the mean S-NOSE score were significantly improved (p <.001). Furthermore, the S-NOSE was shown to have excellent and robust psychometric properties. Conclusion: The S-NOSE can be recommended in both clinical practice and research to evaluate the outcome of septoplasty in Swedish-speaking populations. Level of Evidence: NA.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
nasal obstruction, NOSE scale, quality of life, septoplasty, Swedish language, validation
in
Laryngoscope Investigative Otolaryngology
volume
8
issue
2
pages
10 pages
publisher
Wiley
external identifiers
  • scopus:85150364909
ISSN
2378-8038
DOI
10.1002/lio2.1036
language
English
LU publication?
no
additional info
Publisher Copyright: © 2023 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.
id
fc772998-dbad-47ce-ac34-21ca483cd46c
date added to LUP
2024-01-12 15:34:05
date last changed
2024-02-28 12:34:42
@article{fc772998-dbad-47ce-ac34-21ca483cd46c,
  abstract     = {{<p>Objectives: The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific quality-of-life questionnaire for patients suffering from nasal obstruction. The instrument is designed specifically for patients with septal deviation and for the evaluation of the outcome of septoplasty. The aim of this study was to validate a Swedish version of the NOSE instrument for use in clinical practice and research. Methods: A Swedish version of the NOSE was tested in a case group consisting of 125 subjects with nasal obstruction (of which 31 underwent septoplasty) and a control group consisting of 65 healthy subjects. Base line data for the case and control groups were used to evaluate face validity, known groups validity, construct validity, internal consistency and factor structure analysis. Fifty participants in both the case groups and control groups were assessed both at baseline and after 2 weeks to evaluate test–retest reliability. The participants who underwent septoplasty were assessed at baseline and after 3–6 months to evaluate responsiveness. Results: The S-NOSE was found to be reliable, valid, and responsive. Both Cronbach's α and McDonald Omega coefficients were &gt;0.7, and the intra class coefficient was 0.942. The S-NOSE scores were significantly correlated with nasal patency VAS in both the case group and the control group (p &lt;.001 and p =.018, respectively). After septoplasty, the mean S-NOSE score were significantly improved (p &lt;.001). Furthermore, the S-NOSE was shown to have excellent and robust psychometric properties. Conclusion: The S-NOSE can be recommended in both clinical practice and research to evaluate the outcome of septoplasty in Swedish-speaking populations. Level of Evidence: NA.</p>}},
  author       = {{Sunnergren, Ola and Pakpour, Amir H. and Bergquist, Henrik and Sahlstrand-Johnson, Pernilla and Stjärne, Pär and Broström, Anders}},
  issn         = {{2378-8038}},
  keywords     = {{nasal obstruction; NOSE scale; quality of life; septoplasty; Swedish language; validation}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{357--366}},
  publisher    = {{Wiley}},
  series       = {{Laryngoscope Investigative Otolaryngology}},
  title        = {{Validation and psychometric evaluation of the Swedish version of the Nasal Obstruction Symptom Evaluation scale}},
  url          = {{http://dx.doi.org/10.1002/lio2.1036}},
  doi          = {{10.1002/lio2.1036}},
  volume       = {{8}},
  year         = {{2023}},
}