Validation of a Parent Outcome Questionnaire From Pediatric Cochlear Implantation

Abstract

This paper analyzes the reliability and validity of a questionnaire designed by Archbold, Lutman, Gregory, O'Neil, and Nikolpoulos (2002) for the assessment of pediatric cochlear implantation. Parents of 61 youngsters (age range 5 to 16 years), who had the implant for at least 3 years, responded to the questionnaire and to an interview. The alpha reliability of the 11 questionnaire scales varied between .41 and .74. Content validity was assessed by comparison with parents' responses to an interview. In general, there was agreement between parents' concerns and views expressed in the interview and as assessed by the questionnaire. However, extra issues were identified in the interview, which suggest the need for increasing the breadth of the questionnaire. Criterion validity was assessed by identifying contrasting cases, with very low or very high scores in each scale, and analyzing the descriptions obtained in the interviews. For nine scales this analysis provided support for the validity of the questionnaire; two scales did not produce positive results. Correlations with interview scores were calculated for only four scales: two were positive and significant whereas two were not significant. A factor analysis of the questionnaire scales identified four components, interpreted as the child's functioning in social situations, attitudes to the process of implantation, support required in the long term, and effective use of the implant. Suggestions for further research and descriptive comments provided by parents are included.

Evaluation of the Parental Perspective instrument for pediatric cochlear implantation to arrive at a short version

“…Nunes et al investigated the reliability and validity of the instrument, at that time called ''Parents views and experiences with pediatric cochlear implant questionnaire'' (PVECIQ) [6,9]. Parents of 61 children with at least 3 years of CI experience, responded and used the instrument and were engaged in an interview.…”

“…An instrument to assess parents' views can be used across different children's age levels and can rely on the perspective of people profoundly interested in the process and outcomes of implants. It must be recognized though, that any perspective of outcomes is limited and should not be used as single source of information [6].…”

“…In previous work, the authors collected empirical data that showed that the instrument is robust and repeatable [8]. Reliability and validity of the instrument were addressed by Nunes et al [6,9]. The instrument is now commonly referred to as Parental Perspectives (PP) (Fig.…”

“…Additionally, as the present PP is often considered as rather lengthy for workable practice [6], the possibility of developing a short version was explored.…”

Measuring health-related quality of life after pediatric cochlear implantation: A systematic review

“…We used variations of the following search string for all databases: ''(Cochlear implant * ) AND (quality of life OR effectiveness OR cost utility OR cost effectiveness OR psychology OR health status OR program evaluation OR parent * ) AND (pediatric OR child * OR infant OR toddler)''. We also hand-searched personal literature files and the reference lists of all articles found to be eligible for our systematic review [21][22][23][24][25][26][27][28][29][30].…”