Kleiss Ingrid J, Beurskens Carien H G, Stalmeier Peep F M, Ingels Koen J A O, Marres Henri A M
Department of Otolaryngology and Head & Neck Surgery, Radboud university medical center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands,
Eur Arch Otorhinolaryngol. 2015 Aug;272(8):2055-61. doi: 10.1007/s00405-015-3508-x. Epub 2015 Jan 28.
This study aimed at validating an existing health-related quality of life questionnaire for patients with facial palsy for implementation in the Dutch language and culture. The Facial Clinimetric Evaluation Scale was translated into the Dutch language using a forward-backward translation method. A pilot test with the translated questionnaire was performed in 10 patients with facial palsy and 10 normal subjects. Finally, cross-cultural adaption was accomplished at our outpatient clinic for facial palsy. Analyses for internal consistency, test-retest reliability, construct validity and responsiveness were performed. Ninety-three patients completed the Dutch Facial Clinimetric Evaluation Scale, the Dutch Facial Disability Index, and the Dutch Short Form (36) Health Survey. Cronbach's α, representing internal consistency, was 0.800. Test-retest reliability was shown by an intraclass correlation coefficient of 0.737. Correlations with the House-Brackmann score, Sunnybrook score, Facial Disability Index physical function, and social/well-being function were -0.292, 0.570, 0.713, and 0.575, respectively. The SF-36 domains correlate best with the FaCE social function domain, with the strongest correlation between the both social function domains (r = 0.576). The FaCE score did statistically significantly increase in 35 patients receiving botulinum toxin type A (P = 0.042, Student t test). The domains 'facial comfort' and 'social function' improved statistically significantly as well (P = 0.022 and P = 0.046, respectively, Student t-test). The Dutch Facial Clinimetric Evaluation Scale shows good psychometric values and can be implemented in the management of Dutch-speaking patients with facial palsy in the Netherlands. Translation of the instrument into other languages may lead to widespread use, making evaluation and comparison possible among different providers.
本研究旨在验证一份现有的面瘫患者健康相关生活质量问卷，以便在荷兰语言和文化背景下实施。采用正向-反向翻译法将面部临床计量评估量表翻译成荷兰语。对10名面瘫患者和10名正常受试者进行了翻译后问卷的预测试。最后，在我们的面瘫门诊完成了跨文化调适。进行了内部一致性、重测信度、结构效度和反应度分析。93名患者完成了荷兰面部临床计量评估量表、荷兰面部残疾指数和荷兰简短健康调查问卷（36项）。代表内部一致性的克朗巴哈α系数为0.800。组内相关系数为0.737，显示了重测信度。与House-Brackmann评分、Sunnybrook评分、面部残疾指数身体功能和社会/幸福功能的相关性分别为-0.292、0.570、0.713和0.575。SF-36量表各领域与面部临床计量评估量表社会功能领域相关性最佳，两个社会功能领域之间的相关性最强（r = 0.576）。35名接受A型肉毒杆菌毒素治疗的患者的面部临床计量评估量表得分在统计学上有显著提高（P = 0.042，学生t检验）。“面部舒适度”和“社会功能”领域也有统计学上的显著改善（分别为P = 0.022和P = 0.046，学生t检验）。荷兰面部临床计量评估量表显示出良好的心理测量学价值，可用于荷兰面瘫患者的管理。将该工具翻译成其他语言可能会使其得到广泛应用，从而使不同医疗机构之间的评估和比较成为可能。
