Ottaviani F, Iacona E, Sykopetrites V, Schindler A, Mozzanica F
Department of Clinical Sciences and Community Health, San Giuseppe Hospital, Università degli Studi di Milano, Milan, Italy.
Department of Biomedical and Clinical Sciences, L. Sacco Hospital, Università degli Studi di Milano, Milan, Italy.
Eur Arch Otorhinolaryngol. 2016 Aug;273(8):2001-7. doi: 10.1007/s00405-015-3765-8. Epub 2015 Sep 1.
The NCIQ is a quantifiable self-assessment health-related quality of life instrument specific for cochlear implant users. The aim of this study was to culturally adapt the NCIQ into Italian (I-NCIQ). A prospective instrument validation study was conducted. Cross-cultural adaptation and validation were accomplished. Cronbach α was used to test internal consistency in 51 CI users and in a control group composed by 38 post-lingual deaf adult on a waiting list for a CI. ICC test was used for test-retest reliability analysis. Kruskal-Wallis test with Mann-Whitney post hoc were used to compare the I-NCIQ scores in CI users before and after the cochlear implantation and in control patients. I-NCIQ scores obtained in CI users were compared with the results of Italian version of disyllabic testing without lip-reading and without masking. Good internal consistency and good test-retest reliability were found. I-NCIQ scores obtained in the 51 CI users after implantation were consistently higher than those obtained before implantation and in the control group. Moreover, no differences were found in the results of I-NCIQ obtained in the group of 51 CI users before implantation and in the group of control patients on post hoc Mann-Whitney analysis. Positive correlations between I-NCIQ scores and the results of disyllabic testing without lip-reading and without masking were found. The I-NCIQ is a reliable, valid, self-administered questionnaire for the measurement of QOL in CI users; its application is recommended.
NCIQ是一种专门针对人工耳蜗使用者的可量化的与健康相关的生活质量自评工具。本研究的目的是将NCIQ进行文化调适，使其适用于意大利语（I-NCIQ）。开展了一项前瞻性工具验证研究。完成了跨文化调适和验证。使用Cronbach α检验了51名人工耳蜗使用者以及由38名正在等待人工耳蜗植入的语后聋成年患者组成的对照组的内部一致性。使用ICC检验进行重测信度分析。采用Kruskal-Wallis检验及事后Mann-Whitney检验，比较人工耳蜗植入前后人工耳蜗使用者以及对照患者的I-NCIQ评分。将人工耳蜗使用者获得的I-NCIQ评分与意大利语版无唇读和无掩蔽双音节测试结果进行比较。发现具有良好的内部一致性和良好的重测信度。51名人工耳蜗使用者植入后获得的I-NCIQ评分始终高于植入前及对照组获得的评分。此外，在事后Mann-Whitney分析中，51名人工耳蜗使用者植入前组和对照患者组获得的I-NCIQ结果未发现差异。发现I-NCIQ评分与无唇读和无掩蔽双音节测试结果之间呈正相关。I-NCIQ是一种可靠、有效的用于测量人工耳蜗使用者生活质量的自填式问卷；建议应用该问卷。
