Larrosa F, Samara L, Esteller E, Dura M J, Escamilla Y, Alberti A, Rosell R, Hopkins C
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Alt Penedes, Barcelona, Spain.
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Quiron Teknon, Barcelona, Spain.
Clin Otolaryngol. 2018 Apr;43(2):598-603. doi: 10.1111/coa.13029. Epub 2017 Nov 27.
The Paediatric Throat Disorders Outcome Test (T-14) is a disease-specific questionnaire that parents are requested to complete; it aimed to assess the quality of life related to tonsil and adenoid disease or its treatment in children with throat disorders. The aim of this study was to validate the Spanish adaptation of the T-14, thus allowing comparison across studies and facilitating international multicentre projects.
DESIGN, SETTING AND PARTICIPANTS: This was a multicentre prospective instrument validation study. Guidelines for the cross-cultural adaptation process from the original English-language scale into a Spanish-language version were followed. The psychometric properties (reproducibility, reliability, validity, responsiveness) of the Spanish version ("T-14-s" for "T-14-Spanish") were assessed in 50 consecutive children undergoing adeno/tonsillectomy (both before and 6 months after surgery) and in a separate cohort of 50 unaffected children in a comparable age range.
Test-retest reliability (γ = 0.83) and internal consistency reliability (α = 0.94) were adequate. The T-14-s demonstrated satisfactory construct validity (r > 0.40). The instrument showed excellent between-group discrimination (P < .0001) and a high responsiveness to change (effect size = 2.09).
The Spanish version of the T-14 (T-14-s) is a valid tool for measuring the subjective severity of throat disorders, and its use is recommended.
儿童咽喉疾病结局测试（T - 14）是一份要求家长填写的针对特定疾病的问卷，旨在评估咽喉疾病患儿与扁桃体和腺样体疾病或其治疗相关的生活质量。本研究的目的是验证T - 14的西班牙语改编版，以便在各项研究之间进行比较，并促进国际多中心项目。
设计、地点和参与者：这是一项多中心前瞻性工具验证研究。遵循了将原始英文量表跨文化改编为西班牙语版本的流程指南。对50名连续接受腺样体/扁桃体切除术的儿童（手术前和术后6个月）以及另外一组年龄范围相当的50名未受影响儿童评估了西班牙语版本（“T - 14 - s”表示“T - 14西班牙语版”）的心理测量特性（可重复性、可靠性、有效性、反应性）。
重测信度（γ = 0.83）和内部一致性信度（α = 0.94）良好。T - 14 - s显示出令人满意的结构效度（r > 0.40）。该工具显示出出色的组间区分度（P <.0001）和对变化的高反应性（效应量 = 2.09）。
T - 14的西班牙语版本（T - 14 - s）是测量咽喉疾病主观严重程度的有效工具，建议使用。
