Department of Otorhinolaryngology, IRCCS Multimedica, Ospedale San Giuseppe, Milan, Italy.
Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Acta Otorhinolaryngol Ital. 2023 Aug;43(4):252-261. doi: 10.14639/0392-100X-N2212. Epub 2023 May 23.
To evaluate the reliability and validity of the Italian version of the Brief Questionnaire of Olfactory Disorders (Brief-IT-QOD).
The study consisted of six phases: item generation, reliability analysis (112 dysosmic patients for internal consistency analysis and 61 for test-retest reliability analysis), normative data generation (303 normosmic subjects), validity analysis (comparison of Brief-IT-QOD scores of healthy and dysosmic subjects and scores correlation with psychophysical olfactory testing TDI and SNOT-22 scores), responsiveness analysis (10 dysosmic chronic rhinosinusitis with nasal polyps patients before and after biologic therapy), and cut-off value determination (ROC curve analysis of Brief-IT-QOD sensitivity and specificity).
All subjects completed the Brief-IT-QOD. Internal consistency (α > 0.70) and test-retest reliability (ICC > 0.7) were acceptable and satisfactory for both questionnaire subscales. A significant difference between dysosmic and control subjects was found in both subscales (p < 0.05). Significant correlations between subscales scores and TDI and SNOT-22 scores were observed. Brief-IT-QOD scores before treatment were significantly higher than after biological therapy.
Brief-IT-QOD is reliable, valid, responsive to changes in QoL, and recommended for clinical practice and outcome research.
评估意大利版嗅觉障碍简短问卷(Brief-IT-QOD)的信度和效度。
该研究包括六个阶段:项目生成、可靠性分析(112 名嗅觉障碍患者进行内部一致性分析,61 名进行测试-重测信度分析)、常模数据生成(303 名嗅觉正常受试者)、效度分析(健康和嗅觉障碍受试者的 Brief-IT-QOD 评分比较以及与心理物理学嗅觉测试 TDI 和 SNOT-22 评分的相关性分析)、反应性分析(10 名生物治疗前后的慢性鼻-鼻窦炎伴鼻息肉嗅觉障碍患者)和截断值确定(Brief-IT-QOD 敏感性和特异性的 ROC 曲线分析)。
所有受试者均完成了 Brief-IT-QOD。两个问卷子量表的内部一致性(α>0.70)和重测信度(ICC>0.7)均可接受且令人满意。子量表评分在嗅觉障碍和对照组之间存在显著差异(p<0.05)。子量表评分与 TDI 和 SNOT-22 评分之间存在显著相关性。治疗前的 Brief-IT-QOD 评分明显高于治疗后。
Brief-IT-QOD 具有可靠性、有效性,能反映生活质量的变化,推荐用于临床实践和结果研究。