Translation, Cultural Adaptation and Contributions to the Validation of the Nijmegen Cochlear Implant Questionnaire (NCIQ) for European Portuguese

Authors

  • Luis Roque Reis Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon. https://orcid.org/0000-0001-6211-4212
  • Luís Castelhano Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.
  • Kaamil Gani Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.
  • Filipe Correia Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.
  • Gonçalo Nunes Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon.
  • Ricardo Santos Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.
  • Assunção O'Neill Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.
  • Pedro Escada Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.

DOI:

https://doi.org/10.20344/amp.16632

Keywords:

Cochlear Implantation, Cochlear Implants, Portugal, Quality of Life, Reproducibility of Results, Speech Perception, Surveys and Questionnaires, Translation

Abstract

Introduction: The Nijmegen Cochlear Implant Questionnaire (NCIQ) scale uses a simple and easily administered questionnaire to evaluate the adaptation of individuals to their cochlear implants. The aim of this study was to validate the NCIQ for European Portuguese, through its translation and cultural adaptation. It also presents the evaluation of reproducibility and the description of the results of this questionnaire in patients using IC.
Material and Methods: Fifty postlingually deaf adult multichannel cochlear implant users (uni- or bilateral) participated in the study. Participants used the cochlear implant for at least 12 months and were patients of the Department of Otolaryngology at the Egas Moniz Hospital in Lisbon. Permission, as well the guidelines for translation, were obtained from the authors of the scale. Translation and cultural adaptation were carried out, in addition to the evaluation of reproducibility and internal consistency.
Results: The participants were 44.0% male and 56.0% female, aged between 20 and 79 years (55.50 ± 15.69). The results of the study showed an overall level of satisfaction of 65.07 among cochlear implants users. The level of satisfaction of the subdomains was 64.40 in basic sound perception, 71.35 in advanced sound perception, 57.91 in speech production, 59.05 in self-esteem, 69.75 in activity and 68.50 in social functioning. Internal consistency (Cronbach α score = 0.96) and test-retest reliability coefficients proved to be strong. Furthermore, the questionnaire’s overall and subdomains average scores did not differ significantly from the results obtained with the original scale.
Conclusion: This adaptation of the NCIQ questionnaire for European Portuguese should be considered a good tool to evaluate the level of satisfaction of cochlear implant users and, so far, it is the only scale in this field validated for application in the Portuguese population.

Downloads

Download data is not yet available.

Author Biography

Luis Roque Reis, Department of Otorhinolaryngology. Egas Moniz Hospital. Centro Hospitalar de Lisboa Ocidental. Lisbon. NOVA Medical School. Faculdade de Ciências Médicas. Lisbon.

Serviço de Otorrinolaringologia. Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental. Unidade curricular de Otorrinolaringologia da Faculdade de Ciências Médicas da Universidade Nova de Lisboa

References

Manrique M, Ramos A, de Paula Vernetta C, Gil-Carcedo E, Lassaletta L, Sanchez-Cuadrado I, et al. Guideline on cochlear implants. Acta Otorrinolaringol Esp. 2019;70:47-54. DOI: https://doi.org/10.1016/j.otoeng.2017.10.012

National_Institute_for_Health, Clinical_Excellence. Cochlear implants for children and adults with severe to profound deafness (TA566). London: NICE; 2019.

Fernandes F, Escada P, O’Neill MA, Silva VC, Monteiro L, Silva L, et al. Guideline: screening and treatment of the deafness with cochlear implants in pediatric age (updated in 2017). Lisbon: Directorate-General for Health, Ministry of Health; 2015.

Fernandes F, Escada P, O’Neill MA, Silva VC, Monteiro L, Silva L, et al. Guideline: treatment of the deafness with cochlear implants in the adult. Lisbon: Directorate-General for Health, Ministery of Health; 2016.

Hermann R, Lescanne E, Loundon N, Barone P, Belmin J, Blanchet C, et al. French Society of ENT (SFORL) guidelines. Indications for cochlear implantation in adults. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136:193-7. DOI: https://doi.org/10.1016/j.anorl.2019.04.006

Simon F, Roman S, Truy E, Barone P, Belmin J, Blanchet C, et al. Guidelines (short version) of the French Society of Otorhinolaryngology

(SFORL) on pediatric cochlear implant indications. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136:385-91. DOI: https://doi.org/10.1016/j.anorl.2019.05.018

Messersmith JJ, Entwisle L, Warren S, Scott M. Clinical practice guidelines: cochlear implants. J Am Acad Audiol. 2019;30:827-44. DOI: https://doi.org/10.3766/jaaa.19088

Beutner D, Delb W, Frenzel H, Hoppe U, Hüttenbrink KB, Mlynski R, et al. Guideline “Implantable hearing aids”-short version: German S2k guideline of the Working Group of German-speaking Audiologists, Neurootologists and Otologists (ADANO), of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO) in collaboration with the German Society of Audiology (DGA), the German Society of Phoniatrics and Pediatric Audiology (DGPP), and patient representatives. HNO. 2018;66:S71–6. DOI: https://doi.org/10.1007/s00106-018-0533-2

Lassaletta L, Castro A, Bastarrica M, de Sarria MJ, Gavilan J. Quality of life in postlingually deaf patients following cochlear implantation. Eur Arch Otorhinolaryngol. 2006;263:267-70. DOI: https://doi.org/10.1007/s00405-005-0987-1

Bond M, Mealing S, Anderson R, Elston J, Weiner G, Taylor RS, et al. The effectiveness and cost-effectiveness of cochlear implants for severe to profound deafness in children and adults: a systematic review and economic model. Health Technol Assess. 2009;13:1-330. DOI: https://doi.org/10.3310/hta13440

Hinderink JB, Krabbe PF, Van Den Broek P. Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg. 2000;123:756-65. DOI: https://doi.org/10.1067/mhn.2000.108203

Kou BS, Shipp DB, Nedzelski JM. Subjective benefits reported by adult Nucleus 22-channel cochlear implant users. J Otolaryngol. 1994;23:8-14.

Maillet CJ, Tyler RS, Jordan HN. Change in the quality of life of adult cochlear implant patients. Ann Otol Rhinol Laryngol Suppl. 1995;165:31-48.

Ramakers GG, Smulders YE, van Zon A, Van Zanten GA, Grolman W, Stegeman I. Correlation between subjective and objective hearing tests after unilateral and bilateral cochlear implantation. BMC Ear Nose Throat Disord. 2017;17:10. DOI: https://doi.org/10.1186/s12901-017-0043-y

Krabbe PF, Hinderink JB, van den Broek P. The effect of cochlear implant use in postlingually deaf adults. Int J Technol Assess Health Care. 2000;16:864-73. DOI: https://doi.org/10.1017/S0266462300102132

Andries E, Gilles A, Topsakal V, Vanderveken OM, Van de Heyning P, Van Rompaey V, et al. Systematic review of quality of life assessments after cochlear implantation in older adults. Audiol Neurootol. 2021;26:61-75. DOI: https://doi.org/10.1159/000508433

Ou H, Dunn CC, Bentler RA, Zhang X. Measuring cochlear implant satisfaction in postlingually deafened adults with the SADL inventory. J Am Acad Audiol. 2008;19:721-34. DOI: https://doi.org/10.3766/jaaa.19.9.7

Ambert-Dahan E, Laouenan C, Lebredonchel M, Borel S, Carillo C, Bouccara D, et al. Evaluation of the impact of hearing loss in adults: Validation of a quality of life questionnaire. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135:25-31. DOI: https://doi.org/10.1016/j.anorl.2017.09.003

Crowson MG, Semenov YR, Tucci DL, Niparko JK. Quality of fife and cost-effectiveness of cochlear implants: a narrative review. Audiol Neurootol. 2017;22:236-58. DOI: https://doi.org/10.1159/000481767

Santos NP, Couto MI, Martinho-Carvalho AC. Nijmegen Cochlear Implant Questionnaire (NCIQ): translation, cultural adaptation, and application in adults with cochlear implants. Codas. 2017;29:e20170007. DOI: https://doi.org/10.1590/2317-1782/20172017007

Sladen DP, Peterson A, Schmitt M, Olund A, Teece K, Dowling B, et al. Health-related quality of life outcomes following adult cochlear implantation: a prospective cohort study. Cochlear Implants Int. 2017;18:130-5. DOI: https://doi.org/10.1080/14670100.2017.1293203

Moberly AC, Harris MS, Boyce L, Vasil K, Wucinich T, Pisoni DB, et al. Relating quality of life to outcomes and predictors in adult cochlear implant users: are we measuring the right things? Laryngoscope. 2018;128:959-66. DOI: https://doi.org/10.1002/lary.26791

Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin EB, et al. Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clin Ther. 1996;18:979-92. DOI: https://doi.org/10.1016/S0149-2918(96)80054-3

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417-32. DOI: https://doi.org/10.1016/0895-4356(93)90142-N

Raykov T, Marcoulides GA. Thanks Coefficient Alpha, we still need you! Educ Psychol Meas. 2019;79:200-10. DOI: https://doi.org/10.1177/0013164417725127

Cohen SM, Labadie RF, Dietrich MS, Haynes DS. Quality of life in hearing-impaired adults: the role of cochlear implants and hearing aids. Otolaryngol Head Neck Surg. 2004;131:413-22. DOI: https://doi.org/10.1016/j.otohns.2004.03.026

Hirschfelder A, Grabel S, Olze H. The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol Head Neck Surg. 2008;138:357-62. DOI: https://doi.org/10.1016/j.otohns.2007.10.019

Ottaviani F, Iacona E, Sykopetrites V, Schindler A, Mozzanica F. Crosscultural adaptation and validation of the Nijmegen Cochlear Implant Questionnaire into Italian. Eur Arch Otorhinolaryngol. 2016;273:2001-7. DOI: https://doi.org/10.1007/s00405-015-3765-8

Sanchez-Cuadrado I, Gavilan J, Perez-Mora R, Munoz E, Lassaletta L. Reliability and validity of the Nijmegen Cochlear Implant Questionnaire in Spanish. Eur Arch Otorhinolaryngol. 2015;272:1621-5. DOI: https://doi.org/10.1007/s00405-014-2983-9

Dong RJ, Liu B, Peng XX, Chen XQ, Gong SS. Nijmegen [Analysis of reliability and validity of the Chinese version of Nijmegen Cochlear Implant Questionnaire]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010;45:818-23.

Damen GW, Beynon AJ, Krabbe PF, Mulder JJ, Mylanus EA. Cochlear implantation and quality of life in postlingually deaf adults: long-term follow-up. Otolaryngol Head Neck Surg. 2007;136:597-604. DOI: https://doi.org/10.1016/j.otohns.2006.11.044

Sladen DP, Zappler A. Older and younger adult cochlear implant users: speech recognition in quiet and noise, quality of life, and music perception. Am J Audiol. 2015;24:31-9. DOI: https://doi.org/10.1044/2014_AJA-13-0066

Louza J, Hempel JM, Krause E, Berghaus A, Muller J, Braun T. Patient benefit from cochlear implantation in single-sided deafness: a 1-year follow-up. Eur Arch Otorhinolaryngol. 2017;274:2405-9. DOI: https://doi.org/10.1007/s00405-017-4511-1

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186-91. DOI: https://doi.org/10.1097/00007632-200012150-00014

Damen GW, Pennings RJ, Snik AF, Mylanus EA. Quality of life and cochlear implantation in Usher syndrome type I. Laryngoscope. 2006;116:723-8. DOI: https://doi.org/10.1097/01.mlg.0000205128.86063.17

Robinson K, Gatehouse S, Browning GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol. 1996;105:415-22. DOI: https://doi.org/10.1177/000348949610500601

Roque Dos Reis L, Donato M, Sousa R, Escada P. Tradução, adaptação cultural e validação da escala Satisfaction with Amplification in Daily Life para o português de Portugal. Acta Med Port. 2017;30:115-21. DOI: https://doi.org/10.20344/amp.7794

Cox RM, Alexander GC. Validation of the SADL questionnaire. Ear Hear. 2001;22:151-60. DOI: https://doi.org/10.1097/00003446-200104000-00008

Cox RM, Alexander GC. The abbreviated profile of hearing aid benefit. Ear Hear. 1995;16:176-86. DOI: https://doi.org/10.1097/00003446-199504000-00005

Published

2022-06-07

How to Cite

1.
Roque Reis L, Castelhano L, Gani K, Correia F, Nunes G, Santos R, O’Neill A, Escada P. Translation, Cultural Adaptation and Contributions to the Validation of the Nijmegen Cochlear Implant Questionnaire (NCIQ) for European Portuguese. Acta Med Port [Internet]. 2022 Jun. 7 [cited 2024 Dec. 22];35(12):866-73. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/16632

Issue

Section

Original