Psychometric Properties of the Persian Version of the Dizziness Handicap Inventory for Patient Caregivers in Children
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Abstract
Background and Aim: Questionnaires are useful tools for clinicians. This study aimed to translate the Dizziness Handicap Inventory for Patient Caregivers (DHI-PC) into Persian (DHI-PC-P) and assess its psychometric properties for children aged 5–12 years.
Methods: This is a descriptive-analytical psychometrics study. After obtaining permission from the developers of the DHI-PC, translation into Persian and cross-cultural adaptation were done according to the international guidelines for self-assessment tools recommended by the American Association of Orthopedic Surgeons. Participants were 21 parents (mean age: 38.05 years, SD=6.1 years, 18 female) and their children with dizziness (mean age 8.69 years, SD=2.41 years, 9 female) between the ages of 5–12 years old. Face validity, content validity, and test-retest reliability at an interval of 14–21 days were evaluated for the DHI-PC-P.
Results: The face validity was confirmed qualitatively by the experts’ opinions and quantitatively by calculating the item impact score. Content validity was confirmed by calculating the content validity index and the content validity ratio (0.97 and 0.86, respectively). The internal consistency was good (Cronbach’s alpha=0.90). For the testretest reliability, the intraclass correlation coefficient was obtained 0.94, indicating an excellent reliability.
Conclusion: The DHI-PC-P can be used clinically as a valid and reliable tool for children with dizziness aged 5–12 years.
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[14] Rigal T, Parodi M, Brisse F, Denoyelle F, Loundon N, Simon F. Translation and validation of the PVSQ and DHI-PC questionnaires for pediatric dizziness. Eur Ann Otorhinolaryngol Head Neck Dis. 2023:S1879-7296(23)00072-8. [DOI:10.1016/j.anorl.2023.05.001]
[15] Nascimento J, Moreira I, Machado E, Monteiro C, Manuel M, Araújo P, et al. Translation and cross-cultural adaptation of the “Vanderbilt Pediatric Dizziness Handicap Inventory for Patient Caregivers” questionnaire to Portugal for pediatric vertigo evaluation. Portuguese Journal of Otorhinolaryngology – Head and Neck Surgery. 2023;61(1):47-53.
[16] Kim TH, Cha HE, Lee JG, Im GJ, Song JJ, Kim SH, et al. The Study of Standardization for a Korean Dizziness Handicap Inventory for Patient Caregivers. Korean J Otorhinolaryngol-Head Neck Surg. 2019;62(8):442-7. [DOI:10.3342/kjorl-hns.2019.00416]
[17] Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. [DOI:10.1097/00007632-200012150-00014]
[18] Mohammadbeigi A, Mohammadsalehi N, Aligol M. [Validity and reliability of the instruments and types of measurments in health applied researches]. J Rafsanjan Univ Med Sci. 2015;13(10):1153-70. Persian.
[19] Lawshe CH. A Quantitative Approach to Content Validity. Pers Psychol. 1975;28(4):563-75.
[20] Abdollahpour I, Nedjat S, Noroozian M, Majdzadeh R. [Performing Content Validation Process in Development of Questionnaires]. Iran J Epidemiol. 2011;6(4):66-74. Persian.
[21] Heravi-Karimooi M, Anoosheh M, Foroughan M, Sheykhi MT, Hajizadeh E. [Designing and Determining Psychometric Properties of the Domestic Elder Abuse Questionnaire]. Iranian Journal of Ageing. 2010;5(1):7-21. Persian.
[22] Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334. [DOI:10.1007/BF02310555]
[23] Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737-45. [DOI:10.1016/j.jclinepi.2010.02.006]
[24] Santos TGT, Venosa AR, Sampaio ALL. Association between Hearing Loss and Vestibular Disorders: A Review of the Interference of Hearing in the Balance. Int J Otorhinolaryngol Head Neck Surg. 2015;4(3):173-9. [DOI:10.4236/ijohns.2015.43030.]
[25] Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424-7. [DOI:10.1001/archotol.1990.01870040046011]
[2] Hale T, Trahan H, Parent-Buck T. Evaluation of the patient with dizziness and balance disorders. In: Katz J, editor. Handbook of clinical audiology. 7th ed. Philadelphia, PA: Wolters Kluwer; 2015. p. 399-424.
[3] Jahn K, Langhagen T, Schroeder AS, Heinen F. Vertigo and dizziness in childhood - update on diagnosis and treatment. Neuropediatrics. 2011;42(4):129-34. [DOI:10.1055/s-0031-1283158]
[4] Li CM, Hoffman HJ, Ward BK, Cohen HS, Rine RM. Epidemiology of Dizziness and Balance Problems in Children in the United States: A Population-Based Study. J Pediatr. 2016;171:240-7.e1-3. [DOI:10.1016/j.jpeds.2015.12.002]
[5] O’Reilly RC, Morlet T, Nicholas BD, Josephson G, Horlbeck D, Lundy L, et al. Prevalence of vestibular and balance disorders in children. Otol Neurotol. 2010;31(9):1441-4. [DOI:10.1097/MAO.0b013e3181f20673]
[6] McCaslin DL, Jacobson GP, Gruenwald JM. The predominant forms of vertigo in children and their associated findings on balance function testing. Otolaryngol Clin North Am. 2011;44(2):291-307, vii. [DOI:10.1016/j.otc.2011.01.003]
[7] Haripriya GR, Lepcha A, Augustine AM, John M, Philip A, Mammen MD. Prevalence, clinical profile, and diagnosis of pediatric dizziness in a tertiary care hospital. Int J Pediatr Otorhinolaryngol. 2021;146:110761. [DOI:10.1016/j.ijporl.2021.110761]
[8] Janky KL, Rodriguez AI. Quantitative Vestibular Function Testing in the Pediatric Population. Semin Hear. 2018;39(3):257-74. [DOI:10.1055/s-0038-1666817]
[9] Masuda K, Goto F, Matsunaga T. Reliability and validity of the japanese translation of dizziness handicap inventory for patient caregivers. Otol Japan. 2018;28(5):708–14.
[10] McCaslin DL, Jacobson GP, Lambert W, English LN, Kemph AJ. The development of the vanderbilt pediatric dizziness handicap inventory for patient caregivers (DHI-PC). Int J Pediatr Otorhinolaryngol. 2015;79(10):1662-6. [DOI:10.1016/j.ijporl.2015.07.017]
[11] Sousa MD, Cruz O, Santos AN, Ganança C, Almeida L, Sena EP. Brazilian adaptation of the dizziness handicap inventory for the pediatric population: reliability of the results. Audiol Commun Res. 2015;20(4):327-35. [DOI:10.1590/2317-6431-2015-1595]
[12] Pavlou M, Whitney S, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. The Pediatric Vestibular Symptom Questionnaire: A Validation Study. J Pediatr. 2016;168:171-7.e1. [DOI:10.1016/j.jpeds.2015.09.075]
[13] Pavlou M, Whitney SL, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. Visually Induced Dizziness in Children and Validation of the Pediatric Visually Induced Dizziness Questionnaire. Front Neurol. 2017;8:656. [DOI:10.3389/fneur.2017.00656]
[14] Rigal T, Parodi M, Brisse F, Denoyelle F, Loundon N, Simon F. Translation and validation of the PVSQ and DHI-PC questionnaires for pediatric dizziness. Eur Ann Otorhinolaryngol Head Neck Dis. 2023:S1879-7296(23)00072-8. [DOI:10.1016/j.anorl.2023.05.001]
[15] Nascimento J, Moreira I, Machado E, Monteiro C, Manuel M, Araújo P, et al. Translation and cross-cultural adaptation of the “Vanderbilt Pediatric Dizziness Handicap Inventory for Patient Caregivers” questionnaire to Portugal for pediatric vertigo evaluation. Portuguese Journal of Otorhinolaryngology – Head and Neck Surgery. 2023;61(1):47-53.
[16] Kim TH, Cha HE, Lee JG, Im GJ, Song JJ, Kim SH, et al. The Study of Standardization for a Korean Dizziness Handicap Inventory for Patient Caregivers. Korean J Otorhinolaryngol-Head Neck Surg. 2019;62(8):442-7. [DOI:10.3342/kjorl-hns.2019.00416]
[17] Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. [DOI:10.1097/00007632-200012150-00014]
[18] Mohammadbeigi A, Mohammadsalehi N, Aligol M. [Validity and reliability of the instruments and types of measurments in health applied researches]. J Rafsanjan Univ Med Sci. 2015;13(10):1153-70. Persian.
[19] Lawshe CH. A Quantitative Approach to Content Validity. Pers Psychol. 1975;28(4):563-75.
[20] Abdollahpour I, Nedjat S, Noroozian M, Majdzadeh R. [Performing Content Validation Process in Development of Questionnaires]. Iran J Epidemiol. 2011;6(4):66-74. Persian.
[21] Heravi-Karimooi M, Anoosheh M, Foroughan M, Sheykhi MT, Hajizadeh E. [Designing and Determining Psychometric Properties of the Domestic Elder Abuse Questionnaire]. Iranian Journal of Ageing. 2010;5(1):7-21. Persian.
[22] Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334. [DOI:10.1007/BF02310555]
[23] Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737-45. [DOI:10.1016/j.jclinepi.2010.02.006]
[24] Santos TGT, Venosa AR, Sampaio ALL. Association between Hearing Loss and Vestibular Disorders: A Review of the Interference of Hearing in the Balance. Int J Otorhinolaryngol Head Neck Surg. 2015;4(3):173-9. [DOI:10.4236/ijohns.2015.43030.]
[25] Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424-7. [DOI:10.1001/archotol.1990.01870040046011]
| Files | ||
| Issue | Vol 33 No 1 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v33i1.14275 | |
| Keywords | ||
| Questionnaire dizziness handicap inventory validity reliability vertigo children | ||
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How to Cite
1.
Kachabiyan MH, Heidari F, Karimzadeh P, Akbarzadeh Baghban A. Psychometric Properties of the Persian Version of the Dizziness Handicap Inventory for Patient Caregivers in Children. Aud Vestib Res. 2023;33(1):57-63.
