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Development and validity of the DyNaChron questionnaire for chronic nasal dysfunction.
Sophie Kacha1, Francis Guillemin, Roger Jankowski
1Otorhinolaryngology Department, Hôpital Central, CHU de Nancy, Nancy, France.
A new questionnaire, DyNaChron, effectively measures nasal symptom impact. It assesses physical and psychosocial effects, showing good validity and reliability for research use.
Area of Science:
- Otorhinolaryngology
- Psychometrics
- Clinical Research
Background:
- Nasal symptoms significantly influence therapeutic decisions and treatment evaluation.
- Existing questionnaires lack systematic assessment of the distinct physical and psychosocial consequences of individual nasal symptoms.
Purpose of the Study:
- To develop and validate a self-reporting questionnaire (DyNaChron) to measure the physical and psychosocial repercussions of nasal symptoms.
- To assess the validity, reproducibility, and sensitivity to change of the DyNaChron questionnaire in a large patient sample.
Main Methods:
- Expert-based development and face validity testing of the DyNaChron questionnaire in French.
- Prospective multicenter study involving 759 patients for validity testing (factor analysis, ICC, Bland and Altman plots) and reproducibility.
- Sensitivity to change assessed using standardized response means.
Main Results:
- The DyNaChron questionnaire, with 78 items across six domains, was developed.
- Factor analysis confirmed a six-domain structure explaining 68.7% of variance.
- High internal consistency (Cronbach's alpha 0.93-0.96), strong reproducibility (ICC 0.8-0.92), and good sensitivity to change were demonstrated.
Conclusions:
- DyNaChron is a well-structured questionnaire with high internal consistency and validity for research.
- Further validation against other measures and development of a clinical score are warranted.
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