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DOI: 10.1055/s-0039-1697992
Facial Clinimetric Evaluation Scale and Synkinesis Assessment Questionnaire Translation into Brazilian Portuguese: A Validation Study
Publication History
27 February 2019
01 August 2019
Publication Date:
07 January 2020 (online)
Abstract
Introduction Facial nerve palsy results in both functional disability and psychological morbidity. There are several well-established grading scales to quantify the quality of life of these patients.
Objective Translate and validate the Facial Clinimetric Evaluation (FaCE) scale and Synkinesis Assessment Questionnaire (SAQ) to Brazilian Portuguese.
Methods This study adopted a forward-backward translation method and performed cross-cultural adaptation. A pilot study was conducted to correct any confusing language and to evaluate content validity. A validation study was then performed. Internal consistency of the Brazilian Portuguese version of the FaCE and SAQ items was evaluated by Cronbach’s alpha coefficient. Construct validity was assessed by Spearman’s Rank Correlation Coefficient between FaCE and SAQ scores to eFACE, House-Brackmann, Short Form 12 (SF-12) and Facial Disability Index (FDI) (sub)scores.
Results A total of 90 patients were included. Cronbach’s alpha for total domain scored 0.881 for FaCE and 0.809 for SAQ. FaCE total score correlation to eFACE total and House-Brackmann showed Spearman’s r value of 0.537 and −0.538, respectively (p < 0.001). SAQ correlation to eFACE synkinesis subdomain was −0.449 (p < 0.001). No correlation was found between SAQ and HB score. FaCE total score correlations were of 0.301 and 0.547 for SF-12 PCS and MCS, respectively (p < 0.001). Correlation between FaCE total and FDI Physical and Social/well-being functions were 0.498 and 0.567 (p < 0.001).
Conclusion Brazilian Portuguese FaCE scale and SAQ versions achieved high validity and reliability in the present study. These translated instruments demonstrated good psychometric properties, being proper to use in clinical practice in Brazil and with Brazilian Portuguese speakers.
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References
- 1 Ishii LE, Godoy A, Encarnacion CO, Byrne PJ, Boahene KD, Ishii M. What faces reveal: impaired affect display in facial paralysis. Laryngoscope 2011; 121 (06) 1138-1143
- 2 Macgregor FC. Facial disfigurement: problems and management of social interaction and implications for mental health. Aesthetic Plast Surg 1990; 14 (04) 249-257
- 3 Korb S, Wood A, Banks CA, Agoulnik D, Hadlock TA, Niedenthal PM. Asymmetry of Facial Mimicry and Emotion Perception in Patients With Unilateral Facial Paralysis. JAMA Facial Plast Surg 2016; 18 (03) 222-227
- 4 Nellis JC, Ishii M, Byrne PJ, Boahene KDO, Dey JK, Ishii LE. Association Among Facial Paralysis, Depression, and Quality of Life in Facial Plastic Surgery Patients. JAMA Facial Plast Surg 2017; 19 (03) 190-196
- 5 House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93 (02) 146-147
- 6 Ross BG, Fradet G, Nedzelski JM. Development of a sensitive clinical facial grading system. Otolaryngol Head Neck Surg 1996; 114 (03) 380-386
- 7 Banks CA, Bhama PK, Park J, Hadlock CR, Hadlock TA. Clinician-graded electronic facial paralysis assessment: the eFACE. Plast Reconstr Surg 2015; 136 (02) 223e-230e
- 8 Ho AL, Scott AM, Klassen AF, Cano SJ, Pusic AL, Van Laeken N. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plast Reconstr Surg 2012; 130 (01) 91-99
- 9 VanSwearingen JM, Brach JS. The Facial Disability Index: reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system. Phys Ther 1996; 76 (12) 1288-1298 , discussion 1298–1300
- 10 Kahn JB, Gliklich RE, Boyev KP, Stewart MG, Metson RB, McKenna MJ. Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale. Laryngoscope 2001; 111 (03) 387-398
- 11 Mehta RP, WernickRobinson M, Hadlock TA. Validation of the Synkinesis Assessment Questionnaire. Laryngoscope 2007; 117 (05) 923-926
- 12 Marsk E, Hammarstedt-Nordenvall L, Engström M, Jonsson L, Hultcrantz M. Validation of a Swedish version of the Facial Disability Index (FDI) and the Facial Clinimetric Evaluation (FaCE) scale. Acta Otolaryngol 2013; 133 (06) 662-669
- 13 Kleiss IJ, Beurskens CH, Stalmeier PF, Ingels KJ, Marres HA. Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale. Eur Arch Otorhinolaryngol 2015; 272 (08) 2055-2061
- 14 Volk GF, Steigerwald F, Vitek P, Finkensieper M, Kreysa H, Guntinas-Lichius O. [Facial Disability Index and Facial Clinimetric Evaluation Scale: validation of the German versions]. Laryngorhinootologie 2015; 94 (03) 163-168
- 15 Li Y, Jiang H, Wang K. , et al. [Quality of life survey on patients with peripheral facial paralysis by using Chinese version of the FaCE scale]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013; 48 (01) 11-16
- 16 Kleiss IJ, Beurskens CHG, Stalmeier PFM, Ingels KJAO, Marres HAM. Synkinesis assessment in facial palsy: validation of the Dutch Synkinesis Assessment Questionnaire. Acta Neurol Belg 2016; 116 (02) 171-178
- 17 Wild D, Grove A, Martin M. , et al; ISPOR Task Force for Translation and Cultural Adaptation. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005; 8 (02) 94-104
- 18 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 (12) 1417-1432
- 19 Acquadro C, Conway K, Hareendran A, Aaronson N. ; European Regulatory Issues and Quality of Life Assessment (ERIQA) Group. Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health 2008; 11 (03) 509-521
- 20 Maneesriwongul W, Dixon JK. Instrument translation process: a methods review. J Adv Nurs 2004; 48 (02) 175-186
- 21 Mokkink LB, Terwee CB, Patrick DL. , et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 2010; 19 (04) 539-549
- 22 Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42 (02) 377-381
- 23 Silveira MF, Almeida JC, Freire RS, Haikal DS, Martins AEBL. Propriedades psicométricas do instrumento de avaliação da qualidade de vida: 12-item health survey (SF-12). Cien Saude Colet 2013; 18 (07) 1923-1931
- 24 Burholt V, Nash P. Short Form 36 (SF-36) Health Survey Questionnaire: normative data for Wales. J Public Health (Oxf) 2011; 33 (04) 587-603
- 25 Hinkle DE, Wiersma W, Jurs SG. Applied Statistics for the Behavioral Sciences. 5th ed. Boston: Houghton Mifflin; 2003
- 26 Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess 2003; 80 (01) 99-103
- 27 Field A. Discovering statistics using SPSS. 3rd Edition. London: SAGE Publications Ltd; 2009
- 28 Weisscher N, de Haan RJ, Vermeulen M. The impact of disease-related impairments on disability and health-related quality of life: a systematic review. BMC Med Res Methodol 2007; 7: 24
- 29 Tavares-Brito J, van Veen MM, Dusseldorp JR, Bahmad Jr F, Hadlock TA. Facial Palsy-Specific Quality of Life in 920 Patients: Correlation With Clinician-Graded Severity and Predicting Factors. Laryngoscope 2019; 129 (01) 100-104
- 30 FDA. Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims. U.S. Department of Health and Human Services FDA Center for Drug Evaluation and Research, U.S. Department of Health and Human Services FDA Center for Biologics Evaluation and Research, U.S. Department of Health and Human Services FDA Center for Devices and Radiological Health. Food and Drug Administration December 2009: 1-39 . Available at: https://www.fda.gov/downloads/drugs/guidances/ucm193282.pdf . Accessed May 2, 2018.
- 31 Mokkink LB, Terwee CB, Patrick 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 (07) 737-745