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Cross-cultural adaptation and validation of Lithuanian-NOSE scale

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

A Letter to the Editor to this article was published on 24 April 2021

Abstract

Purpose

To evaluate validity and reliability of Lithuanian version of Nasal Obstruction Symptom Evaluation Scale (L-NOSE), designed for the assessment of nasal obstruction.

Methods

Cross-cultural adaptation of L-NOSE was accomplished according to generally accepted methodology. L- NOSE was tested for its reliability, validity, and responsiveness in the group of 50 septoplasty patients and 100 healthy volunteers’ controls.

Results

L- NOSE showed good internal consistency (Cronbach’s alpha coefficient 0.796 for test, 0.791 for retest, 0.792 for post-operative group, and 0.817 for control group) scores and high test–retest reliability (r = 0.94, p < 0.01) scores. In patients’ group, positive moderate correlations between L-NOSE scores and Sino-nasal Outcome Test-22 logically similar domain scores were found, thus indicating good convergent construct validity. L-NOSE scores for control subjects were generally lower than for patients with nasal obstruction (p < 0.001), thereby indicating good discriminant validity of questionnaire. The exploratory factor analysis confirmed one-factor structure of questionnaire. The component matrix of L-NOSE ranged from 0.667 to 0.781 (KMO = 0.754, p < 0.0001). The mean L-NOSE score improved from 58.4 ± 18.2 points to 11.1 ± 9.5 points after septoplasty (p < 0.0001), indicating good responsiveness of questionnaire.

Conclusion

The L-NOSE questionnaire is a valid instrument with satisfactory reliability, validity, and responsiveness.

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Funding

The authors received no funding for this work.

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Authors and Affiliations

  1. Department of Otorinolaryngology of Lithuanian, University of Health Sciences, Eivenių g. 2, 50161, Kaunas, Lithuania

    Tomas Balsevicius, Evaldas Padervinskis, Ruta Pribuisiene, Alina Kuzminiene, Saulius Vaitkus & Vykintas Liutkevicius

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  1. Tomas Balsevicius
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  2. Evaldas Padervinskis
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  3. Ruta Pribuisiene
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  4. Alina Kuzminiene
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  5. Saulius Vaitkus
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  6. Vykintas Liutkevicius
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Correspondence to Tomas Balsevicius.

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Balsevicius, T., Padervinskis, E., Pribuisiene, R. et al. Cross-cultural adaptation and validation of Lithuanian-NOSE scale. Eur Arch Otorhinolaryngol 278, 1053–1058 (2021). https://doi.org/10.1007/s00405-020-06341-9

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  • DOI: https://doi.org/10.1007/s00405-020-06341-9

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