Korean J Thorac Cardiovasc Surg.  2015 Apr;48(2):112-119. 10.5090/kjtcs.2015.48.2.112.

Validity and Reliability of the Turkish Version of the Nuss Questionnaire Modified for Adults

Affiliations
  • 1Department of Child & Adolescent Psychiatry, Northwestern University Feinberg School of Medicine, USA. tugba77@gmail.com
  • 2Department of Neurology, Northwestern University Feinberg School of Medicine, USA.
  • 3Statistical Expert, Marmara University School of Medicine, Turkey.
  • 4Department of Thoracic Surgery, Marmara University School of Medicine, Turkey.

Abstract

BACKGROUND
Pectus excavatum (PE) is the most common chest wall deformity. The Nuss Questionnaire modified for Adults (NQmA) is a disease-specific health-related quality of life assessment tool for patients with pectus deformities. The aim of this study is to adapt the NQmA into Turkish.
METHODS
Two hundred and sixty-five patients with PE were participated, with an age range of 14 to 29 years. All patients underwent a physical examination and had not undergone corrective surgery. The Turkish version of the NQmA was completed by patients and their parents.
RESULTS
The content validity index based on expert opinions was 91% for the patient questionnaire and 96% for the parent questionnaire. The Cronbach's alpha value for the NQmA was found to be 0.805 for the patient questionnaire and 0.800 for the parent questionnaire. Exploratory factor analysis was used to assess construct validity. Two factors explained 51.1% of the total variance in the patient questionnaire (psychosocial: 31.145%, Cronbach's alpha=0.818; physical: 19.955%, Cronbach's alpha=0.862). In the parent questionnaire, two factors explained 51.422% of the total variance (psychosocial: 26.097%, Cronbach's alpha=0.743; physical: 25.325%, Cronbach's alpha=0.827). Construct validity was confirmed by confirmatory factor analysis.
CONCLUSION
The Turkish version of the NQmA was found to be valid and reliable for the assessment of quality of life in patients with PE.

Keyword

Funnel chest; Quality of life; Psychometrics; Validation studies

MeSH Terms

Adult*
Congenital Abnormalities
Expert Testimony
Funnel Chest
Humans
Parents
Physical Examination
Psychometrics
Quality of Life
Surveys and Questionnaires*
Reproducibility of Results*
Thoracic Wall
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