Translation and validation of the <i>Tinnitus Primary Function Questionnaire</i> into Brazilian Portuguese

Coradini, Patrícia Perez; Gonçalves, Sabrina Nunes; Oiticica, Jeanne

doi:10.1016/j.bjorl.2022.06.004

Acessibilidade / Reportar erro

Brasil

Brazilian Journal of Otorhinolaryngology

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original article • Braz. j. otorhinolaryngol. 88 (Suppl 3) • Nov-Dec 2022 • https://doi.org/10.1016/j.bjorl.2022.06.004 copy

Translation and validation of the Tinnitus Primary Function Questionnaire into Brazilian Portuguese

Authorship SCIMAGO INSTITUTIONS RANKINGS

Highlights

The translated version of the Tinnitus Primary Function Questionnaire showed good test-retest accuracy with robust interclass correlation coefficient values.

The Brazilian version of the Tinnitus Primary Function Questionnaire showed high reliability according to the results of Cronbach’s alpha.

Pearson’s correlation coefficient demonstrated a strong correlation between the total scores of Tinnitus Primary Function Questionnaire and Tinnitus Handicap Inventory scores.

Abstract

Objective:

In this study, the Tinnitus Primary Function Questionnaire was translated, culturally adapted and validated for Brazilian Portuguese.

Methods:

This study was carried out in two stages. First, a prospective study of translation and cultural adaptation was carried out with a group of 20 patients. The questionnaire was translated, revised and back-translated from Portuguese into English. Subsequently, a retrospective study was carried out with 1,095 patients, 18 months after the first stage. The validation and reliability of the Tinnitus Primary Function Questionnaire was verified by comparing its results with the results of the Tinnitus Handicap Inventory.

Results:

The interclass correlation coefficient of the behavioral aspects ranged from 0.82 to 0.90 and the total score was 0.93, while Cronbach’s alpha was >0.94 for the total score during the test-retest application. To validate the questionnaire, a database was used, which consisted of 1,095 patients submitted to tinnitus assessment using the Tinnitus Primary Function Questionnaire and Tinnitus Handicap Inventory simultaneously. Patients were enrolled from 14 Brazilian states (46% female), with a mean age of 58 years. The reliability of the Tinnitus Primary Function Questionnaire was tested during validation for the four different evaluated behavioral aspects, and the results were significantly high for all aspects and the total score. To validate the Tinnitus Primary Function Questionnaire, the results of the total Tinnitus Primary Function Questionnaire and Tinnitus Handicap Inventory scores were compared using Pearson’s product-moment correlation test. The results indicate a high correlation between the two questionnaires (r = 0.84; p < 0.001; 95% CI 0.82–0.85).

Conclusion:

The data from the Tinnitus Primary Function Questionnaire showed a high correlation with those of the Tinnitus Handicap Inventory. This indicates that the Portuguese version of the Tinnitus Primary Function Questionnaire can be adopted as a valuable tool in the clinical evaluation of patients with tinnitus.

Level of Evidence: 2C.

Keywords
Tinnitus; Quality of life; Validation study; Questionnaire

1	Eu tenho dificuldade em focar minha atencção em algumas tarefas importantes por causa do zumbido.
2	Eu fico acordado à noite por causa do meu zumbido.
3	Eu só queria que o zumbido acabasse. É muito frustrante.
4	Eu tenho dificuldade em dormir de noite por causa do meu zumbido.
5	Quando há muitas coisas acontecendo ao mesmo tempo, o meu zumbido interfere na minha capacidade de prestar atencção no importante.
6	O meu zumbido atrapalha alguns sons de fala.
7	A minha incapacidade de pensar em algo sem interferências é um dos piores efeitos do meu zumbido.
8	Meu zumbido é irritante.
9	Uma das piores coisas sobre o zumbido é o efeito sobre a compreensão da fala, além dos efeitos da perda auditiva.
10	O zumbido, não minha perda auditiva, interfere na apreciação de música e cancções.
11	Eu fico cansado durante o dia porque o meu zumbido interrompe o meu sono.
12	Além da perda auditiva, o zumbido interfere na compreensão da fala.
13	Estou deprimido por causa do meu zumbido.
14	Quando eu acordo à noite, o meu zumbido torna difícil voltar a dormir.
15	Um dos piores efeitos do meu zumbido é a interferência na minha paz emocional.
16	Tenho dificuldade em me concentrar enquanto estou lendo em uma sala silenciosa por causa do zumbido.
17	A dificuldade que eu tenho para dormir é um dos piores efeitos do meu zumbido.
18	Estou ansioso por causa do meu zumbido.
19	Os efeitos do zumbido na minha audição são piores do que os efeitos da minha perda auditiva.
20	Eu sinto que o meu zumbido faz com que seja difícil eu me concentrar em algumas tarefas.

Score
Concentration:	(1 + 5 + 7 + 16 + 20) ÷ 5 =	%
Emotional:	(3 + 8 + 13 + 15 + 18) ÷ 5 =	%
Hearing:	(6 + 9 + 10 + 12 + 19) ÷ 5 =	%
Sleep:	(2 + 4 + 11 + 14 + 17) ÷ 5 =	%
Total:	[Concentration% + Emotional% + Hearing% + Sleep%] ÷ 4 =	%

Aspects	ICC
Concentration	0.88
Emotional	0.88
Hearing	0.82
Sleep	0.90
Total Score	0.93

Variables	n = 1.095
Age (years)
Mean ± SD	58.1 ± 14.5
Minimum–Maximum	17–92
Female sex, n (%)	504 (46.0)
State, n (%)
Rio de Janeiro	275 (25.1)
São Paulo	202 (18.4)
Santa Catarina	187 (17.1)
Rio Grande do Sul	171 (15.6)
Paraná	127 (11.6)
Distrito Federal	73 (6.7)
Minas Gerais	26 (2.4)
Mato Grosso	12 (1.1)
Mato Grosso do Sul	12 (1.1)
Goiás	6 (0.5)
Acre	1 (0.1)
Bahia	1 (0.1)
Pernambuco	1 (0.1)
Tocantins	1 (0.1)

Questionnaire	α
TPFQ
Total	0.94
Concentration	0.88
Emotional	0.86
Hearing	0.84
Sleep	0.93
THI
Total	0.93
Catastrophic	0.69
Functional	0.86
Emotional	0.89

Questionnaire		THI Catastrophic	THI Functional	THI Emotional
THI Catastrophic	r	1
THI Catastrophic	p
THI Functional	r	0.65^* * Correlation with significance at the 0.01 level (two-tailed).	1
THI Functional	p	< 0.001
THI Emotional	r	0.74^* * Correlation with significance at the 0.01 level (two-tailed).	0.77^* * Correlation with significance at the 0.01 level (two-tailed).	1
THI Emotional	p	< 0.001	< 0.001
TPFQ Concentration	r	0.54^* * Correlation with significance at the 0.01 level (two-tailed).	0.80^* * Correlation with significance at the 0.01 level (two-tailed).	0.63^* * Correlation with significance at the 0.01 level (two-tailed).
TPFQ Concentration	p	< 0.001	< 0.001	< 0.001
TPFQ Emotional	r	0.68^* * Correlation with significance at the 0.01 level (two-tailed).	0.71^* * Correlation with significance at the 0.01 level (two-tailed).	0.81^* * Correlation with significance at the 0.01 level (two-tailed).
TPFQ Emotional	p	< 0.001	< 0.001	< 0.001
TPFQ Haring	r	0.41^* * Correlation with significance at the 0.01 level (two-tailed).	0.62^* * Correlation with significance at the 0.01 level (two-tailed).	0.46^* * Correlation with significance at the 0.01 level (two-tailed).
TPFQ Haring	p	< 0.001	< 0.001	< 0.001
TPFQ Sleep	r	0.47^* * Correlation with significance at the 0.01 level (two-tailed).	0.63^* * Correlation with significance at the 0.01 level (two-tailed).	0.53^* * Correlation with significance at the 0.01 level (two-tailed).
TPFQ Sleep	p	< 0.001	< 0.001	< 0.001

Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Sede da Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico Facial, Av. Indianópolia, 1287, 04063-002 São Paulo/SP Brasil, Tel.: (0xx11) 5053-7500, Fax: (0xx11) 5053-7512 - São Paulo - SP - Brazil
E-mail: revista@aborlccf.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] * Corresponding author. E-mail: patricia@coragon.com.br (P.P. Coradini).