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FACE-Q Craniofacial Module: Part 1 validation of CLEFT-Q scales for use in children and young adults with facial conditions.
- Source :
-
Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2021 Sep; Vol. 74 (9), pp. 2319-2329. Date of Electronic Publication: 2021 Jun 10. - Publication Year :
- 2021
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Abstract
- Background: The CLEFT-Q includes 12 independently functioning scales that measure appearance (face, nose, nostrils, teeth, lips, jaws), health-related quality of life (psychological, social, school, speech distress), and speech function, and an eating/drinking checklist. Previous qualitative research revealed that the CLEFT-Q has content validity in noncleft craniofacial conditions. This study aimed to examine the psychometric performance of the CLEFT-Q in an international sample of patients with a broad range of facial conditions.<br />Methods: Data were collected between October 2016 and December 2019 from 2132 patients aged 8 to 29 years with noncleft facial conditions. Rasch measurement theory (RMT) analysis was used to examine Differential Item Function (DIF) by comparing the original CLEFT-Q sample and the new FACE-Q craniofacial sample. Reliability and validity of the scales in a combined cleft and craniofacial sample (n=4743) were examined.<br />Results: DIF was found for 23 CLEFT-Q items when the datasets for the two samples were compared. When items with DIF were split by sample, correlations between the original and split person locations showed that DIF had negligible impact on scale scoring (correlations ≥0.995). In the combined sample, RMT analysis led to the retention of original content for ten CLEFT-Q scales, modification of the Teeth scale, and the addition of an Eating/Drinking scale. Data obtained fit with the Rasch model for 11 scales (exception School, p=0.04). Person Separation Index and Cronbach alpha values met the criteria.<br />Conclusion: The scales described in this study can be used to measure outcomes in children and young adults with cleft and noncleft craniofacial conditions.<br />Competing Interests: Conflict of Interest Statement Anne Klassen and Karen Wong are co-developers of the patient-reported outcome scales described in this publication and receive a share of any license revenues as royalties based on their institutions’ inventor sharing policy for their use in for-profit study. The other authors have no conflicts of interest to declare in relation to the content of this article.<br /> (Copyright © 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Alveolar Bone Grafting
Checklist
Child
Craniofacial Abnormalities surgery
Female
Humans
Male
Psychometrics
Reproducibility of Results
Craniofacial Abnormalities psychology
Esthetics
Lip surgery
Orthognathic Surgical Procedures
Patient Reported Outcome Measures
Quality of Life
Rhinoplasty
Subjects
Details
- Language :
- English
- ISSN :
- 1878-0539
- Volume :
- 74
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS
- Publication Type :
- Academic Journal
- Accession number :
- 34274246
- Full Text :
- https://doi.org/10.1016/j.bjps.2021.05.040