Publisher DOI: 10.3390/ijerph19138047
Title: Reliability and validity of the Polish version of the Esophageal-Atresia-Quality-of-Life questionnaires to assess condition-specific quality of Life in children and adolescents born with esophageal atresia
Language: English
Authors: Rozensztrauch, Anna 
Smigiel, Robert 
Patkowski, Dariusz 
Gerus, Sylwester 
Kłaniewska, Magdalena 
Quitmann, Julia Hannah  
Dellenmark-Blom, Michaela 
Editor: Navarrete-Munoz, Eva Maria 
Valera-Gran, Desirée 
Keywords: child; esophageal atresia; patient-reported outcome; quality oflife
Issue Date: 30-Jun-2022
Publisher: MDPI
Journal or Series Name: International journal of environmental research and public health : IJERPH 
Volume: 19
Issue: 13
Abstract: 
im: This study reports the reliability and validity of the Polish version of the Esophageal Atresia Quality of Life (EA-QOL) questionnaires, which were originally developed in Sweden and Germany. Methods: A total of 50 families of children (23 aged 2 to 7, and 27 aged 8 to 17) with EA/TEF (esophageal atresia/tracheoesophageal fistula) participated in the study. The development and validation of the Polish version of the EA-QOL involved forward-backward translation of the survey items following the guidelines for cross-cultural translation, cognitive debriefing and evaluation of psychometric properties, including assessment of internal and retest reliability, linguistic validity, content validity, known-group validity and convergent validity. The medical records of patients and standardized questionnaires were used to obtain clinical data. The level of significance was p < 0.05. Results: The Polish versions of the EA-QOL questionnaires demonstrated strong linguistic and content validity, are slightly discriminative for esophageal and respiratory problems, but do not show convergent validity with the PedsQL 4.0 generic core scales. In terms of reliability, the internal consistency of the subscale and total scale of Polish versions as measured by Cronbach’s alpha is good, and retest reliability is excellent. Conclusions: The Polish versions of the EA-QOL questionnaires meet most psychometric criteria that confirm the EA-QOL questionnaires’ reliability and validity. This study enables application of these questionnaires in future research among children with EA in Poland and participation in international multicenter studies focusing on advancing knowledge of condition-specific QOL in this population. Future cross-cultural research using larger sample sizes is still needed to better address the relationship between condition-specific and generic QOL, as well as the discriminative ability of the EA-QOL questionnaires.
URI: https://hdl.handle.net/20.500.12738/17236
ISSN: 1660-4601
Review status: This version was peer reviewed (peer review)
Institute: Universitätsklinikum Hamburg-Eppendorf 
Type: Article
Additional note: article number: 8047
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