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

        A. Tugba Bahadir,Pinar Kuru,Ceyda Afacan,Nezih Onur Ermerak,Korkut Bostanci,Mustafa Yuksel 대한흉부외과학회 2015 Journal of Chest Surgery (J Chest Surg) Vol.48 No.2

        Background: Pectus excavatum (PE) is the most common chest wall deformity. The Nuss Questionnaire modifiedfor Adults (NQmA) is a disease-specific health-related quality of life assessment tool for patients with pectusdeformities. The aim of this study is to adapt the NQmA into Turkish. Methods: Two hundred and sixty-five patientswith PE were participated, with an age range of 14 to 29 years. All patients underwent a physical examinationand had not undergone corrective surgery. The Turkish version of the NQmA was completed by patients andtheir parents. Results: The content validity index based on expert opinions was 91% for the patient questionnaireand 96% for the parent questionnaire. The Cronbach’s alpha value for the NQmA was found to be 0.805 for thepatient questionnaire and 0.800 for the parent questionnaire. Exploratory factor analysis was used to assess constructvalidity. 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 factorsexplained 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 Turkishversion of the NQmA was found to be valid and reliable for the assessment of quality of life in patients with PE.

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