Reliability and Validity Study of Turkish Version of Pediatric Eosinophilic Esophagitis Symptom Scores® (Tr-PEESS v2.0) Led to Development of a New Pediatric Eosinophilic Esophagitis Scale: GaziESAS

Karagöl, Hacer İlbilge Ertoy; Yapar, Dilek; Gürkan, Ödül Eğritaş; Sarı, Sinan; İlhan, Mustafa; Dalgıç, Buket; Bakırtaş, Arzu

doi:10.5152/tjg.2020.20674

Cited by 3 publications

(16 citation statements)

References 18 publications

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“…There is certainly a need for a gradient in symptoms. In our previous study of the Turkish validation of PEESS v2.0, both children/teens and their families expressed their confusion as to why they had to indicate the severity of symptoms they selected as “never” or “almost never.” 7 Similarly, in the same study, the severity domain of symptoms in PEESS v2.0 was also assessed on a 5‐point Likert scale, just like the frequency domain that was found challenging for the 7–11 age group Therefore, our starting point was to keep our scale as simple and concise as possible. At this stage, we thought that questioning the frequency would be simpler and less variable than questioning the severity.…”

Section: Discussionmentioning

confidence: 99%

“…The validity and reliability of Tr‐PEESS v2.0 were tested by Karagol et al 7 Tr‐PEESS v2.0 contains children and teens reports for 8–18 years and a parent‐proxy report for children and teens between 2 and 18 years. It assesses the frequency (11 items) and severity (9 items) of EoE‐related symptoms on a 5‐point Likert‐type scale.…”

Section: Methodsmentioning

confidence: 99%

“…The first version of GaziESAS is a parent‐proxy instrument developed to assess the frequency of symptoms in 2–18‐year‐olds with EoE in the last month and their AB 7 . The instrument is a 3‐point Likert‐type of scale (0—never, 1—sometimes, and 2—often) consisting of two domains made up of 31 items (symptoms:19 and AB:12) 7 . A score of 0–100 is possible; the higher the score, the more severe is the illness.…”

Section: Methodsmentioning

confidence: 99%

“…4,13 The CsV of GaziESAS v.2.0 was determined by convergent validity (CgV), which was done by performing a Spearman correlation analysis of the GaziESAS v2.0 symptom and Tr-PEESS v2.0 frequency domains (correlation coefficient, r = 0.81-1.0 excellent, 0.61-0.80 very good, 0.41-0.60 good, 0.21-0.40 fair, and 0-0.20 poor). 7 The good-to-excellent correlation (r = 0.4-1.0) shows evidence of CgV. 14,15…”

Section: Construct Validitymentioning

confidence: 96%

“…Although Pediatric Eosinophilic Esophagitis Symptom Score version 2.0 (PEESS v2.0) is a well‐known, widely used and recommended scale for this purpose, it has actually not been completed beyond the stage of content validity 3,5,6 . Previously, we published a new scale named Gazi University Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale (GaziESAS) 7 . It was developed during the validity and reliability testing of the PEESS v2.0 in Turkish (Tr‐PEESS v2.0) as a parent proxy instrument to assess common symptoms and adaptive behaviors (AB) in children with EoE 7 .…”

Section: Introductionmentioning

confidence: 99%

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A novel pediatric Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale for different ages: GaziESAS v2.0

Yapar

Karagöl

Terece

et al. 2023

Pediatric Allergy Immunology

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Background: High-quality scales (HQS) suitable that measure symptoms and adaptive behaviors (AB) with proven validity and reliability are needed for different age groups of children with eosinophilic esophagitis (EoE).Objective: To develop a high-quality pediatric EoE symptoms and AB scale for different age groups. Methods: Children (7-11 years), teens (12-18 years), and parents of 2-18-year-old children with EoE were included. A HQS should have encompassed: the identification of domain and item generation; content validity (CnV) and field test for construct validity (CsV) and reliability. Convergent validity (CgV) was examined for CsV. Correlations between the Pediatric Eosinophilic Esophagitis Symptom Score, version 2.0 (PEESS v2.0) and Gazi University Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale (GaziESAS) version 2.0 (v2.0) were examined for CgV. Reliability was determined through internal consistency (Cronbachα) and test-retest reliability (intraclass correlation coefficients: ICC).Results: Nineteen children, 42 teens, and 82 parents completed the study. GaziESAS v2.0 was composed of 20 items with two main domains: symptoms (subdomains: dysphagia and nondysphagia) and AB. CnV indexes were excellent for all items. The CgV varied from good to excellent correlation (r = 0.6 to r = 0.9). GaziESAS v2.0 showed good reliability (Cronbachα >0.7 and ICC >0.6).Conclusion: GaziESAS v2.0 is the first pediatric HQS that measures the frequency of symptoms and AB in EoE within the last month with separate forms for children, teens, and parents.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Construct Validitymentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A novel pediatric Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale for different ages: GaziESAS v2.0

Yapar

Karagöl

Terece

et al. 2023

Pediatric Allergy Immunology

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Food‐induced immediate response of the esophagus in pediatric eosinophilic esophagitis

Koken,

Ertoy Karagol,

Polat Terece

et al. 2023

Allergy

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BackgroundFood‐induced immediate response of the esophagus (FIRE) is a new phenomenon that has been described in eosinophilic esophagitis (EoE) patients. It is suspected when unpleasant symptoms occur suddenly on contact of the triggering food with the esophageal surface and recur with repeated exposures. It can often be mistaken for pollen‐food allergy syndrome (PFAS) and solid food dysphagia. Data on FIRE is limited to one survey study and case reports, and there are no screening studies conducted on either adults or children with EoE. In this study, we aimed to screen children aged ≥7 years old with EoE for FIRE.MethodsDemographic data were collected from medical records. A questionnaire about FIRE was applied to all participants. Skin prick tests were done on suspected patients to identify the triggering foods. FIRE is defined as suitable clinical symptoms with suspected food allergen exposure.ResultsA total of 78 patients (74.4% male, median age: 13.5 years) were included. Unpleasant and recurrent symptoms distinct from dysphagia with specific foods were reported in 16.7% of the patients, all of whom had concomitant allergic rhinitis (AR). The symptoms described by almost all patients were oropharyngeal itching and tingling (PFAS: 15.3%) excluding only one patient reporting retrosternal narrowing and pressure after specific food consumption (FIRE: 1.2%).ConclusionsAlthough definitive conclusions regarding the true prevalence of FIRE cannot be made, it does not seem to be common as PFAS. However, it deserves questioning particularly in the presence of concurrent AR and/or PFAS in children with EoE.

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Is the Pediatric Eosinophilic Esophagitis Symptom Score v2.0 reliable for telemedicine?

TERECE,

YAPAR,

KARAGÖL

et al. 2023

Turkish Journal of Medical Sciences

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Background/aim Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease. Telemedicine is a healthcare technology used when a patient is separated by distance. The reliability of the Pediatric Eosinophilic Esophagitis Symptom Score, version 2.0 (PEESS v2.0) for telemedicine applications, has not been studied yet. Therefore, we aimed to evaluate the reliability of PEESS v2.0 for telemedicine. Materials and methods We sent a telesurvey using questionnaires via electronic telecommunication as the telemedicine method. Children with EoE and their parents were asked to complete PEESS v2.0 with the telesurvey method (unsynchronized with the physician) and attend in-person visits one week apart. Intraclass correlation (ICC), Wilcoxon, and Bland–Altman tests were used as reliability analyses. Reliability was defined as a strong agreement between the measurements in ICC ≥ 0.8 and a p-value of ≤0.05 and no statistically significant difference between the scores of the two methods in the Wilcoxon and Bland–Altman analyses, i.e. a p-value of >0.05. Results The total scores of children and parents were higher in in-person visits than in the telesurvey (Wilcoxon tests, p ≤ 0.05). Bland–Altman analysis showed that the mean difference in total scores between the two methods was significant for both children and parents (p ≤ 0.05). ICC levels for the children and parent scores for the entire group ranged from 0.595 to 0.763 (moderate agreement). Conclusion Unsynchronized telesurvey use of PEESS v2.0 is unreliable both for children and parents. We suggest testing the reliability of chosen telemedicine methods before using them in clinical and research practice.

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Reliability and Validity Study of Turkish Version of Pediatric Eosinophilic Esophagitis Symptom Scores® (Tr-PEESS v2.0) Led to Development of a New Pediatric Eosinophilic Esophagitis Scale: GaziESAS

Cited by 3 publications

References 18 publications

A novel pediatric Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale for different ages: GaziESAS v2.0

A novel pediatric Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale for different ages: GaziESAS v2.0

Food‐induced immediate response of the esophagus in pediatric eosinophilic esophagitis

Is the Pediatric Eosinophilic Esophagitis Symptom Score v2.0 reliable for telemedicine?

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