Response-Shift Bias and Parent-Reported Quality of Life in Children With Otitis Media

Abstract

The validity of the OM-6 has been proved in a Dutch population. The data suggest that parents underestimate the seriousness of hearing loss and overestimate the quality of life of their child before surgery, indicating a response shift. Treatment results could lead parents to realize that the situation before surgery had been worse than they thought.

The Otitis Media-6 questionnaire: psychometric properties with emphasis on factor structure and interpretability

“…This is in concordance with other studies reporting on the responsiveness of the OM-6 [5,9-11]. Three studies [5,9,10] present standardized response means (SRM) above 1.0 and conclude that OM-6 is responsive to change [27,37]. The last study [11] concluded that OM-6 was responsive to change using Guyatt’s Responsiveness statistic (GRS) and statistical significance of differences between scores at the different time points.…”

“…Furthermore, both scales were able to discriminate between subgroups when dichotomizing in children suffering from rAOM and no rAOM. In general, our results on construct validity are consistent with those found in the literature [5,9-11]. However, direct comparisons between results are difficult due to the heterogeneity of methods used for assessing construct validity.…”

“…Similarly, criterion responsiveness showed acceptable results although correlations between the GPE scale and the NRS scale were less strong. This is in concordance with other studies reporting on the responsiveness of the OM-6 [5,9-11]. Three studies [5,9,10] present standardized response means (SRM) above 1.0 and conclude that OM-6 is responsive to change [27,37].…”

The effect of ventilation tube insertion to the health‐related quality of life in a group of children in Southeast Anatolia

“…Although we did not perform a more objective test rather than tympanometry to assess the change in hearing impairment, the scores obtained from the questionnaire based on the caregivers’ evaluation showed reasonable improvement. On the other hand, caregiver concern is another parameter that changed significantly in this study of which the result was coherent with the literature . However, the slight high scores of caregiver concerns and hearing loss might be attributed to some factors.…”

Quality‐of‐Life Differences among Diagnostic Subgroups of Children Receiving Ventilating Tubes for Otitis Media

“…In contrast, children in the –rAOM group scored worse on domains related to the long‐term consequences of OM (hearing loss and speech impairment). Although the latter was not statistically significant, this trend makes clinical sense, and similar findings were presented by Timmerman et al 13 in a study on 77 children with OME scheduled for VT. Furthermore, experiencing episodes of rAOM was a strong predictor for clinical success, and nearly 80% of children with +rAOM had experienced important improvements in QoL at 1‐month follow‐up.…”