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Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire

IMPORTANCE: The human senses of taste and smell are essential in everyday life. However, as clinical testing of the senses and patient-reported sensory problems are often diverging, additional validated questionnaires are essential for the evaluation of chemosensory impairments. OBJECTIVE: To develo...

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Autores principales: Niklassen, Andreas Steenholt, Christensen, Karl Bang, Fjaeldstad, Alexander Wieck, Ovesen, Therese
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634595/
https://www.ncbi.nlm.nih.gov/pubmed/36326741
http://dx.doi.org/10.1001/jamaoto.2022.3392
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author Niklassen, Andreas Steenholt
Christensen, Karl Bang
Fjaeldstad, Alexander Wieck
Ovesen, Therese
author_facet Niklassen, Andreas Steenholt
Christensen, Karl Bang
Fjaeldstad, Alexander Wieck
Ovesen, Therese
author_sort Niklassen, Andreas Steenholt
collection PubMed
description IMPORTANCE: The human senses of taste and smell are essential in everyday life. However, as clinical testing of the senses and patient-reported sensory problems are often diverging, additional validated questionnaires are essential for the evaluation of chemosensory impairments. OBJECTIVE: To develop an instrument with all relevant domains concerning chemosensory dysfunction and quality of life using modern psychometrics. DESIGN, SETTING, AND PARTICIPANTS: The study was designed as a questionnaire study for developing a new instrument. The study started in 2019 and was completed in 2022. Patients with chemosensory dysfunction were recruited from a specialized smell and taste clinic at an ear, nose, and throat department in Denmark. Healthy participants with no history of chemosensory dysfunction were recruited through social media. MAIN OUTCOMES AND MEASURES: Eight domains were included (distorted chemosensation, emotional, food and meals, social, hygiene, danger, work, and relationship), and 35 items were generated based on review of the existing literature and interviews with patients and experts. Participants were tested with the Major Depression Inventory, 36-Item Short Form Health Survey, Taste Sprays, and Sniffin’ Sticks for chemosensory function. Descriptive statistics were calculated for all items. Reliability, internal consistency, and validity were investigated, and a Rasch model was fitted. Healthy controls (n = 39) filled out the questionnaire for comparison of known-groups validity. Confirmatory factor analysis was performed. Finally, item reduction was performed, resulting in a final version with 21 items in 8 domains. RESULTS: The study included responses from 316 patients, 183 women (58%) and 133 men (42%), with a mean (SD) age of 57 (15.1) years. Rasch model fit was acceptable with P > .05 for all items. An 8-dimensional confirmatory factor analysis model showed a better fit than a bifactor confirmatory factor analysis model. Cronbach α ranged from 0.65 to 0.86. Criterion validity with the Sniffin’ Sticks, Taste Sprays, Major Depression Inventory, and the 36-Item Short Form Health Survey was satisfactory. The test-retest reliability was good in all domains, ranging from 0.55 to 0.86. All domains were discriminative, except the social and work domains. CONCLUSIONS AND RELEVANCE: In this survey study, the instrument was validated with 8 domains related to chemosensory dysfunction and quality of life. All items had good internal consistency, test-retest reliability, interitem correlations, item-total correlations, and Rasch model fit. The questionnaire appears suitable for use in clinical and research settings.
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spelling pubmed-96345952022-11-28 Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire Niklassen, Andreas Steenholt Christensen, Karl Bang Fjaeldstad, Alexander Wieck Ovesen, Therese JAMA Otolaryngol Head Neck Surg Original Investigation IMPORTANCE: The human senses of taste and smell are essential in everyday life. However, as clinical testing of the senses and patient-reported sensory problems are often diverging, additional validated questionnaires are essential for the evaluation of chemosensory impairments. OBJECTIVE: To develop an instrument with all relevant domains concerning chemosensory dysfunction and quality of life using modern psychometrics. DESIGN, SETTING, AND PARTICIPANTS: The study was designed as a questionnaire study for developing a new instrument. The study started in 2019 and was completed in 2022. Patients with chemosensory dysfunction were recruited from a specialized smell and taste clinic at an ear, nose, and throat department in Denmark. Healthy participants with no history of chemosensory dysfunction were recruited through social media. MAIN OUTCOMES AND MEASURES: Eight domains were included (distorted chemosensation, emotional, food and meals, social, hygiene, danger, work, and relationship), and 35 items were generated based on review of the existing literature and interviews with patients and experts. Participants were tested with the Major Depression Inventory, 36-Item Short Form Health Survey, Taste Sprays, and Sniffin’ Sticks for chemosensory function. Descriptive statistics were calculated for all items. Reliability, internal consistency, and validity were investigated, and a Rasch model was fitted. Healthy controls (n = 39) filled out the questionnaire for comparison of known-groups validity. Confirmatory factor analysis was performed. Finally, item reduction was performed, resulting in a final version with 21 items in 8 domains. RESULTS: The study included responses from 316 patients, 183 women (58%) and 133 men (42%), with a mean (SD) age of 57 (15.1) years. Rasch model fit was acceptable with P > .05 for all items. An 8-dimensional confirmatory factor analysis model showed a better fit than a bifactor confirmatory factor analysis model. Cronbach α ranged from 0.65 to 0.86. Criterion validity with the Sniffin’ Sticks, Taste Sprays, Major Depression Inventory, and the 36-Item Short Form Health Survey was satisfactory. The test-retest reliability was good in all domains, ranging from 0.55 to 0.86. All domains were discriminative, except the social and work domains. CONCLUSIONS AND RELEVANCE: In this survey study, the instrument was validated with 8 domains related to chemosensory dysfunction and quality of life. All items had good internal consistency, test-retest reliability, interitem correlations, item-total correlations, and Rasch model fit. The questionnaire appears suitable for use in clinical and research settings. American Medical Association 2022-11-03 2022-12 /pmc/articles/PMC9634595/ /pubmed/36326741 http://dx.doi.org/10.1001/jamaoto.2022.3392 Text en Copyright 2022 Niklassen AS et al. JAMA Otolaryngology–Head & Neck Surgery. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the CC-BY-NC-ND License.
spellingShingle Original Investigation
Niklassen, Andreas Steenholt
Christensen, Karl Bang
Fjaeldstad, Alexander Wieck
Ovesen, Therese
Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title_full Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title_fullStr Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title_full_unstemmed Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title_short Development and Psychometric Validation of the Taste And Smell Tool for Evaluation (TASTE) Questionnaire
title_sort development and psychometric validation of the taste and smell tool for evaluation (taste) questionnaire
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634595/
https://www.ncbi.nlm.nih.gov/pubmed/36326741
http://dx.doi.org/10.1001/jamaoto.2022.3392
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