{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:53:37Z","timestamp":1781877217880,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007363","name":"Stiftelsen Acta Oto-Laryngologica","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009752","name":"Futurum - Akademin f\u00f6r H\u00e4lsa och V\u00e5rd, Region J\u00f6nk\u00f6pings l\u00e4ns","doi-asserted-by":"publisher","award":["1035510"],"award-info":[{"award-number":["1035510"]}],"id":[{"id":"10.13039\/501100009752","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Purpose<\/jats:title>\n This study aimed to translate the T\u201014 questionnaire into Swedish and validate it in a Swedish pediatric population with tonsil\u2010related disease.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A prospective validation study was conducted across five Swedish otorhinolaryngology departments from October 2022 to June 2024. Translation followed a standardized forward\u2013backward procedure. Caregivers of patients (<\u200916\u2009years) scheduled for tonsil surgery completed the Swedish T\u201014 and EQ\u20105D\u2010Y VAS (EuroQol five\u2010Dimensional questionnaire for Youth, Visual Analog Scale [VAS]) at baseline, 2\u2009weeks later, and 6\u2009months postoperatively. A healthy control group was included for comparison. Psychometric evaluation included known\u2010groups validity (Mann\u2013Whitney\n U<\/jats:italic>\n ), construct validity (confirmatory factor analysis), convergent validity (Spearman's correlation), internal consistency (Cronbach's\n \u03b1<\/jats:italic>\n ), test\u2013retest reliability (intraclass correlation coefficient), and responsiveness (Wilcoxon signed\u2010rank, Cohen's\n d<\/jats:italic>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 249 participants were included (case group 169, control group 80). Known\u2010groups validity was confirmed, with significantly higher baseline T\u201014 scores in the case group (\n p<\/jats:italic>\n \u2009<\u20090.001). Confirmatory factor analysis supported the predefined two\u2010factor model (comparative fit index\u2009=\u20090.94, Tucker\u2013Lewis index\u2009=\u20090.92, standardized root mean square residual\u2009=\u20090.061), although root mean square error of approximation (0.099) indicated some misfit. Convergent validity was demonstrated by a weak but significant negative correlation with EQ\u20105D\u2010Y VAS (\n r<\/jats:italic>\n s\u2009=\u2009\u22120.32;\n p<\/jats:italic>\n \u2009<\u20090.001). Internal consistency was good (\n \u03b1<\/jats:italic>\n \u2009=\u20090.83), and test\u2013retest reliability showed good stability (ICC\u2009=\u20090.77). Responsiveness was strong, with a large reduction in T\u201014 scores 6\u2009months after surgery (\n p<\/jats:italic>\n \u2009<\u20090.001; Cohen's\n d<\/jats:italic>\n \u2009=\u20091.89).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n T\u201014 demonstrated good validity, reliability, and responsiveness, effectively distinguishing patients from healthy controls. It is suitable for clinical use and enables comparisons with international studies.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level III\u2014non\u2010randomized controlled cohort.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lio2.70413","type":"journal-article","created":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T03:55:39Z","timestamp":1777175739000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swedish Translation and Psychometric Validation of the Paediatric Throat Disorders Outcome Test (T\u201014)"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5110-9344","authenticated-orcid":false,"given":"Hanna","family":"Gerhardsson","sequence":"first","affiliation":[{"name":"Department of Biomedical and Clinical Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Otorhinolaryngology J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Brostr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Nursing School of Health and Welfare, J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Clinical Neurophysiology University Hospital Link\u00f6ping Link\u00f6ping Sweden"},{"name":"Department of Health and Caring Sciences Western Norway University of Applied Sciences Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-3361","authenticated-orcid":false,"given":"Fredrik","family":"Alm","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, \u00d6rebro University \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Axelsson","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Helsingborg Hospital Helsingborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Nerfeldt","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Karolinska University Hospital Stockholm Sweden"},{"name":"Department of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6854-5248","authenticated-orcid":false,"given":"Erik","family":"Odhagen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology S\u00f6dra \u00c4lvsborg Hospital Bor\u00e5s Sweden"},{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Sunnergren","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden"},{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"\u201cNationellt kvalitetsregister f\u00f6r \u00f6ron\u2010 n\u2010oh \u201d The Swedish Quality Register for Tonsil Surgery accessed January 14 2026 https:\/\/ton.registercentrum.se\/in\u2010english\/the\u2010swedish\u2010quality\u2010register\u2010for\u2010tonsil\u2010surgery\/p\/HJV8b8hV."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2020.1746396"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-024-02312-4"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109992386"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13029"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121002656"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2021.0336"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07659-2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115000924"},{"key":"e_1_2_11_11_1","unstructured":"\u201cV\u00e5rdgivare. 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