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Ziel der Studie war es, f\u00fcr dieses internationale Messinstrument eine validierte deutschsprachige Fassung zur Verf\u00fcgung zu stellen und diese mit dem deutschen Chronic Otitis Media Outcome Test\u00a015 (COMOT-15) zu vergleichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Der CES wurde \u00fcber einen Vorw\u00e4rts-r\u00fcckw\u00e4rts-\u00dcbersetzungsprozess in die deutsche Sprache transferiert. Zur Validierung wurden 79\u00a0Patient:innen mit einer COM, bei denen eine Mittelohroperation durchgef\u00fchrt wurde, prospektiv in die Studie eingeschlossen. Die HRQoL wurde pr\u00e4operativ und 6\u00a0Monate postoperativ mit dem CES und dem COMOT-15 bestimmt. Zu beiden Messzeitpunkten erfolgte auch eine Reintonaudiometrie. In der Kontrolluntersuchung wurde zus\u00e4tzlich eine r\u00fcckwirkende Beurteilung der pr\u00e4operativen Situation anhand des CES und des COMOT-15 zur Bestimmung des Response-Shifts durchgef\u00fchrt. Als psychometrische Kenndaten wurden die interne Konsistenz, die Test-Retest-Reliabilit\u00e4t, die Diskriminationsvalidit\u00e4t, die \u00dcbereinstimmungsvalidit\u00e4t, die Responsivit\u00e4t f\u00fcr beide Messinstrumente bestimmt. Die konvergente Validit\u00e4t beider Messinstrumente wurde anhand einer linearen Regression bewertet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Anhand des CES konnten Patient:innen mit COM von Ohrgesunden sicher unterschieden werden. Der CES zeigte eine sehr gute Reliabilit\u00e4t mit hoher interner Konsistenz (Cronbach\u2011\u03b1 0,65\u20130,85) und hoher Retest-Reliabilit\u00e4t (r\u202f&gt;\u20090,8). Die globale Einsch\u00e4tzung der Beeintr\u00e4chtigung der HRQoL korrelierte sehr gut mit den Scores des CES (r\u202f=\u20090,51). Zudem zeigte er eine hohe \u00c4nderungssensitivit\u00e4t (\u201estandardized response mean\u201c \u22120,86). Im Vergleich zum COMOT-15 zeigte sich ein geringerer Response-Shift (Effektst\u00e4rke \u22120,17 vs. 0,44). Beide Messinstrumente korrelierten nur gering mit der Luftleitungsh\u00f6rschwelle (r\u202f=\u20090,29 bzw. r\u202f=\u20090,24). Die konkordante Validit\u00e4t beider Messinstrumente war hoch (r\u202f=\u20090,68).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die deutsche Version des CES weist zufriedenstellende psychometrische Kenndaten auf, sodass das Einsatz empfohlen werden kann. Der CES legt hierbei den Fokus auf den Einfluss der Ohrsymptomatik auf die HRQoL, wohingegen der COMOT-15 auch funktionelle und psychologische Aspekte miteinschlie\u00dft. Aufgrund nur geringer Response-Shift-Effekte eignet sich der CES insbesondere f\u00fcr Untersuchungen mit mehreren Wiederholungsmessungen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01334-6","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T11:01:47Z","timestamp":1691146907000},"page":"572-582","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validierung der deutschsprachigen Version des Chronic Ear Survey und dessen psychometrischer Vergleich mit einem etablierten deutschsprachigen Messinstrument","Validation of the German language version of the Chronic Ear Survey and its psychometric comparison with an established German language measurement instrument. 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