{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T04:10:22Z","timestamp":1721016622408},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"03","license":[{"start":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T00:00:00Z","timestamp":1551139200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215119000276_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>The Assessing and Caring for Patients\u2019 Expectations in Laryngology (\u2018ACaPELa\u2019) questionnaire was developed to guide laryngology clinic consultations. This study aimed to audit its use, revise it depending on outcomes and validate it.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000276_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>The questionnaire was completed by all new patients attending a laryngology clinic over one year. The questionnaire was refined and validated in a new cohort of patients over a six-month period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000276_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Thirty-seven of 242 patients (15.3 per cent) incorrectly gave the same ranking to more than one question. Questions with similar content were collapsed to cover broader themes, and an outcome question was added, resulting in the five-item Assessing and Caring for Patients\u2019 Expectations in Laryngology \u2013 Revised (\u2018ACaPELa-R\u2019) questionnaire. Using this revised questionnaire, there was a significant reduction in the number of same-ranked questions (4.4<jats:italic>vs<\/jats:italic>15.3 per cent;<jats:italic>p<\/jats:italic>= 0.003) and high patient satisfaction post-consultation (95.7 per cent).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000276_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The Assessing and Caring for Patients' Expectations in Laryngology \u2013 Revised questionnaire makes patients\u2019 rank ordering of questions easier. It can be used to inform how different topics should be approached during the consultation and utilised for clinician self-audit.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215119000276","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T08:31:51Z","timestamp":1551169911000},"page":"236-240","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing dysphonia clinic consultations through a focus on patients\u2019 expectations: streamlining and validation of a new tool (\u2018ACaPELa-R\u2019 questionnaire)"],"prefix":"10.1017","volume":"133","author":[{"given":"T","family":"Tikka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Corson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Kavanagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Lowit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"MacKenzie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,2,26]]},"reference":[{"key":"S0022215119000276_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12211"},{"key":"S0022215119000276_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12301"},{"key":"S0022215119000276_ref7","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2016-58"},{"key":"S0022215119000276_ref6","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/j.1369-7625.2010.00603.x","volume":"13","year":"2010","journal-title":"Health Expect"},{"key":"S0022215119000276_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-014-0039-8"},{"key":"S0022215119000276_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817717662"},{"key":"S0022215119000276_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12257"},{"key":"S0022215119000276_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.1086"},{"key":"S0022215119000276_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-008-1782-2"},{"key":"S0022215119000276_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12586"},{"key":"S0022215119000276_ref13","volume-title":"Suspected Cancer: Recognition and Referral. NICE Guideline [NG12]","year":"2015"},{"key":"S0022215119000276_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-016-0429-8"},{"key":"S0022215119000276_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12593"},{"key":"S0022215119000276_ref3","doi-asserted-by":"publisher","DOI":"10.1370\/afm.816"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215119000276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T03:46:01Z","timestamp":1721015161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215119000276\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,26]]},"references-count":14,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["S0022215119000276"],"URL":"https:\/\/doi.org\/10.1017\/s0022215119000276","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,26]]}}}