SENSORY SYSTEMS DISORDERS Patient-Reported Outcomes & Patient

Preference Studies
PSS19
VALIDATION OF THE PAEDIATRIC HEARING IMPAIRMENT CAREGIVER
EXPERIENCE (PHICE) INSTRUMENT
Lim HYL
1
, Xiang L
2
, Li R
1
, Wong N
1
, Yuen CPK
3
1
National University Health System, Singapore,
2
National University of Singapore, Singapore,
3
The Hong Kong Institute of Education, Tai Po, New Territories, Hong Kong
OBJECTIVES: To validate and shorten the Paediatric Hearing Impairment Caregiver
Experience (PHICE) instrument. METHODS: A total of 125 caregivers of hearing
impaired children attending the otolaryngology, audiology, and aural rehabilita-
tion at a local clinic were administered the 68 item questionnaire. Exploratory
factor analysis was conducted. A 5 factor structure was adopted and items with
high cross-loadings were dropped. The 5 factor structure was then analysed using
conrmatory factor analysis. Cronbachs was computed to assess internal
consistency. RESULTS: A 5 factor structure corresponding to the factors: Adapta-
tion to hearing loss, Childcare support, Healthcare, Education and Policy was
adopted. Conrmatory factor analysis suggest a good model t (RMSEA 0.067,
RMR 0.329, SRMR 0.0752, NFI 0.830, CFI 0.949). This model t is assessed to
be superior than the original 8 factor structure. Cronbachs were high (0.75) for
each subscale. 3 questions that were deemed important from a clinical point of
viewbut was removed would continue to be a part of the instrument but will not be
used in the computation of the subscale scores. CONCLUSIONS: The 68 item ques-
tionnaire has been reduced to 39 items. A new 5 factor structure is proposed that
better explains the underlying items. Three items was added back despite being
dropped due to their important clinical value.
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