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Adaptation and validation of the Carolinas Comfort Scale: a questionnaire-based cross-sectional study.


ABSTRACT:

Purpose

Quality of life (QoL) is an important outcome following surgery. The Carolinas Comfort scale (CCS) is a specific questionnaire used to evaluate QoL in patients who underwent abdominal hernia repair with mesh. The aim of this study was to create a Lithuanian version of the CCS.

Methods

A questionnaire-based cross-sectional study was conducted. A Lithuanian version of the CCS was created by translating the original questionnaire in accordance with the guidelines. The Lithuanian questionnaire was provided to hernia patients at 1 week and at 1 month postoperatively. The main validation characteristics of the Lithuanian CCS were assessed and compared to the original version.

Results

The complete response rate of patients was close to 90%. Internal consistency was excellent, with a Cronbach's α of 0.953. Correlation coefficients ranged from 0.361 to 0.703 in the test-retest analysis. In the construct validity analysis, the strongest correlations were observed in the domains of physical functioning and bodily pain (- 0.655 and - 0.584, respectively) and the weakest correlations in role-emotional and mental health (- 0.268 and - 0.230, respectively). The mean scores of all CCS domains and the total score for satisfied patients were significantly lower (p < 0.001) than those of dissatisfied patients. The principal component analysis identified 3 components, with the first accounting for 56% of the variance.

Conclusions

The Lithuanian version of CCS maintains the original validity and is a reliable and valid tool for assessing specific QoL factors after the repair of inguinal hernia with mesh. We recommend using this CCS version in personal, local, and international contexts.

SUBMITTER: Parseliunas A 

PROVIDER: S-EPMC9200669 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Adaptation and validation of the Carolinas Comfort Scale: a questionnaire-based cross-sectional study.

Parseliunas A A   Paskauskas S S   Simatoniene V V   Vaitekunas J J   Venskutonis D D  

Hernia : the journal of hernias and abdominal wall surgery 20210329 3


<h4>Purpose</h4>Quality of life (QoL) is an important outcome following surgery. The Carolinas Comfort scale (CCS) is a specific questionnaire used to evaluate QoL in patients who underwent abdominal hernia repair with mesh. The aim of this study was to create a Lithuanian version of the CCS.<h4>Methods</h4>A questionnaire-based cross-sectional study was conducted. A Lithuanian version of the CCS was created by translating the original questionnaire in accordance with the guidelines. The Lithuan  ...[more]

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