Summary
Objectives
To develop a patient-reported outcomes measure (PROM) for total laryngectomy.
Study Design
Qualitative interviews with a purposive sample of patients with total laryngectomy,
followed by cognitive debriefing interviews with patients and expert feedback.
Methods
Concept elicitation was performed using in-depth qualitative interviews with a purposive
sample of patients who had undergone total laryngectomy. Patients were recruited from
head and neck surgery and speech-language pathology clinics as well as via laryngectomy
support groups. Interviews were conducted, recorded, transcribed, and coded, resulting
in a conceptual framework and item pool. Using the item pool, preliminary scales were
drafted. The scales were revised iteratively over 5 rounds using feedback from cognitive
interviews with patients and multi-institutional and multi-disciplinary expert feedback.
Results
A total of 15 patients with total laryngectomy (mean age 68 years, range 57–79) were
interviewed resulting in 1555 codes. The codes were used to form a conceptual framework
grouped into top-level domains of stoma, function, health-related quality of life,
devices, and experience of care. Items were used to form 15 preliminary scales that
were revised over five rounds of cognitive debriefing interviews (n = 9 patients)
and expert feedback (n = 17 experts). The field-test version of the LARY-Q has 18
scales and 277 items in total.
Conclusions
: The LARY-Q is a novel PROM designed to assess outcomes associated with total laryngectomy.
The next step involves a field test study with a heterogenous sample of patients to
assess the psychometric properties of the LARY-Q and perform item reduction.
Key Words
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Article info
Publication history
Published online: May 06, 2023
Accepted:
April 12,
2023
Publication stage
In Press Corrected ProofFootnotes
Conflicts of Interest: None
Sponsor/Funding: This work was funded by a 2022 Centralized Otolaryngology Research Effort (CORE) grant, the AAO-HNSF Resident Research Award.
Identification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
