IngentaConnect The development of a General Nasal Patient Inventory

Authors: Douglas, S.A.¹; Marshall, A.H.¹; Walshaw, D.; Robson, A.K.²; Wilson, J.A.¹

Source: Clinical Otolaryngology & Allied Sciences, Volume 26, Number 5, October 2001 , pp. 425-429(5)

Abstract:

douglas s.a.,marshall a.h.,walshaw d.,robson a.k.&wilson j.a.

(2001) Clin. Otolaryngol.26, 425-429

The development of a General Nasal Patient Inventory

Most available clinical outcome measures for rhinology patients relate to specific nasal disease or general quality of life. Fairley's validated 12-item questionnaire measures general nasal symptoms, but is a `physician-derived' clinical tool and may not reflect all the problems that rhinology patients experience. Our aims were to develop a patient-orientated questionnaire, representing the concerns of a large number of rhinology patients, called the General Nasal Patient Inventory (GNPI) and compare this with the Fairley nasal questionnaire (FNQ). The GNPI was developed from the open-ended problem lists of 211 rhinology patients, from the 45 most frequent complaints. Both questionnaires were then administered to 153 general rhinology patients and the results compared. The highest-ranking items for each questionnaire were different, but the total scores were highly correlated (r = 0.79, P < 0.0001). Factor analysis showed six factors to account for 75% of FNQ variance and 18 factors for 78% of GNPI variance. The 45-item GNPI, the first patient-derived, comprehensive nasal questionnaire could be a time-saving tool in rhinology clinics and more sensitive to change after intervention than other available measures.

Keywords: questionnaire; nose diseases; patient-centred care

Document Type: Research article

Affiliations: 1: Departments of Otolaryngology and Head and Neck Surgery, The Freeman Hospital, Newcastle and 2: The City General Hospital, Carlisle, and the University of Newcastle upon Tyne, UK