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Interested in conducting a translation and validation study of the ZCMEI-21 in a new language not yet available?
The ZCMEI-21 is a globally acknowledged disease-specific questionnaire employed to assess health-related quality of life in chronic otitis media. It consists of four subscores that evaluate ear-related symptoms, hearing ability, psychosocial impacts of the disease, and utilization of medical resources. Responses are recorded on a 5-point Likert scale and scored from 0 to 4. The maximum total score for the ZCMEI-21 is 84, with higher scores indicating a lower health-related quality of life.
The ZCMEI-21 has been translated and validated in multiple languages, such as English, Italian, French, Japanese, Chinese, Turkish and others. The availability of this disease-specific patient-reported outcome measure in various languages facilitates the standardization of health-related quality of life assessments on an international scale.
Notably, the ZCMEI-21 stands out as the sole globally recognized disease-specific patient-reported outcome measure for chronic otitis media with an established “Minimal Clinically Important Difference” (MCID). The MCID serves as a crucial threshold, indicating a value beyond which a change in the total score of a questionnaire – post-therapy for instance – holds subjective significance for the patient. For the ZCMEI-21, the MCID is set at 5 points, meaning that a statistically significant alteration in the ZCMEI-21 total score carries clinical significance if it reaches or surpasses 5 points.
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The questionnaire is intended for scientific research purposes related to Health-Related Quality of Life in Chronic Otitis Media.
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Version: 20 January 2024.
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