• Acta Medica Port · May 2024

    [Adaptation and Validation for European Portuguese of the Auditory Performance Categories-II and Infant-Toddler Meaningful Auditory Integration Scale for Children with Cochlear Implant].

    • Luí S Roque Reis, Kaamil Gani, AndréServiço de Otorrinolaringologia. Hospital Egas Moniz. Centro Hospitalar de Lisboa Ocidental (CHLO). Lisboa; NOVA Medical School. Faculdade de Ciências Médicas. Lisboa. Portugal., Carlota Peres, Gonçalo Nunes, Ricardo Santos, Assunção O'Neill, and Pedro Escada.
    • Serviço de Otorrinolaringologia. Hospital Egas Moniz. Centro Hospitalar de Lisboa Ocidental (CHLO). Lisboa; NOVA Medical School. Faculdade de Ciências Médicas. Lisboa. Portugal.
    • Acta Medica Port. 2024 May 2; 37 (5): 334341334-341.

    IntroductionThe Categories of Auditory Performance II (CAP-II) scale and the Infant-Toddler Meaningful Audit Integration Scale (IT-MAIS) are simple and quick questionnaires that allow assessment of the auditory performance of children with cochlear implant (CI). The aim of this study was to translate, adapt and validate the European Portuguese version of the CAP-II and IT-MAIS scales.MethodsA total of 85 participants completed the European Portuguese version of the CAP-II and IT-MAIS questionnaires, of which 45 were parents of children with pediatric cochlear implants (9.84 ± 4.22 years) and another 40 were parents of children with normal hearing (8.35 ± 3.56 years). Inter-rater reproducibility, test-retest reproducibility, comparison of study group versus control group results, internal consistency and correlation of the new scales were evaluated.ResultsThe CAP-II and IT-MAIS scales showed high reliability and reproducibility, respectively, with an intraclass correlation coefficient (ICC) of 0.979 (p < 0.001) and a Spearman's correlation of 0.924 for the CAP-II scale, and an ICC of 0.932 (p < 0.001) and Spearman's correlation coefficient of 0.732 for the IT-MAIS scale. The IT-MAIS and CAP-II versions showed strong internal consistency (Cronbach's α coefficient value of 0.887 for the CAP-II scale and Spearman's positive correlation of 0.677 for the IT-MAIS scale, respectively) and allowed for the differentiation between children with normal hearing and post-implantation children (p = 0.001 and p < 0.001 respectively for each of the scales). There was no association between parental education and the results on the scales (p > 0.05).ConclusionThe findings demonstrated that the European Portuguese version of these scales is a valid and reliable tool for assessing auditory performance in European Portuguese-speaking children with hearing loss.

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