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Translation, Cross-Cultural Adaptation, and Validation of the Polish Version of the Dizziness Handicap Inventory

Published:August 07, 2022DOI:https://doi.org/10.1016/j.vhri.2022.06.004

      Highlights

      • The article presents validation and adaptation of the Dizziness Handicap Inventory to the Polish language.
      • The Dizziness Handicap Inventory required statistical analysis and adaptation to the Polish language to be fully implemented in the healthcare system.
      • It is a self-report questionnaire validated in 12 countries and still is successfully used to measure the perceived handicap related to the vestibular organ.
      • The questionnaire helps to understand perceived difficulties in emotional, physical, and functional scales that are not measured by other tests and supports doctors’ decisions in the rehabilitative process.

      Abstract

      Objectives

      The Dizziness Handicap Inventory (DHI) questionnaire is used to assess the severity of vertigo. In clinical practice, it is a good indicator for understanding the patient’s feelings and can be used as a quantitative measure for monitoring ongoing treatment and rehabilitation. This study involved the translation, cultural adaptation, and validation of the Polish DHI questionnaire (DHI-POL).

      Methods

      We recruited 127 subjects (mean age 55.1 years) who experienced vertigo, dizziness, and imbalance resulting from a disturbance to their vestibular system that had lasted longer than 1 month and 56 subjects (mean age 51.8 years) without any vestibular symptoms. All subjects performed a posturography Sensory Organization Test and completed the questionnaire twice.

      Results

      Cronbach’s alpha for the overall DHI-POL was α = 0.93. The questions were divided into 3 subgroups (functional [F], emotional [E], and physical [P]) for which the internal consistency was as follows: DHI-F, α = 0.84; DHI-E, α = 0.85; and DHI-P, α = 0.81. Reproducibility, as measured by interclass correlation coefficient for the overall DHI-POL, was 0.91. For each interclass correlation coefficient subgroup, the results were as follows: DHI-F, 0.90; DHI-E, 0.93; and DHI-P, 0.83.

      Conclusions

      DHI-POL has a high consistency and repeatability; therefore, it is a fully functional questionnaire that meets all the validation criteria and is a tool ready for use on Polish patients with vertigo.

      Keywords

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