Child friendly modification of the SN-5
Research type
Research Study
Full title
Development and validation of a child-friendly Sinus and Nasal Quality of Life Survey (SN-5) Patient Reported Outcome Measure for evaluating sino-nasal disease in children
IRAS ID
271934
Contact name
Mohd Afiq Mohd Slim
Contact email
Sponsor organisation
NHS Greater Glasgow and Clyde
Duration of Study in the UK
3 years, 0 months, 1 days
Research summary
There are limited amounts of Patient-reported outcome measure (PROM) tools available to evaluate sinonasal health and its impact on quality of life in children under 12 years old. Most PROMs in the paediatric setting rely on the parents answering as a proxy to evaluate the impact of the symptoms on their child’s quality of life. Evaluation of the patients’ symptom severity is important as it enables health care professionals (HCP) to ascertain the impact of the treatment given and the importance of the symptoms to the patient 1. Currently, the Sinus and Nasal Quality of Life Survey (SN-5) is the only validated PROM to evaluate quality of life in children with sinonasal disease1,2. The SN-5 depends on the parents’ interpretation of the impact the symptoms have on the child.
It is well known that there are differences in opinion between children and the parent acting as a proxy in assessing different domains in Health Related Quality of Life (HRQoL) surveys 3. We plan to redesign the established SN-5 PROM with visual cues to explain each symptom. There will be an embedded seven point smiley face visual analogue scale to create a child friendly version of the SN-5.
Converting a proxy PROM into a child based friendly PROM has been performed with different HRQoL with good validity and test-retest reliability4. Creating an interactive and interesting questionnaire is important to enable the child to answer the questions with minimal cues from parents while maintaining their attention. This permits the HCP to obtain information regarding the impact of the symptoms on the quality of life perceived by the child themselves rather than through a proxy. A mobile application is a useful method of questionnaire delivery in children as 71% of children aged between 3-4 year-old are able to use a tablet to go online in the United Kingdom (UK) in 2017 but this will incur extra additional cost 5. We hope this study can pace our or others next effort on securing funding to apply the new PROM into digital media once the hypothesis has been proven.
The primary aim of this study is to develop and validate a child friendly SN-5 PROM (pSN-5) for children between the age of 5-12-year-old. The secondary aim is to compare the scoring of the pSN-5 against the established SN-5 completed by the proxy (parents/guardian).
REC name
West Midlands - South Birmingham Research Ethics Committee
REC reference
20/WM/0093
Date of REC Opinion
27 Apr 2020
REC opinion
Further Information Favourable Opinion