Evidence map›Paper›PMID 42790266›Full record

ArticleBrazilian journal of otorhinolaryngology2026

Development and psychometric validation of a vestibular symptom severity scale.

Marcia Marcelle Vasconcelos Santos, Leandro Pernambuco, Mariana de Carvalho Leal Gouveia

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Article in Brazilian journal of otorhinolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Marcia Marcelle Vasconcelos SantosUniversidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Leandro PernambucoUniversidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Mariana de Carvalho Leal GouveiaUniversidade Federal de Pernambuco (UFPE), Recife, PE, Brazil. Electronic address: mariana.gouveia@ufpe.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop the Self-Perception of Vestibular Symptom Severity Scale (EGV) and to evaluate the validity and reliability of the interpretations derived from its scores.

methodsThis methodological validation study included 100 adults with vestibular symptoms. Instrument development involved an exploratory literature review, item construction through a Delphi panel, and content validation by expert judges. Structural validity was examined separately for the frequency and intensity subscales using exploratory and confirmatory factor analyses. Internal consistency was assessed using Cronbach's alpha. Test-retest reliability (7- and 14-day intervals) was analyzed using the Intraclass Correlation Coefficient (ICC). Measurement error was estimated through the standard error of measurement and smallest detectable change. Construct validity was evaluated through hypothesis testing by examining associations between EGV scores and validated instruments measuring functional impact, physical activity, autonomy, and attentional awareness.

resultsAll items demonstrated satisfactory content validity (coefficients ≥0.80). Exploratory factor analysis supported a unidimensional structure in both subscales (KMO > 0.94; Bartlett's test p < 0.001), with factor loadings ranging from 0.84 to 0.95. Confirmatory factor analysis indicated adequate model fit. Internal consistency was excellent (α > 0.90). Test-retest reliability showed high stability at 14-days (ICC ≥ 0.80). Higher EGV scores were significantly associated with greater functional limitation, lower physical activity levels, increased dependence, and reduced attentional awareness.

conclusionThe EGV demonstrated evidence supporting structural validity, reliability, and construct validity, supporting its clinical applicability for measuring vestibular symptom severity. The scale provides a standardized framework for monitoring symptom progression in clinical practice and research. LEVEL OF EVIDENCE: 4:

Indexed as

Validation studyVestibular balanceVestibular system

Identifiers

PMID42790266
PMCPMC13635710

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