Expectations Questionnaire for Adults with Cochlear Implants (EQA-CI): Translation, adaptation and cross-cultural validation to Brazilian Portuguese

Brazilian Journal of OtorhinolaryngologyVolume 92, Issue 1, January–February 2026, 101717Brazilian Journal of OtorhinolaryngologyAuthor links open overlay panel, , , , , Highlights•

The QEA-IC can be utilized with accuracy and reliability.

It identifies difficulties that can be adjusted to enhance outcomes.

Understanding expectations enhances the performance of the cochlear implant.

AbstractObjective

To translate, culturally adapt and validate the Cuestionário de Expectativas (CEA) for the Brazilian context, with focus on assessing the expectations of patients during pre-surgical stage.

Methods

An analytical and descriptive study was carried out, including translation, back-translation, adaptation and validation of the CEA. The process involved 119 participants who answered the questionnaire, allowing the analysis of understanding of the items using the Content Validity Index (CVI) and Exploratory Factor Analysis (EFA). Reliability was assessed with Cronbach's Alpha, McDonald's Omega and Composite Reliability coefficients, using Item Response Theory (IRT).

Results

The questionnaire had a total CVI of 0.974, indicating good comprehension by the participants, as well as high values for three internal consistency coefficients (⍺ = 0.828; ω = 0.854; CC = 0.900). The instrument showed great consistency indices and validity measures to be applied on a large scale.

Conclusion

The validity and reliability of the instrument were confirmed. Therefore, the instrument was translated, adapted and validated for Brazilian Portuguese.

Levels of evidence

Step 2.

Keywords

Cochlear implantation

Treatment expectations

Adults

Translations

Surveys

© 2025 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U.

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