CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents

Abstract Adolescents’ extensive use of digital devices raises significant concerns about their visual health. This study aimed to adapt and validate the computer vision syndrome questionnaire (CVS-Q©) for adolescents aged 12–17 years. A mixed-method sequential design was used. First, a qualitative s...

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Main Authors: Mar Seguí-Crespo, Natalia Cantó-Sancho, Mar Sánchez-Brau, Elena Ronda-Pérez
Format: Article
Language:English
Published: Nature Portfolio 2024-09-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-70821-9
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author Mar Seguí-Crespo
Natalia Cantó-Sancho
Mar Sánchez-Brau
Elena Ronda-Pérez
author_facet Mar Seguí-Crespo
Natalia Cantó-Sancho
Mar Sánchez-Brau
Elena Ronda-Pérez
author_sort Mar Seguí-Crespo
collection DOAJ
description Abstract Adolescents’ extensive use of digital devices raises significant concerns about their visual health. This study aimed to adapt and validate the computer vision syndrome questionnaire (CVS-Q©) for adolescents aged 12–17 years. A mixed-method sequential design was used. First, a qualitative study was involved two nominal groups to assess the instrument’s acceptability. A subsequent cross-sectional quantitative study with 277 randomly selected adolescents assessed reliability and validity. Participants completed the adapted CVS-Q©, an ad hoc questionnaire, and the ocular surface disease index (OSDI) questionnaire. Repeatability was tested in 54 adolescents after 7–14 days. The Rasch-Andrich rating scale model was used. Instructions and symptoms were modified to obtain the 14-item CVS-Q teen©. It showed unidimensionality, no local dependence between items, and respected monotonicity. Adequate internal consistency (person reliability = 0.69, item reliability = 0.98) and intraobserver reliability (intraclass correlation coefficient = 0.77, Cohen's Kappa = 0.49) were observed. A significant correlation (0.782, p < 0.001) between CVS-Q teen© and OSDI supported construct validity. A score of ≥ 6 points indicated computer vision syndrome (CVS) (sensitivity = 85.2%, specificity = 76.5%, and area under the curve = 0.879). In conclusion, CVS-Q teen© is a valid and reliable instrument for assessing CVS in adolescents using digital devices, applicable in research and clinical practice for early identification and recommendations for visual health.
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spelling doaj-art-d55c59a1b79a47e794a5ea35e76b12e02024-12-22T12:26:44ZengNature PortfolioScientific Reports2045-23222024-09-011411910.1038/s41598-024-70821-9CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescentsMar Seguí-Crespo0Natalia Cantó-Sancho1Mar Sánchez-Brau2Elena Ronda-Pérez3Public Health Research Group, University of AlicantePublic Health Research Group, University of AlicantePublic Health Research Group, University of AlicantePublic Health Research Group, University of AlicanteAbstract Adolescents’ extensive use of digital devices raises significant concerns about their visual health. This study aimed to adapt and validate the computer vision syndrome questionnaire (CVS-Q©) for adolescents aged 12–17 years. A mixed-method sequential design was used. First, a qualitative study was involved two nominal groups to assess the instrument’s acceptability. A subsequent cross-sectional quantitative study with 277 randomly selected adolescents assessed reliability and validity. Participants completed the adapted CVS-Q©, an ad hoc questionnaire, and the ocular surface disease index (OSDI) questionnaire. Repeatability was tested in 54 adolescents after 7–14 days. The Rasch-Andrich rating scale model was used. Instructions and symptoms were modified to obtain the 14-item CVS-Q teen©. It showed unidimensionality, no local dependence between items, and respected monotonicity. Adequate internal consistency (person reliability = 0.69, item reliability = 0.98) and intraobserver reliability (intraclass correlation coefficient = 0.77, Cohen's Kappa = 0.49) were observed. A significant correlation (0.782, p < 0.001) between CVS-Q teen© and OSDI supported construct validity. A score of ≥ 6 points indicated computer vision syndrome (CVS) (sensitivity = 85.2%, specificity = 76.5%, and area under the curve = 0.879). In conclusion, CVS-Q teen© is a valid and reliable instrument for assessing CVS in adolescents using digital devices, applicable in research and clinical practice for early identification and recommendations for visual health.https://doi.org/10.1038/s41598-024-70821-9AdolescentComputer vision syndromeQuestionnaireDigital devicesPsychometricsValidation study
spellingShingle Mar Seguí-Crespo
Natalia Cantó-Sancho
Mar Sánchez-Brau
Elena Ronda-Pérez
CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
Scientific Reports
Adolescent
Computer vision syndrome
Questionnaire
Digital devices
Psychometrics
Validation study
title CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
title_full CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
title_fullStr CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
title_full_unstemmed CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
title_short CVS-Q teen: an adapted, reliable and validated tool to assess computer vision syndrome in adolescents
title_sort cvs q teen an adapted reliable and validated tool to assess computer vision syndrome in adolescents
topic Adolescent
Computer vision syndrome
Questionnaire
Digital devices
Psychometrics
Validation study
url https://doi.org/10.1038/s41598-024-70821-9
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