# Development of the Parental Expectations and Perspectives Questionnaire in Hindi to Measure the Outcomes from Pediatric Cochlear Implantation

## TL;DR

This study translated and validated a questionnaire in Hindi to assess parental perspectives on outcomes of pediatric cochlear implantation.

## Contribution

The novel contribution is the culturally adapted Hindi version of the Parental Perspective Questionnaire for cochlear implant outcomes.

## Key findings

- The Hindi PPQ had high content and face validity matching the original version.
- The questionnaire demonstrated strong reliability with a Cronbach α of 0.89 and test–retest reliability of 0.92.
- Parents found the Hindi PPQ easy to understand and appropriate in length.

## Abstract

Introduction
 The pediatric cochlear implantation (PCI) outcomes, as seen through the parental perspective questionnaire (PPQ), may provide a more comprehensive and accurate view on the functional status of cochlear implant recipients in real-life situations. However, there is no Hindi language version of the PPQ. Therefore, the purpose of the present study was to translate and culturally adapt the original PPQ into Hindi to measure the outcomes in children with CI.

Methods
 The original PPQ was translated into Hindi through a forward-backward process. The questionnaire was content- and face-validated. The harmonized Hindi questionnaire consisted of 74 items covering two domains: decision-making (26 items) and outcomes (48 items). It was piloted in 139 parents of children with CI, to determine the validity and reliability and to measure the outcome of PCI.

Results
 The PPQ-Hindi version was easy to understand for parents. They reported that the questionnaire completion time was appropriate. The instrument had a high degree of content- and face-validity, and it matched the original. The overall Cronbach α was 0.89, and the test–retest reliability coefficient was 0.92.

Conclusions
 The PPQ was successfully translated into Hindi and adapted to this specific culture and population, exhibiting a good validity and reliability to measure outcomes in PCI. Thus, the instrument has the potential to be an effective tool for parents to self-administer and to evaluate the effects of CI in their children.