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Enhancing dysphonia clinic consultations through a focus on patients’ expectations: streamlining and validation of a new tool (‘ACaPELa-R’ questionnaire)

  • T Tikka (a1) (a2), S Corson (a3), K Kavanagh (a3), A Lowit (a2) and K MacKenzie (a1) (a2)...



The Assessing and Caring for Patients’ Expectations in Laryngology (‘ACaPELa’) questionnaire was developed to guide laryngology clinic consultations. This study aimed to audit its use, revise it depending on outcomes and validate it.


The questionnaire was completed by all new patients attending a laryngology clinic over one year. The questionnaire was refined and validated in a new cohort of patients over a six-month period.


Thirty-seven of 242 patients (15.3 per cent) incorrectly gave the same ranking to more than one question. Questions with similar content were collapsed to cover broader themes, and an outcome question was added, resulting in the five-item Assessing and Caring for Patients’ Expectations in Laryngology – Revised (‘ACaPELa-R’) questionnaire. Using this revised questionnaire, there was a significant reduction in the number of same-ranked questions (4.4 vs 15.3 per cent; p = 0.003) and high patient satisfaction post-consultation (95.7 per cent).


The Assessing and Caring for Patients' Expectations in Laryngology – Revised questionnaire makes patients’ rank ordering of questions easier. It can be used to inform how different topics should be approached during the consultation and utilised for clinician self-audit.


Corresponding author

Author for correspondence: Miss Theofano Tikka, ENT Department, Queen Elizabeth University Hospital, Glasgow G51 4TF, Scotland, UK E-mail:


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Miss T Tikka takes responsibility for the integrity of the content of the paper



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