Franic Duska M, Bramlett Robin Edge, Bothe Anne Cordes
Department of Clinical and Administrative Pharmacy, College of Pharmacy, RC Wilson Building Room 254, University of Georgia, Athens, Georgia 30602-2354, USA.
J Voice. 2005 Jun;19(2):300-15. doi: 10.1016/j.jvoice.2004.03.003.
The objective of this study was to compare the psychometric properties of voice disordered quality of life (VQOL) instruments. Nine VQOL instruments were identified through a comprehensive literature search. Based on specific criteria, four were selected for comprehensive review: Voice Handicap Index (VHI), Voice Activity and Participation Profile (VAPP), Voice-Related Quality of Life (V-RQOL) and Voice Outcome Survey (VOS). Selected instruments were evaluated based on 11 measurement standards related to item information, versatility, practicality, breadth and depth of health measure, reliability, validity, and responsiveness. VHI and V-RQOL each met 7 of 11 criteria, with VHI showing additional preferable item information, practicality, and reliability over V-RQOL and V-RQOL showing preferable responsiveness properties over VHI. These study results do not support the Social Security Administration's recent conclusion that the VHI meets reliability and validity standards for individual decision making. Nevertheless, the present results do support the use of VHI total scores for clinical use with individual patients, and the use of V-RQOL total scores or individual dimension scores for use with groups of patients.
本研究的目的是比较嗓音障碍生活质量（VQOL）评估工具的心理测量特性。通过全面的文献检索确定了九种VQOL评估工具。基于特定标准，选择了四种进行全面综述：嗓音障碍指数（VHI）、嗓音活动与参与概况（VAPP）、嗓音相关生活质量（V-RQOL）和嗓音结果调查（VOS）。根据与项目信息、通用性、实用性、健康测量的广度和深度、信度、效度及反应度相关的11项测量标准对所选评估工具进行评估。VHI和V-RQOL均符合11项标准中的7项，VHI在项目信息、实用性和信度方面比V-RQOL更具优势，而V-RQOL在反应度特性方面比VHI更具优势。这些研究结果并不支持社会保障局最近得出的结论，即VHI符合个体决策的信度和效度标准。然而，目前的结果确实支持将VHI总分用于个体患者的临床应用，以及将V-RQOL总分或个体维度得分用于患者群体。
