Degroote Gaëlle, Simon Jézabelle, Borel Stéphanie, Crevier-Buchman Lise
Pierre and Marie Curie University, Paris, France.
Folia Phoniatr Logop. 2012;64(1):20-5. doi: 10.1159/000328982.
This study aimed to adapt the Speech Handicap Index (SHI) in French, to compare it with the Voice Handicap Index (VHI) and to study its relevance in dysarthric patients.
Two hundred and twenty-nine subjects filled out the French versions of the SHI and VHI. SHI test-retest reliability was performed on 82 subjects. Psychometric properties were analyzed in 112 healthy controls and 89 patients with speech disorders. Mean scores of 89 speech-disordered and 28 dysphonic patients were obtained.
For SHI, internal consistency (Cronbach’s alpha >0.9) and test-retest reliability (Spearman’s r > 0.75) were high. Mean scores were significantly different between healthy subjects (8/120) and patients (52/120) (p < 0.0001). Scores were statistically different between dysphonic (40/120) and speech-disordered patients (52/120) (p < 0.05), and also between patients with oropharyngeal surgery (44/120) and dysarthric patients (57/120) (p < 0.05). Patients with speech difficulties had higher scores on the SHI than dysphonic patients (p < 0.05).
The French SHI is a reliable and sensitive tool. It can be proposed to all patients with speech disorders. The contrasting results between the SHI and the VHI highlight the importance in giving the appropriate questionnaire tailored to the patient’s pathology.
本研究旨在将言语障碍指数（SHI）改编为法语版本，将其与嗓音障碍指数（VHI）进行比较，并研究其在构音障碍患者中的相关性。
229名受试者填写了SHI和VHI的法语版本。对82名受试者进行了SHI重测信度测试。在112名健康对照者和89名言语障碍患者中分析了心理测量学特性。获得了89名言语障碍患者和28名发声障碍患者的平均得分。
对于SHI，内部一致性（Cronbach's α>0.9）和重测信度（Spearman's r>0.75）较高。健康受试者（8/120）和患者（52/120）之间的平均得分有显著差异（p<0.0001）。发声障碍患者（40/120）和言语障碍患者（52/120）之间的得分有统计学差异（p<0.05），口咽手术患者（44/120）和构音障碍患者（57/120）之间的得分也有统计学差异（p<0.05）。有言语困难的患者在SHI上的得分高于发声障碍患者（p<0.05）。
法语版SHI是一种可靠且敏感的工具。可推荐给所有言语障碍患者。SHI和VHI之间的对比结果凸显了根据患者病情提供合适问卷的重要性。
