Department of Speech and Language Pathology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Croatia.
J Voice. 2013 Jan;27(1):130.e7-130.e14. doi: 10.1016/j.jvoice.2012.07.006. Epub 2012 Oct 6.
This article presents preliminary results of cultural adaptation and validation of the Croatian version of Voice Handicap Index (VHI). The translated version was completed by 38 subjects with voice disorders and 30 subjects without voice complaints. Compared with the subjects in the control group, subjects with voice disorders had significantly higher average total VHI score and scores in each of the three VHI domains (functional, physical, and emotional). Cronbach alpha for total VHI was .94, and coefficients obtained for the three VHI subscales were as follows: α = .87 for functional, α = .88 for physical, and α = .85 for emotional subscales. Intraclass correlation coefficient estimation was also high, for both total VHI (0.92) and subscales (0.85 for functional subscale, 0.87 for physical subscale, and 0.81 for emotional subscale). The overall VHI score positively correlated with auditory perceived grade of dysphonia. In the group with voice disorders, age was not correlated to the total VHI or the subscales. Also, there was no significant difference between male and female voice subjects in total VHI or the subscales. Preliminary findings of this research indicate that the Croatian VHI could provide a reliable and clinically valid measure of patient's current perception of voice problem and its reflection on the quality of life.
本文介绍了克罗地亚语版嗓音障碍指数（VHI）的文化适应性和验证的初步结果。翻译版本由 38 名嗓音障碍患者和 30 名无嗓音投诉的患者完成。与对照组患者相比，嗓音障碍患者的平均总分 VHI 和三个 VHI 领域（功能、生理和情感）的得分均显著更高。VHI 总分的克朗巴赫 α 值为 0.94，三个 VHI 分量表的系数如下：功能分量表的 α 值为 0.87，生理分量表的 α 值为 0.88，情感分量表的 α 值为 0.85。总体 VHI 和分量表的组内相关系数估计也很高，分别为 0.92 和 0.85（功能分量表为 0.85，生理分量表为 0.87，情感分量表为 0.81）。总体 VHI 评分与听觉感知的嗓音障碍程度呈正相关。在嗓音障碍组中，年龄与总分或分量表均无相关性。此外，男性和女性嗓音患者的总分或分量表之间没有显著差异。这项研究的初步结果表明，克罗地亚语版 VHI 可以为患者当前对嗓音问题的感知及其对生活质量的反映提供可靠且具有临床有效性的测量工具。
