Ribeiro Lívia Lima, Paula Kely Maria Pereira de, Behlau Mara
Universidade Vila Velha, Vila Velha, ES, Brazil.
Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Codas. 2014 Jan-Feb;26(1):87-95.
To measure the voice-related quality of life in children/adolescents with vocal complaints through the validation of the Brazilian Pediatric Voice-Related Quality-of-Life survey - VR-QOL-P (Qualidade de Vida em Voz Pediátrico - QVV-P), to verify whether the presence of vocal complaints interfere with the quality of life of children/adolescents, and to determine the relationship between the vocal assessment carried out by parents and the VR-QOL-P scores.
The participants included 246 parents of children/adolescents of both sexes, aged between 2 years and 18 years (divided into preschoolers, schoolers and adolescents), with and without vocal complaints. All participants signed the informed consent form. Translation, linguistic and cultural adaptation, assessment of cultural equivalence, implementation of the protocol in its final version, voice assessment by parents, demographic and clinical descriptive statistical analysis of the population, individual analysis of the items, verification of psychometric measures of validation, reliability, reproducibility and responsiveness of the instrument to treatment, were carried out.
Low scores, especially in the physical domain, were found in subjects with vocal complaints. Among those, adolescents suffered the greatest impact. The social-emotional domain was not sensitive in preschoolers. There was a correlation among the overall, social-emotional and physical scores, and the vocal assessment performed by parents. The VR-QOL-P was reliable, reproducible and responsive to voice problems.
Voice change interferes with the quality of life of children/adolescents, and there is a relationship between the assessment of voice quality and VR-QOL-P scores - the older the individual, the worse the quality of life in aspects related to voice, especially in the physical domain, and the better the vocal quality, as perceived by the parents.
通过对巴西儿科嗓音相关生活质量调查问卷-VR-QOL-P（儿童嗓音生活质量-QVV-P）进行验证，来测量有嗓音问题的儿童/青少年的嗓音相关生活质量，验证嗓音问题的存在是否会干扰儿童/青少年的生活质量，并确定家长进行的嗓音评估与VR-QOL-P评分之间的关系。
参与者包括246名2至18岁儿童/青少年的家长（分为学龄前儿童、学龄儿童和青少年），有或无嗓音问题。所有参与者均签署了知情同意书。进行了翻译、语言和文化调适、文化等效性评估、最终版本方案的实施、家长的嗓音评估、人群的人口统计学和临床描述性统计分析、项目的个体分析、仪器有效性、可靠性、可重复性及对治疗反应性的心理测量指标验证。
有嗓音问题的受试者得分较低，尤其是在身体领域。其中，青少年受影响最大。社会情感领域在学龄前儿童中不敏感。总体、社会情感和身体得分与家长进行的嗓音评估之间存在相关性。VR-QOL-P可靠、可重复且对嗓音问题有反应。
嗓音变化会干扰儿童/青少年的生活质量，嗓音质量评估与VR-QOL-P评分之间存在关联——个体年龄越大，与嗓音相关方面的生活质量越差，尤其是在身体领域，且家长所感知的嗓音质量越好。
