Pribuisiene Ruta, Liutkevicius Vykintas, Pribuisis Kipras, Uloza Virgilijus
Department of Otolaryngology, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Otolaryngology, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
J Voice. 2018 May;32(3):385.e1-385.e6. doi: 10.1016/j.jvoice.2017.03.026. Epub 2017 May 29.
The objective is to study the cultural adaptation and validation of the Speech Handicap Index (SHI) questionnaire to the Lithuanian language.
Cultural adaptation and validation of the translated Lithuanian version of the SHI (SHI-LT) was performed as described by the Scientific Advisory Committee of the Medical Outcomes Trust. The SHI-LT was completed by 46 patients after total laryngectomy and by 60 healthy subjects of the control group. Validity and reliability of the SHI-LT were evaluated.
The SHI-LT showed a statistically significant high internal consistency and test-retest reliability (Cronbach's α = 0.96-0.98). Good validity of SHI-LT was reflected by statistically significant (P < 0.001) difference between the mean scores of the patients and control groups (74.7 ± 26.9 and 5.5 ± 6.5, respectively). No age or gender dependence of SHI-LT was found (P > 0.05). Receiver operating characteristic test indicated that SHI-LT scores exceeding 17.0 points (cutoff value) distinguish patients from healthy controls, with a sensitivity of 97.8% and specificity of 95.0%.
SHI-LT is considered to be a valid and reliable speech assessment tool for Lithuanian-speaking patients after laryngectomy.
研究言语障碍指数（SHI）问卷对立陶宛语的文化适应性及有效性验证。
按照医学结局信托科学咨询委员会的描述，对立陶宛语版SHI（SHI-LT）进行文化适应性及有效性验证。46例全喉切除术后患者及60名对照组健康受试者完成了SHI-LT问卷。对SHI-LT的有效性和可靠性进行评估。
SHI-LT显示出统计学上显著的高内部一致性和重测信度（Cronbach's α = 0.96 - 0.98）。患者组和对照组平均得分之间存在统计学显著差异（分别为74.7 ± 26.9和5.5 ± 6.5，P < 0.001），这反映了SHI-LT具有良好的有效性。未发现SHI-LT存在年龄或性别依赖性（P > 0.05）。受试者工作特征测试表明，SHI-LT得分超过17.0分（临界值）可区分患者与健康对照，灵敏度为97.8%，特异度为95.0%。
SHI-LT被认为是对立陶宛语喉切除术后患者有效的言语评估工具。
