Kwong Elaine
Department of Chinese and Bilingual Studies, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
J Voice. 2023 Mar;37(2):299.e9-299.e14. doi: 10.1016/j.jvoice.2020.12.010. Epub 2020 Dec 29.
The purpose of this study was to cross-culturally adapt and validate the Hong Kong Chinese version of the Children's Voice Handicap Index-10 for Parents (CVHI-10-P(HK)), a parent-proxied quality of life (QOL) questionnaire that pairs with the Children's Voice Handicap Index-10 (CVHI-10(HK)).
The English version of the (CVHI-10-P(HK)) underwent forward-backward translation and pretesting. Content validity was computed from an expert panel rating on relevance and test-retest reliability was obtained from parents and/or guardians of six dysphonic and five vocally-healthy children. Other validity and reliability measures were analyzed from CVHI-10-P(HK) completed by parents and/or guardians of 28 dysphonic and 35 vocally-healthy children who had completed CVHI-10(HK).
The CVHI-10-P(HK) demonstrated excellent internal consistency (α = 0.091), excellent content validity (item- and scale-level content validity indices = 1.00), good construct validity (between group difference in total CVHI-10-P(HK) score: t(30.904) = -6.449, P < 0.001, Cohen's d = 1.709) and excellent test-retest reliability (r = 0.966, P < 0.001). Criterion validity analysis showed a moderate correlation between the total CVHI-10-P(HK) score and auditory-perceptual ratings on overall severity (r = 0.515, P < 0.001). Area under the curve of the receiver operating characteristic plot was found to be 0.855. The CVHI-10-P(HK) has excellent intrinsic accuracy. A cutoff of score of four may be adopted for the optimal sensitivity and specificity match. A moderate correlation was found between the total scores of CVHI-10-P(HK) and CVHI-10(HK) (r = 0.684, P < 0.001).
The CVHI-10-P(HK) is a valid tool that measures QOL of dysphonic children from the parents' perspective. It is recommended to be used in parallel to the CVHI-10(HK) as part of a comprehensive voice assessment for children in Hong Kong.
本研究旨在对《儿童嗓音障碍指数-10家长版（香港中文版）》（CVHI-10-P(HK)）进行跨文化调适及验证，这是一份由家长代理的生活质量（QOL）问卷，与《儿童嗓音障碍指数-10》（CVHI-10(HK)）配套使用。
对CVHI-10-P(HK)的英文版进行了正反翻译及预测试。通过专家小组对相关性的评分计算内容效度，并从6名嗓音障碍儿童和5名嗓音健康儿童的家长和/或监护人处获得重测信度。对28名嗓音障碍儿童和35名嗓音健康儿童的家长和/或监护人完成的CVHI-10(HK)所对应的CVHI-10-P(HK)进行了其他效度和信度分析。
CVHI-10-P(HK)显示出极佳的内部一致性（α = 0.091）、极佳的内容效度（条目和量表级内容效度指数 = 1.00）、良好的结构效度（CVHI-10-P(HK)总分的组间差异：t(30.904) = -6.449，P < 0.001，Cohen's d = 1.709）和极佳的重测信度（r = 0.966，P < 0.001）。效标效度分析显示CVHI-10-P(HK)总分与整体严重程度的听觉感知评分之间存在中度相关性（r = 0.515，P < 0.001）。发现受试者工作特征曲线下面积为0.855。CVHI-10-P(HK)具有极佳的内在准确性。为实现最佳敏感性和特异性匹配，可采用四分的分数截断值。CVHI-10-P(HK)总分与CVHI-10(HK)总分之间存在中度相关性（r = 0.684，P < 0.001）。
CVHI-10-P(HK)是一个从家长角度测量嗓音障碍儿童生活质量的有效工具。建议将其与CVHI-10(HK)并行使用，作为香港儿童全面嗓音评估的一部分。
