Clinical Centre of Montenegro, Department of Otorhinolaryngology, Podgorica, Montenegro.
University of Montenegro Faculty of Medicine, Podgorica, Montenegro.
Arh Hig Rada Toksikol. 2022 Jul 7;73(2):143-147. doi: 10.2478/aiht-2022-73-3624.
The purpose of the this cross-sectional study was to assess clinical validity, internal consistency, and test-retest reliability of the adapted Montenegrin translation of the Voice Handicap Index 10 (VHI-10). It included 50 patients with voice disorders, divided into three subgroups according disease aetiology: structural, neurological, and functional and a control group of 50 vocally healthy participants. Mean patient VHI-10 score of 21.1±7.6 was significantly higher than the 2.3±2.5 score of controls (p<0.001). Each of the three patient subgroups also scored significantly higher than control (p<0.001). Spearman's rank correlation coefficient of 0.90 (p<0.001) indicated a very strong correlation between the Montenegrin VHI-10 score and self-reported perception of the severity of voice disorder. Excellent internal consistency was found in the patient group, with a Cronbach's alpha of 0.94. Test-retest reliability was also excellent, with intra class correlation coefficient of 0.98. The translated Montenegrin version of VHI-10 is a valid, reliable, and clinically useful tool for self-assessment of the severity of voice disorders in individuals with voice problems in daily practice and in research projects.
本横断面研究旨在评估经过改编的黑山语版嗓音障碍指数 10 项（VHI-10）的临床有效性、内部一致性和重测信度。该研究纳入了 50 名嗓音障碍患者，根据病因分为结构性、神经性和功能性三个亚组，以及 50 名嗓音健康的对照组参与者。患者组的平均 VHI-10 得分为 21.1±7.6，显著高于对照组的 2.3±2.5 分（p<0.001）。每个患者亚组的得分也显著高于对照组（p<0.001）。Spearman 等级相关系数为 0.90（p<0.001），表明黑山语版 VHI-10 评分与患者自我报告的嗓音障碍严重程度感知之间存在很强的相关性。患者组的内部一致性非常好，克朗巴赫α系数为 0.94。重测信度也很好，组内相关系数为 0.98。该翻译后的黑山语版 VHI-10 是一种有效、可靠且在临床实践和研究项目中具有实用价值的工具，可用于评估个体嗓音障碍的严重程度。
