Audiology and Phoniatric Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Warsaw, Poland.
Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Warsaw, Poland.
Int J Environ Res Public Health. 2022 Aug 29;19(17):10738. doi: 10.3390/ijerph191710738.
Traditional voice evaluations, including imaging techniques, auditory-perceptual ratings, and acoustic and aerodynamic analyses, fail to assess the global handicap that a patient experiences as a result of a voice disorder. The Voice Handicap Index (VHI) is currently one of the most widely used and psychometrically robust instruments for measuring voice disability. The aim of the study is to translate and validate a Polish version of the VHI. The original English-language version of VHI-30 was translated into Polish. We enrolled 188 subjects-123 patients (91 women and 32 men) with voice disorders and 65 controls (53 women and 12 men) without voice disorders. Results obtained by the patients were significantly higher than those obtained by the controls on the Emotional subscale ( = 519.0; < 0.001), Functional ( = 829.0; < 0.001), Physical ( = 331.0; < 0.001), and the global score ( = 390.0; < 0.001). There were statistically significant negative correlations between maximum phonation time and global score ( = -0.31; < 0.01) as well as all three subscales. Shimmer and Smoothed Amplitude Perturbation Quotient were correlated positively with the global score ( = 0.22; < 0.05; = 0.25; < 0.01, respectively) and with all three subscales. There were also statistically significant correlations between VHI scores and auditory perceptual evaluation. In the patient group, there was excellent internal consistency (α = 0.97) and strong test-retest reliability (intraclass correlation = 0.94). The cut-off value equal to 17 points was estimated. The Polish VHI showed excellent internal consistency, good test-retest reproducibility, and clinical validity. It is a useful tool for evaluating the voice disability perceived by a patient.
传统的语音评估方法，包括影像学技术、听觉感知评分、声学和气动分析等，都无法评估患者因嗓音障碍而经历的整体障碍。嗓音障碍指数（VHI）目前是衡量嗓音障碍最常用和最具心理测量学可靠性的工具之一。本研究旨在翻译和验证波兰语版的 VHI。我们将原始的英文版 VHI-30 翻译成波兰语。我们招募了 188 名受试者，其中 123 名患者（91 名女性和 32 名男性）患有嗓音障碍，65 名对照者（53 名女性和 12 名男性）无嗓音障碍。患者组在情感子量表（ = 519.0； < 0.001）、功能子量表（ = 829.0； < 0.001）、生理子量表（ = 331.0； < 0.001）和总体得分（ = 390.0； < 0.001）上的得分显著高于对照组。最大发音时间与总体得分（ = -0.31； < 0.01）以及所有三个子量表均呈负相关。振铃和平滑幅度微扰率与总体得分呈正相关（ = 0.22； < 0.05； = 0.25； < 0.01），与所有三个子量表也呈正相关。VHI 评分与听觉感知评估之间也存在显著相关性。在患者组中，内部一致性极好（α=0.97），重测信度强（组内相关系数=0.94）。估计的截断值为 17 分。波兰语版的 VHI 显示出极好的内部一致性、良好的重测信度和临床有效性。它是评估患者感知到的嗓音障碍的有用工具。
