Abaalkhail Mashal, Alessa Mohammed, AlKhashan Raghad, Alasmari Yara Saleh, Mesallam Tamer A, Farahat Mohamed, Aldhahri Saleh, Alqaryan Saleh, Al-Qahtani Khalid, Malki Khalid H
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Voice. 2023 Oct 28. doi: 10.1016/j.jvoice.2023.10.001.
Post-thyroidectomy patients commonly experience voice changes, swallowing symptoms, and neck discomfort, a condition known as post-thyroidectomy syndrome. The Thyroidectomy-Related Voice and Symptom Questionnaire (TVSQ) is a validated tool showing strong correlations with established tools with a potential predictive value for post-thyroidectomy voice outcomes. Our study aims to translate and validate the TVSQ into Arabic.
This validation study was conducted at King Abdulaziz University Hospital and King Khalid University Hospital in Riyadh, Saudi Arabia. Forward and backward translations ensured the conceptual equivalence of the Arabic TVSQ (A-TVSQ) and were reviewed by an expert panel. A pilot test assessed the A-TVSQ's face validity and clarity, leading to necessary cultural adjustments. The final A-TVSQ was preoperatively and postoperatively administered to thyroidectomy patients to evaluate its test-retest reliability.
Data were collected from 116 participants (53 cases [45.6%] and 63 controls [54.3%]). The internal consistency analysis showed strong intercorrelation among the A-TVSQ items, with Cronbach's alpha coefficients (0.951) indicating excellent estimated internal consistency within both domains. Test-retest reliability showed a moderate level of reliability with an intraclass correlation coefficient of 0.696. A-TVSQ item discrimination analysis showed significant associations between the total and domain scores pre- and post-thyroidectomy. External validity analysis showed significant changes in A-TVSQ voice change (P < 0.010) and neck discomfort (P = 0.011) domains and total scores (P < 0.010) between before and 2 weeks after thyroidectomy. However, no significant changes were observed between 2 and 4 weeks after thyroidectomy.
The translated and validated A-TVSQ showed excellent internal consistency and moderate test-retest reliability, comparable to the original version. Voice change significantly worsened after thyroidectomy, highlighting the need for continued monitoring and management strategies for this complication.
甲状腺切除术后患者常出现声音改变、吞咽症状和颈部不适，这种情况称为甲状腺切除术后综合征。甲状腺切除相关声音与症状问卷（TVSQ）是一种经过验证的工具，与已有的工具显示出很强的相关性，对甲状腺切除术后的声音结果具有潜在的预测价值。我们的研究旨在将TVSQ翻译成阿拉伯语并进行验证。
这项验证研究在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王大学医院和哈立德国王大学医院进行。正向和反向翻译确保了阿拉伯语TVSQ（A-TVSQ）的概念等效性，并由一个专家小组进行了审查。一项预试验评估了A-TVSQ的表面效度和清晰度，从而进行了必要的文化调整。最终的A-TVSQ在甲状腺切除术前和术后对患者进行施测，以评估其重测信度。
收集了116名参与者的数据（53例[45.6%]和63名对照[54.3%]）。内部一致性分析显示A-TVSQ各项目之间存在很强的相互关联性，克朗巴哈系数（0.951）表明两个领域内的估计内部一致性都非常好。重测信度显示出中等水平的信度，组内相关系数为0.696。A-TVSQ项目鉴别分析显示甲状腺切除术前和术后总分与各领域得分之间存在显著关联。外部效度分析显示，甲状腺切除术前和术后2周之间，A-TVSQ的声音改变（P < 0.010）、颈部不适（P = 0.011）领域以及总分（P < 0.010）有显著变化。然而，甲状腺切除术后2至4周未观察到显著变化。
经过翻译和验证的A-TVSQ显示出出色的内部一致性和中等的重测信度，与原始版本相当。甲状腺切除术后声音改变显著恶化，突出了对这种并发症持续监测和管理策略的必要性。
