Myers Brett R, Pierce Jenny L, Mathy Pamela
Department of Communication Sciences and Disorders, University of Utah, Salt Lake City.
Department of Otolaryngology-Head & Neck Surgery, University of Utah, Salt Lake City.
J Speech Lang Hear Res. 2024 Feb 12;67(2):415-428. doi: 10.1044/2023_JSLHR-23-00549. Epub 2024 Feb 2.
The aim of the present study was to develop and validate a patient-reported outcome measure for gender incongruence specific to voice and communication parameters, including pitch, intonation, resonance, loudness, speech smoothness, speech clarity, word choice, facial expression, gesture, and posture.
The Utah Gender Presentation Scale for Communication (U-GPS) includes 10 items, each on a 10-point scale from masculine to feminine. Items were selected based on literature review and patient focus groups. During test administration, respondents provide their current rating and goal rating for each item. The difference between these scores is used to calculate an overall incongruence score. Prospective data from transgender and gender-diverse ( = 155) and cisgender ( = 69) individuals were then used for a multiparametric psychometric evaluation of the measure.
Findings demonstrate excellent levels of internal consistency (Cronbach's alpha for current scores: α = .943; Cronbach's alpha for goal scores: α = .970), test-retest reliability (intraclass correlation coefficient = .905), longitudinal validity (improvement in therapy for trans women: = 293.0, < .001; nonbinary folx: = 80.9, < .001), concurrent validity (correlation with the Trans Woman Voice Questionnaire: = .51, < .001), and known-group expectations (differences among five gender groups: = 82.7, < .001).
The U-GPS is a meaningful measure of voice-related gender incongruence, which is clinically relevant for assessing goals in gender-affirming voice and communication therapy for individuals across the gender spectrum.
本研究的目的是开发并验证一种针对性别不一致的患者报告结局指标，该指标特定于语音和沟通参数，包括音高、语调、共鸣、响度、言语流畅性、言语清晰度、词汇选择、面部表情、手势和姿势。
犹他州沟通性别表现量表（U-GPS）包括10个项目，每个项目采用从男性化到女性化的10分制。项目是根据文献综述和患者焦点小组选定的。在测试过程中，受访者为每个项目提供他们当前的评分和目标评分。这些分数之间的差异用于计算总体不一致分数。然后，来自跨性别和性别多样化个体（=155）和顺性别个体（=69）的前瞻性数据被用于该指标的多参数心理测量评估。
研究结果显示出极高的内部一致性水平（当前分数的克朗巴哈系数：α=.943；目标分数的克朗巴哈系数：α=.970）、重测信度（组内相关系数=.905）、纵向效度（跨性别女性治疗改善情况：=293.0，<.001；非二元性别者：=80.9，<.001）、同时效度（与跨性别女性语音问卷的相关性：=.51，<.001）以及已知组预期（五个性别组之间的差异：=82.7，<.001）。
U-GPS是一种衡量与语音相关的性别不一致的有意义指标，在临床上对于评估跨性别谱系个体的性别肯定性语音和沟通治疗目标具有相关性。
