Shefcik Grace, Tsai Pei-Tzu, Kler Satveer
Department of Communicative Disorders and Sciences, San José State University, 1 Washington Square, San Jose, CA, 95112.
Department of Communicative Disorders and Sciences, San José State University, 1 Washington Square, San Jose, CA, 95112.
J Voice. 2025 Mar 31. doi: 10.1016/j.jvoice.2025.03.009.
Clinicians providing gender-affirming communication services to nonbinary individuals often utilize client questionnaires. The Voice-related Experiences of Nonbinary Individuals (VENI) is the only published questionnaire exclusively for nonbinary clients. This questionnaire consists of 17 items that gain insight into the client's self-perception of voice and voice-related concerns. According to Shefcik and Tsai (2023), the VENI's content validity is good to excellent. This study evaluated the measure's reliability through internal consistency and test-retest reliability analyses and created impact ratings to support interpretation of scores.
This study utilized an online survey-based design with test-retest administration. The initial survey was administered to evaluate internal consistency and create severity scores. The retest survey was administered 3-5 weeks after the initial survey to evaluate test-retest reliability.
Fifty-five nonbinary participants with a desire to modify their voice and who were not receiving gender-affirming communication services completed the first survey. Respondents completed the VENI and self-reported the degree that their voice adversely impacts their daily life. Internal Consistency Coefficient (ICC) and item total correlations (ITC) were used to evaluate internal consistency. Thirty participants from the initial survey retook the VENI after 3-5 weeks. Intraclass correlation coefficient (ICCC), Pearson's r, and standard error of measurement (SEM) were used to evaluate test-retest reliability.
ICC was α = 0.85 and ITCs ranged between r = 0.11 and 0.72. Severity scores were created through standard deviations from the mean, resulting in five classifications from "mild" to "severe." Comparison of VENI scores between test and retest resulted in Pearson's r = 0.89, P =< 0.001, SEM = 3.03, and the ICCC for the measure was 0.88.
The VENI has good internal consistency and strong test-retest reliability. Clients' VENI scores can be interpreted using the SEM and impact rating classifications derived from the sample analyzed in this study. This improves clinicians' ability to evaluate and monitor clients' scores. This study supports the use of the VENI as a reliable tool for high-quality, individualized interventions in clinical and research purposes.
为非二元性别个体提供性别肯定性沟通服务的临床医生经常使用客户问卷。非二元性别个体的声音相关经历问卷（VENI）是唯一专门为非二元性别客户发布的问卷。该问卷包含17个项目，可深入了解客户对自己声音的自我认知以及与声音相关的担忧。根据谢菲克和蔡（2023年）的研究，VENI的内容效度良好至优秀。本研究通过内部一致性和重测信度分析评估了该量表的信度，并创建了影响评分以支持对分数的解释。
本研究采用基于在线调查的设计，并进行重测管理。进行初始调查以评估内部一致性并创建严重程度分数。在初始调查后3至5周进行重测调查，以评估重测信度。
55名希望改变自己声音且未接受性别肯定性沟通服务的非二元性别参与者完成了首次调查。受访者完成了VENI，并自我报告了他们的声音对日常生活产生不利影响的程度。使用内部一致性系数（ICC）和项目总分相关性（ITC）来评估内部一致性。初始调查中的30名参与者在3至5周后重新进行了VENI测试。使用组内相关系数（ICCC）、皮尔逊相关系数r和测量标准误差（SEM）来评估重测信度。
ICC为α = 0.85，ITC范围在r = 0.11至0.72之间。通过与均值的标准差创建严重程度分数，结果分为从“轻度”到“重度”的五个等级。测试和重测之间的VENI分数比较得出皮尔逊相关系数r = 0.89，P =< 0.001，SEM = 3.03，该量表的ICCC为0.88。
VENI具有良好的内部一致性和较强的重测信度。可以使用SEM和本研究分析样本得出的影响评分分类来解释客户的VENI分数。这提高了临床医生评估和监测客户分数的能力。本研究支持将VENI用作临床和研究目的高质量、个性化干预的可靠工具。
