Sanhueza-Garrido Marcela, García-Flores Virginia, Contreras-Cubillos Sebastián, Crisosto-Alarcón Jaime
Departamento de Ciencias de la Rehabilitación en Salud, Facultad de Ciencias de la Salud y los Alimentos, Universidad del Bío-Bío, Chillán 3800708, Chile.
Brain Sci. 2025 Jun 4;15(6):604. doi: 10.3390/brainsci15060604.
Dysarthria is a neuromotor speech disorder that significantly impacts patients' quality of life. In Chile, there is a lack of culturally validated instruments for assessing dysarthria. This study aimed to cross-culturally adapt the Bogenhausen Dysarthria Scales (BoDyS) into Chilean Spanish and to conduct face and content validation. The adaptation process included translation and back-translation, followed by validation by a panel of experts. Clarity, format, and length were evaluated, and the Kappa index (KI), content validity index (CVI), and content validity ratio (CVR) were calculated to confirm item relevance. A pilot test was subsequently conducted with ten speech-language pathologists to apply the adapted version to patients. The adaptation process produced a consensus version that preserved the semantic and cultural characteristics of the original scale. The statistical measures (KI = 1.00; I-CVI = 1.00; S-CVI/Ave = 1.00; S-CVI/UA = 1.00; CVR = 1.00) indicated satisfactory levels of agreement. The pilot test demonstrated the scale's appropriateness and effectiveness for assessing dysarthria within the Chilean context, although some experts recommended reducing task repetition for patients prone to fatigue. The Chilean version of the BoDyS (BoDyS-CL) is a valid and useful tool for evaluating dysarthria in Chile. This study provides a foundation for further research and the systematic implementation of this scale in local clinical practice.
构音障碍是一种神经运动性言语障碍，会对患者的生活质量产生重大影响。在智利，缺乏经过文化验证的评估构音障碍的工具。本研究旨在将博根豪森构音障碍量表（BoDyS）跨文化改编为智利西班牙语，并进行表面效度和内容效度验证。改编过程包括翻译和回译，随后由专家小组进行验证。评估了清晰度、格式和长度，并计算了卡帕指数（KI）、内容效度指数（CVI）和内容效度比（CVR）以确认项目相关性。随后对十名言语治疗师进行了预试验，以将改编后的版本应用于患者。改编过程产生了一个共识版本，保留了原始量表的语义和文化特征。统计指标（KI = 1.00；I-CVI = 1.00；S-CVI/Ave = 1.00；S-CVI/UA = 1.00；CVR = 1.00）表明一致性水平令人满意。预试验证明了该量表在智利背景下评估构音障碍的适用性和有效性，尽管一些专家建议减少易疲劳患者的任务重复。智利版的BoDyS（BoDyS-CL）是评估智利构音障碍的有效且有用的工具。本研究为进一步研究以及在当地临床实践中系统实施该量表奠定了基础。
