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Pediatric Voice Handicap Index (pVHI): validation in european portuguese children

2021-06-25Artigo científico Acesso restrito
http://hdl.handle.net/10400.26/40147
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Autores

Almeida, Lina
Quintal, Aldora
Batista, Ana Paula
Teixeira, Ana
Romeiro, Cláudia
Ferreira, Daniela Brás
Fernandes, Inês Sofia
Saraiva, Madalena
Bom, Rita

Orientador(es)

Resumo(s)

Objectives. To determine reliability and validity of the European Portuguese pVHI version (pVHIEP). Study design. Cross-sectional design. Methods. The pVHI-EP and the talkative and global voice assessment scales were administered to the caregivers of children aged from 3 to 16 years old with and without dysphonia. Reliability (internal consistency and test-retest) was analyzed. The validity analyses performed were: (1) content validity by analyzing the percentage of missing data; (2) construct validity with intraclass correlation coefficients among pVHI-EP domains and overall score; (3) concurrent validity was conducted between pVHI-EP, the caregivers’ judgment of the child's voice severity on a visual analog scale and the Speech-Language Pathologist perceptual voice assessment; (4) knowngroups validity between children with and without dysphonia, and (5) predictive validity by calculating receiver operating characteristics, sensitivity and specificity and determining cut-off points. Results. A total of 283 children (61.5% boys, mean age 8.3 years) participated in the study. The pVHI-EP showed an excellent internal consistency for the pVHI-EP total data. Strong to moderate test-retest reliability confirms pVHI-EP reproducibility. Excellent to good intraclass correlation coefficients between the pVHI-EP overall and the domains confirms its construct validity. Weak to moderate concurrent validity with visual analog scale and Speech-Language Pathologist perceptual voice assessment was confirmed. The pVHI-EP significantly distinguished two groups of different voice conditions. A cut-off point of 10.5 with 95.9% sensitivity and 92.5% specificity was determined for the overall score of the pVHI-EP. Conclusions. The pVHI-EP is a reliable and valid caregiver voice outcome tool for EP children with dysphonia.

Descrição

Palavras-chave

Pediatric voice disorder Childhood dysphonia Pediatric voice handicap index European Portuguese children

URI

http://hdl.handle.net/10400.26/40147

Contexto Educativo

Citação

Projetos de investigação

Unidades organizacionais

Fascículo

Editora

Elsevier

DOI

https://doi.org/10.1016/j.jvoice.2021.05.004

Coleções

ESSA - TF - Artigos em revistas científicas

Licença CC

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