Validation and Standardization of the Pediatric Voice Symptom Questionnaire: A Double-Form Questionnaire for Dysphonic Children and Their Parents

  • Verduyckt Ingrid
    Correspondence
    Address correspondence and reprint requests to Verduyckt Ingrid, Centre d’Audiophonologie, Cliniques Universitaires de Saint-Luc, Université de Louvain, Bruxelles, Belgium.
    Affiliations
    Faculté de psychologie, Université de Louvain, Louvain-la-Neuve, Belgium

    Centre d’Audiophonologie, Cliniques Universitaires de Saint-Luc, Université de Louvain, Bruxelles, Belgium
    Search for articles by this author
  • Morsomme Dominique
    Affiliations
    Département de Psychologie: cognition et comportement/Logopédie des troubles de la voix, Université de Liège, Liège, Belgium
    Search for articles by this author
  • Remacle Marc
    Affiliations
    Centre d’Audiophonologie, Cliniques Universitaires de Saint-Luc, Université de Louvain, Bruxelles, Belgium
    Search for articles by this author
Published:November 15, 2011DOI:https://doi.org/10.1016/j.jvoice.2011.08.001

      Summary

      The aim of our study was to validate a Pediatric Voice Symptom Questionnaire (PVSQ) presenting with a parallel form for children and their parents. The items of the questionnaire were elaborated from the results of structured interviews with dysphonic children (DP) and normophonic children (NP) and their mothers and were tested for feasibility in a pilot study involving 42 normophonic children aged 5–13 years. The items were then administered in a test-retest mode to 333 children and their parents (154 boys and 179 girls with a mean age of 9 years, standard deviation: 1.8); 45 consulting DP, 34 nonconsulting dysphonics (NcDP), 163 NP, and 91 others. Classical statistical analyses and an item response modeling approach were used to analyze the results.
      High internal consistency and good test-retest stability were found. Significant differences between total score of the NP, DP, and NcDP groups were observed both in the children and the parents and also between parental and child score for the NP and NcDP groups (P<0.001–P=0.014). Correlations between child and parental scores were found only in the DP groups (r=0.478; P<0.001). Based on our results, the PVSQ is a valid and reliable instrument for the autoevaluation of dysphonia in the child population.

      Key Words

      To read this article in full you will need to make a payment

      Subscribe:

      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Van Houtte E.
        • Van Lierde K.
        • D’Haeseleer E.
        • Claeys S.
        The prevalence of laryngeal pathology in a treatment-seeking population with dysphonia.
        Laryngoscope. 2010; 120: 306-312
        • Coyle S.M.
        • Weinrich B.D.
        • Stemple J.C.
        Shifts in relative prevalence of laryngeal pathology in a treatment-seeking population.
        J Voice. 2001; 15: 424-440
        • McKinnon D.H.
        • McLeod S.
        • Reilly S.
        The prevalence of stuttering, voice, and speech-sound disorders in primary school students in Australia.
        Lang Speech Hear Serv Sch. 2007; 38: 5-15
        • Carding P.N.
        • Roulstone S.
        • Northstone K.
        • ALSPAC Study Team
        The prevalence of childhood dysphonia: a cross-sectional study.
        J Voice. 2006; 20: 623-630
        • Duff M.C.
        • Proctor A.
        • Yairi E.
        Prevalence of voice disorders in African American and European American preschoolers.
        J Voice. 2004; 18: 348-353
        • Milutinović Z.
        Social environment and incidence of voice disturbances in children.
        Folia Phoniatr Logop. 1994; 46: 135-138
        • Kiliç M.
        • Okur E.
        • Yildirim I.
        • Güzelsoy S.
        The prevalence of vocal fold nodules in school age children.
        Int J Pediatr Otorhinolaryngol. 2004; 68: 409-412
        • ESF/SCSS- Exploratory Workshop
        Voice Development, Assessment, Education and Care in Childhood and Adolescence.
        United Kingdom, University of LondonMay 2002
        • Signorelli M.E.
        • Madill C.J.
        • McCabe P.
        The management of vocal fold nodules in children: a national survey of speech-language pathologists.
        Int J Speech Lang Pathol. 2011; ([Epub ahead of print])
        • Nienkerke-Springer A.
        • McAllister A.
        • Sundberg J.
        Effects of Family Therapy on Children’s Voices.
        J Voice. 2005; 19: 103-113
        • Lee E.
        • Son Y.
        Muscle tension dysphonia in children: voice characteristics and outcome of voice therapy.
        Int J Pediatr Otorhinolaryngol. 2005; 69: 911-991
        • Trani M.
        • Ghidini A.
        • Bergamini G.
        • Presutti L.
        Voice therapy in pediatric functional dysphonia: a prospective study.
        Int J Pediatr Otorhinolaryngol. 2007; 71: 379-384
        • Meredith Morgan L.
        • Theis Shannon M.
        • McMurray J. Scott
        • Zhang Yu
        • Jiang Jack J.
        Describing pediatric dysphonia with nonlinear dynamic parameters.
        Int J Pediatr Otorhinolaryngol. 2008; 72: 1829-1836
        • Wuyts F.
        • Heylen L.
        • Mertens F.
        • De Bodt M.
        • Van de Heyning P.
        Normative voice range profiles of untrained boys and girls.
        J Voice. 2002; 16: 460-465
        • Schneider B.
        • Zumtobel M.
        • Prettenhofer W.
        • Aichstill B.
        • Jocher W.
        Normative Voice Range Profiles in Vocally Trained and Untrained Children Aged Between 7 and 10 Years.
        J Voice. 2010; 24: 153-160
        • Weinrich B.
        • Salz B.
        • Hughes M.
        Aerodynamic measurements: normative data for children ages 6:0 to 10:11 years.
        J Voice. 2005; 19: 326-339
        • Woisard V.
        • Bodin S.
        • Yardeni E.
        • Puech M.
        The Voice Handicap Index: correlation between subjective patient response and quantitative assessment of voice.
        J Voice. 2006; 21: 623-631
        • Jacobson B.H.
        • Johnson A.
        • Grywalski C.
        • Silbergleit A.
        • Jacobson G.
        • Benninger M.S.
        • Newman C.W.
        The Voice Handicap Index (VHI) development and validation.
        Am J Speech Lang Pathol. 1997; 6: 66-70
        • Dejonckere P.H.
        • Bradley P.
        • Clement P.
        • et al.
        A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of European Laryngological Society (ELS).
        Eur Arch Otorhinolaryngol. 2001; 258: 77-82
        • Hartnick C.J.
        Validation of a pediatric voice quality-of-life instrument: the pediatric voice outcome survey.
        Arch Otolaryngol Head Neck Surg. 2002; 128: 919-922
        • Boseley M.E.
        • Cunningham M.J.
        • Volk M.S.
        • Hartnick C.J.
        Validation of the pediatric voice-related quality-of-life survey.
        Arch Otolaryngol Head Neck Surg. 2006; 132: 717-720
        • Zur K.B.
        • Cotton S.
        • Kelchner L.
        • Baker S.
        • Weinrich B.
        • Lee L.
        Pediatric Voice Handicap Index (pVHI): a new tool for evaluating pediatric dysphonia.
        Int J Pediatr Otorhinolaryngol. 2007; 71: 77-82
        • Theunissen N.C.M.
        • Vogels T.G.S.
        • Koopman H.M.
        • Verrips G.H.W.
        • Zwinderman K.A.H.
        • Verloove-Vanhorick S.P.
        The proxy problem: child report versus parent report in health-related quality of life research.
        Qual Life Res. 1998; 7: 387-397
        • le Coq E.M.
        • Boeke A.J.P.
        • Bezemer P.D.
        • Colland V.T.
        • van Eijk J.T.
        Which source should we use to measure quality of life in children with asthma: The children themselves or their parents?.
        Qual Life Res. 2000; 9: 625-636
        • Eiser C.
        • Morse R.
        Can parents rate their child’s health-related quality of life? Results of a systematic review.
        Qual Life Res. 2001; 10: 347-357
        • Jokovic A.
        • Locker D.
        • Guyatt G.
        How well do parents know their children? Implications for proxy reporting of child health-related quality of life.
        Qual Life Res. 2004; 13: 1297-1307
        • Davis E.
        • Waters E.
        • Mackinnon A.
        • Reddihough D.
        • Graham K.
        • Lehmet-Radji O.
        • Boyd R.
        Paediatric quality of life instruments: a review of the impact of the conceptual framework on outcomes.
        Dev Med Child Neurol. 2006; 48: 311-318
        • Davis E.
        • Nicolas C.
        • Waters E.
        • Cook K.
        • Gibbs L.
        • Gosh A.
        • Ravens-Sieberer U.
        Parent-proxy and child self-reported health-related quality of life: using qualitative methods to explain the discordance.
        Qual Life Res. 2007; 16: 863-871
        • Upton P.
        • Lawford J.
        • Eiser C.
        Parent-child agreement across child health-related quality of life instruments: a review of the literature.
        Qual Life Res. 2008; 17: 895-913
      1. National Centre for Health Outcomes Development, University of Oxford Patient-reported Health Instruments Group (formerly the Patient-Assessed Health Outcomes Programme) Report to the UK Department of Health July 2001. Instruments for Children and Adolescents: A Review. http://phi.uhce.ox.ac.uk/pdf/phig_children_report.pdf. Last accessed May 5, 2011.

        • Connor N.
        • Cohen S.
        • Theis S.
        • Thibeault S.
        • Heatley D.
        • Bless D.
        Attitudes of children with dysphonia.
        J Voice. 2008; 22: 197-209
        • Verduyckt I.
        • Remacle M.
        • Jamart J.
        • Benderitter C.
        • Morsomme D.
        Voice-related complaints in the pediatric population.
        J Voice. 2011; 25: 373-380
        • Reichenberg K.
        • Broberg A.G.
        Quality of life in childhood asthma: use of the Paediatric Asthma. Quality of Life Questionnaire in Swedish sample of chidren 7 to 9 years old.
        Acta Paediatr. 2000; 89: 989-995
        • Rebok G.
        • Riley A.
        • Forrest C.
        • Starfield B.
        • Green B.
        • Robertson J.
        • Tambor E.
        Elementary school-age children’s reports of their health: a cognitive interviewing study.
        Qual Life Res. 2001; 10: 59-70
        • Combescure P.
        20 lists of phonetically balanced sentences.
        Revue d’Acoustique. 1981; 56: 34-38
        • Shrivastav R.
        The use of an auditory model in predicting perceptual ratings of breathy voice quality.
        J Voice. 2003; 17: 502-512
        • Gerratt B.
        • Kreiman J.
        Theoretical and methodological development in the study of pathological voice quality.
        J Phon. 2000; 28: 335-342
        • Wilson M.
        Constructing Measures: An Item Response Modeling Approach.
        Lawrence Erlbaum Associates, Mahwah, NJ2005
      2. BEAR Center, University of California, Berkeley. Construct Map. Available at: http://bearcenter.berkeley.edu/. Last accessed May 5, 2011.

        • Wheeler K.
        • Collins S.
        • Sapienza C.
        The relationship between VHI scores and specific acoustic measures of mildly disordered voice production.
        J Voice. 2006; 20: 308-317
        • Yiu E.
        • Ho E.
        • Ma E.
        • Verdolini Abbott K.
        • Branski R.
        • Richardson K.
        • Li N.
        Possible cross-cultural differences in the perception of impact of voice disorders.
        J Voice. 2011; 25: 348-353
      3. Assessing health status and quality of life instruments: attributes and review criteria.
        Qual Life Res. 2002; 11: 193-205