Summary
Objectives
The purpose of this study was to cross-culturally adapt and validate the Hong Kong
Chinese version of the Children's Voice Handicap Index-10 for Parents (CVHI-10-P(HK)),
a parent-proxied quality of life (QOL) questionnaire that pairs with the Children's
Voice Handicap Index-10 (CVHI-10(HK)).
Method
The English version of the (CVHI-10-P(HK)) underwent forward-backward translation
and pretesting. Content validity was computed from an expert panel rating on relevance
and test-retest reliability was obtained from parents and/or guardians of six dysphonic
and five vocally-healthy children. Other validity and reliability measures were analyzed
from CVHI-10-P(HK) completed by parents and/or guardians of 28 dysphonic and 35 vocally-healthy
children who had completed CVHI-10(HK).
Results
The CVHI-10-P(HK) demonstrated excellent internal consistency (α = 0.091), excellent content validity (item- and scale-level content validity indices = 1.00),
good construct validity (between group difference in total CVHI-10-P(HK) score: t(30.904) = -6.449, P < 0.001, Cohen's d = 1.709) and excellent test-retest reliability (r = 0.966, P < 0.001). Criterion validity analysis showed a moderate correlation between the total
CVHI-10-P(HK) score and auditory-perceptual ratings on overall severity (r = 0.515, P < 0.001). Area under the curve of the receiver operating characteristic plot was
found to be 0.855. The CVHI-10-P(HK) has excellent intrinsic accuracy. A cutoff of
score of four may be adopted for the optimal sensitivity and specificity match. A
moderate correlation was found between the total scores of CVHI-10-P(HK) and CVHI-10(HK)
(r = 0.684, P < 0.001).
Conclusion
The CVHI-10-P(HK) is a valid tool that measures QOL of dysphonic children from the
parents’ perspective. It is recommended to be used in parallel to the CVHI-10(HK)
as part of a comprehensive voice assessment for children in Hong Kong.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Identification, evaluation, therapy, and follow-up for children with vocal nodules in a public school setting.J. Speech Hear Disord. 1976; 41: 390-397https://doi.org/10.1044/jshd.4103.390
- Incidence of chronic hoarseness among school-age children.J. Speech Hear Disord. 1975; 40: 211-215https://doi.org/10.1044/jshd.4002.211
- A longitudinal study of the prevalence of voice disorders in children from a rural school division.J Commun Disord. 1989; 22: 375-382https://doi.org/10.1016/0021-9924(89)90012-9
- Prevalence of voice disorders in Iranian primary school students.J Voice. 2017; 31: 263.e213-263.e218https://doi.org/10.1016/j.jvoice.2016.04.004
Lau W-H. Prevalence and Risk Factors for Voice Problems in School-age Children [Unpublished bachelor dissertation]. The University of Hong Kong; 2010
- Clinical practice guideline: hoarseness (dysphonia).Otolaryngol Head Neck Surg. 2009; 141: 1-31https://doi.org/10.1016/j.otohns.2009.06.744
- Attitudes of children with dysphonia.J Voice. 2008; 22: 197-209https://doi.org/10.1016/j.jvoice.2006.09.005
- Objective assessment of pediatric voice disorders with the acoustic voice quality index.J Voice. 2012; 26: 672.e671-672.e677https://doi.org/10.1016/j.jvoice.2012.02.002
- Assessment of voice and respiratory function.in: Remacle M. Eckel H. Surgery of Larynx and Trachea. Springer, Berlin2009: 11-26https://doi.org/10.1007/978-3-540-79136-2_2
- Functional hoarseness in children: short-term play therapy with family dynamic counseling as therapy of choice.J Voice. 2013; 27: 579-588https://doi.org/10.1016/j.jvoice.2013.01.010
- Behavioral management of pediatric dysphonia.Otolaryngol Clin North Am. 2000; 33: 1097-1110https://doi.org/10.1016/s0030-6665(05)70268-1
- Pediatric Voice Handicap Index (pVHI): a new tool for evaluating pediatric dysphonia.Int J Pediatr Otorhinolaryngol. 2007; 71: 77-82https://doi.org/10.1016/j.ijporl.2006.09.004
- Validation of a pediatric voice quality-of-life instrument: the pediatric voice outcome survey.Arch Otolaryngol Head Neck Surg. 2002; 128: 919-922https://doi.org/10.1001/archotol.128.8.919
- Validation of the pediatric voice-related quality-of-life survey.Arch. Otolaryngol Head Neck Surg. 2006; 132: 717-720https://doi.org/10.1001/archotol.132.7.717
- Development and validation of the children's voice handicap index-10 (CVHI-10).J Voice. 2013; 27: 258.e223-258.e228https://doi.org/10.1016/j.jvoice.2012.10.006
- Development and validation of the children's voice handicap index-10 for parents.J Voice. 2016; 30: 120-126https://doi.org/10.1016/j.jvoice.2014.10.004
Kwong E. Cross-cultural adaptation and validation of the Hong Kong-Chinese version of children's voice handicap index. J Voice (in press). https://doi.org/10.1016/j.jvoice.2020.07.001.
- ABC of content validation and content validity index calculation.Educ Med J. 2019; 11: 49-54https://doi.org/10.21315/eimj2019.11.2.6
- SPSS for Windows Step by Step: A Simple Guide and Reference, 11.0 Update.Allyn and Bacon, Boston2003
- Making sense of Cronbach's alpha.Int J Med Educ. 2011; 2: 53-55https://doi.org/10.5116/2Fijme.4dfb.8dfd
- Principles and methods of validity and reliability testing of questionnaires used in social and health science researches.Niger Postgrad Med J. 2015; 22: 195-201https://doi.org/10.4103/1117-1936.173959
- International Classification of Functioning, Disability, and Health: Children & Youth Version.World Health Organization, 2007
Biography
Elaine Kwong, PhD. is currently an Assistant Professor in the Department of Chinese and Bilingual Studies, Hong Kong Polytechnic University. She is also an experienced speech-language pathologist (SLP) who specializes in managing both adult and pediatric voice disorders. Dr Kwong had delivered courses on clinical management for voice disorders to student SLPs from various institutes in Hong Kong. She also regularly supervises student SLPs in voice clinics. Her research interests include, but not limit to, complementary and alternative medicines for voice disorders, physiology of voice production and vocal fatigue, and prevention of voice disorders in occupational voice users etc.Article info
Publication history
Published online: December 28, 2020
Accepted:
December 9,
2020
Footnotes
Declaration of interest: None.
Identification
Copyright
© 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
