Advertisement

Validation and Cultural Adaptation of the Arabic Version of the Aging Voice Index

  • Arwa A. Alkhunaizi
    Correspondence
    Address correspondence and reprint requests to Arwa A. Alkhunaizi, Otolaryngology Department, King Saud University, Riyadh 11411, Saudi Arabia.
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    ENT section, Surgical Department, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
    Search for articles by this author
  • Mohammed Almohizea
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia
    Search for articles by this author
  • Manal Bukhari
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia
    Search for articles by this author
  • Rafeef I. Alhajress
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia
    Search for articles by this author
  • Khalid H. Malki
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Research Chair of Voice, Communication, and Swallowing Disorders, Otolaryngology Department, King Saud University, Riyadh, Saudi Arabia
    Search for articles by this author
  • Tamer A. Mesallam
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Research Chair of Voice, Communication, and Swallowing Disorders, Otolaryngology Department, King Saud University, Riyadh, Saudi Arabia
    Search for articles by this author

      Summary

      Background

      The aging voice index (AVI) is a 23-item self-administered, patient-reported outcome measure. It was developed in the English language to assess the impact of voice disorders on the elderly population.

      Objectives

      This study aimed to develop an Arabic version of the AVI (A-AVI), test its reliability and validity, and assess its psychometric aspects in Arabic-speaking elderly persons with voice disorders.

      Study Design/Methods

      This was an observational, cross-sectional study involving elderly patients aged ≥60 years. Eighty-two patients with voice disorders were included in the dysphonia group and 77 patients without voice disorders were included in the vocally healthy group. The translated A-AVI and Arabic voice handicap index 10 (A-VHI10) were distributed to the study groups. The A-AVI was tested for its reliability (test-retest reliability and internal consistency) and validity (content, construct, and concurrent with A-VHI10).

      Results

      The A-AVI showed excellent test-retest reliability and internal consistency (intraclass correlation coefficient = 0.987 and Cronbach's alpha = 0.954, respectively). There was a significant difference in A-AVI scores between the elderly in the dysphonia and vocally healthy groups (P < 0.001). In addition, a significant correlation was demonstrated between A-AVI and A-VHI10 (r = 0.89). Unilateral vocal fold immobility and inflammatory laryngeal disorders were most frequently reported by the dysphonia group (28%).

      Conclusions

      A-AVI has excellent validity and reliability in Arab-speaking elderly patients with voice disorders. It can be considered in the assessment of the effect of voice disorders on the quality of life of the elderly.

      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 access
      One-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 Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Verdonck-de Leeuw IM
        • Mahieu HF
        Vocal aging and the impact on daily life: a longitudinal study.
        J Voice. 2004; 18: 193-202https://doi.org/10.1016/j.jvoice.2003.10.002
        • Mueller PB
        The aging voice.
        Semin Speech Lang. 1997; 18 (quiz 168): 159-168https://doi.org/10.1055/s-2008-1064070
        • Roy N
        • Stemple J
        • Merrill RM
        • et al.
        Epidemiology of voice disorders in the elderly: preliminary findings.
        Laryngoscope. 2007; 117: 628-633https://doi.org/10.1097/MLG.0b013e3180306da1
        • Wilson JA
        • Deary ÃIJ
        • Millar A
        • et al.
        The quality of life impact of dysphonia.
        Clin Otolaryngol. 2002; : 179-182https://doi.org/10.1046/j.1365-2273.2002.00559.x
        • Etter NM
        • Stemple JC
        • Howell DM.
        Defining the lived experience of older adults with voice disorders.
        J Voice. 2013; 27: 61-67https://doi.org/10.1016/j.jvoice.2012.07.002
        • Golub JS
        • Chen PH
        • Otto KJ
        • et al.
        Prevalence of perceived dysphonia in a geriatric population.
        J Am Geriatr Soc. 2006; 54: 1736-1739https://doi.org/10.1111/j.1532-5415.2006.00915.x
        • Roy N
        • Kim J
        • Courey M
        • et al.
        Voice disorders in the elderly: a national database study.
        Laryngoscope. 2016; 126: 421-428https://doi.org/10.1002/lary.25511
        • Ma EPM
        • Yium EML
        Voice activity and participation profile: assessing the impact of voice disorders on daily activities.
        J Speech Lang Hear Res. 2001; 44: 511-524https://doi.org/10.1044/1092-4388(2001/040
        • Johnson A
        • Jacobson B
        • Grywalski C
        • et al.
        The voice handicap index (VHI): development and validation.
        Am J Speech-Language Pathol. 1997; 6: 66-70https://doi.org/10.1044/1058-0360.0603.66
        • Rosen CA
        • Lee AS
        • Osborne J
        • et al.
        Development and validation of the voice handicap index-10.
        Laryngoscope. 2004; 114: 1549-1556https://doi.org/10.1097/00005537-200409000-00009
        • Hogikyan ND
        • Sethuraman G
        Validation of an instrument to measure voice-related quality of life (V-RQOL).
        J Voice. 1999; 13: 557-569https://doi.org/10.1016/s0892-1997(99)80010-1
        • Gliklich RE
        • Glovsky RM
        • Montgomery WW
        Validation of a voice outcome survey for unilateral vocal cord paralysis.
        Otolaryngol Head Neck Surg. 1999; 120: 153-158https://doi.org/10.1016/S0194-5998(99)70399-2
        • Deary IJ
        • Wilson JA
        • Carding PN
        • et al.
        VoiSS: a patient-derived voice symptom Scale.
        J Psychosom Res. 2003; 54: 483-489https://doi.org/10.1016/S0022-3999(02)00469-5
        • Boseley ME
        • Cunningham MJ
        • Volk MS
        • et al.
        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
        • Zur KB
        • Cotton S
        • Kelchner L
        • et al.
        Pediatric voice handicap ndex (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
        • Etter NM
        • Hapner ER
        • Barkmeier-Kraemer JM
        • et al.
        Aging voice index (AVI): reliability and validity of a voice quality of life scale for older adults.
        J Voice. 2019; 35 (807.e7–807.e12)https://doi.org/10.1016/j.jvoice.2018.04.006
        • Ahmadi A
        • Hosseinifar S
        • Faham M
        • et al.
        Translation, validity, and reliability of the Persian version of the aging voice index.
        J Voice. 2021; 35 (327.e13–327.e21)https://doi.org/10.1016/j.jvoice.2019.09.006
        • Bae IH
        • Sung ES
        • Lee JC
        Validity and reliability of Korean version of the aging voice index (KAVI).
        J Korean Soc Laryngol Phoniatr Logop. 2019; 30: 21-27https://doi.org/10.22469/jkslp.2019.30.1.21
        • Tsang S
        • Royse CF
        • Terkawi AS
        Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine.
        Saudi J Anaesth. 2017; 11: S80-S89https://doi.org/10.4103/sja.SJA_203_17
        • Saleh AA
        • Alkholy R
        • Khalaf OO
        • et al.
        Validation of montreal cognitive assessment-basic in a sample of elderly Egyptians with neurocognitive disorders.
        Aging Ment Health. 2019; 23: 551-557https://doi.org/10.1080/13607863.2018.1428936
        • Farahat M
        Validation and reliability of Arabic voice handicap index-10.
        Saudi J Otorhinolaryngol Head Neck Surg. 2012; 14 (OP-18 VO - 14): 11-18https://doi.org/10.4103/1319-8491.274765
        • Penninkilampi R
        • Casey AN
        • Singh MF
        • et al.
        The association between social engagement, loneliness, and risk of dementia: a systematic review and meta-analysis.
        J Alzheimers Dis. 2018; 66: 1619-1633https://doi.org/10.3233/JAD-180439
        • Mallick AS
        • Garas G
        • McGlashan J
        Presbylaryngis: a state-of-the-art review.
        Curr Opin Otolaryngol Head Neck Surg. 2019; 27: 168-177https://doi.org/10.1097/MOO.0000000000000540
        • Khraif RM
        • Salam AA
        • Elsegaey I
        • et al.
        Changing age structures and ageing scenario of the Arab world.
        Soc Indic Res. 2015; 121: 763-785https://doi.org/10.1007/s11205-014-0664-0
        • Karlin NJ
        • Weil J
        • Felmban W
        Aging in Saudi Arabia: an exploratory study of contemporary older Persons' views about daily life, health, and the experience of aging.
        Gerontol Geriatr Med. 2016; (VL - 2 19;2)2333721415623911https://doi.org/10.1177/2333721415623911
        • Gregory ND
        • Chandran S
        • Lurie D
        • et al.
        Voice disorders in the elderly.
        J Voice. 2012; 26: 254-258https://doi.org/10.1016/j.jvoice.2010.10.024
        • Orimo H
        • Ito H.
        • Suzuki T
        • et al.
        Reviewing the definition of “elderly”.
        Geriatr Gerontol Int. 2006; 6: 149-158https://doi.org/10.1111/j.1447-0594.2006.00341.x