Advertisement

Adaptation and Validation of the Lithuanian Version of the Pediatric Voice Handicap Index

      Summary

      Objectives

      The aim of this study was to develop the Lithuanian version of the Pediatric Voice Handicap Index (pVHI) and to assess its psychometric characteristics.

      Methods

      The Lithuanian version of the pVHI was prepared according to the standard requirements for the questionnaire translation and adaptation procedure. It also included forward and backward translations of the original questionnaire, as well as a committee review and psychometric testing of the final version of the pVHI. A total of 126 children between 4 and 13 years of age were included in the study. Two study groups were formed: a group consisting of children with dysphonia (n = 70) and a control group of children without any alterations in their voice (n = 56). The questionnaire was always completed by their parents. The results were statistically analysed to assess the reliability, validity, sensitivity and specificity of the Lithuanian version of the pVHI.

      Results

      High internal consistency of the Lithuanian version of the pVHI was determined (Cronbach's α = 0.938). The test-retest analysis also showed a high correlation between the two tests (r = 0.949) for both the dysphonic and control groups. The mean overall pVHI score was significantly higher (P < 0.001) in the dysphonic group than in the control group: 26.16 ± 11.84 and 2.43 ± 2.61, respectively. Similar results were obtained for all domains of pVHI. The most sensitive and specific limiting value for discrimination between the clinical and control groups was the sum of 8 points.

      Conclusions

      The Lithuanian version of the pVHI is a reliable and valid instrument for the evaluation of the Voice Handicap Index in the pediatric population and can be easily applied in daily clinical practice.

      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

        • Worthen M.
        • Shandran S.
        Hoarseness in children.
        Int J Head Neck Surg. 2016; 7: 130-135
        • Mornet E.
        • Coulombeau B.
        • Fayoux P.
        • et al.
        Assessment of chronic childhood dysphonia.
        Eur An Otorhinolaryngol Head Neck Dis. 2014; 131: 309-312
        • McAllister A.
        • Sjolander P.
        Children's voice and voice disorders.
        Semin Speech Lang. 2013; 34
      1. C.H. Zalvan, J. Jone, Hoarseness in children: Etiology and management, Available from: https://www.uptodate.com/contents/common-causes-of-hoarsenessin-children.

        • Possamai V.
        • Hartley B.
        Voice disorders in children.
        Pediatr Clin North Am. 2013; 60: 79-92
        • Carding P.N.
        • Roulstone S.
        • Northstone K.
        • et al.
        The Prevalence of childhood dysphonia: a cross-sectional study.
        J Voice. 2006; 20: 623-630
        • Angelillo N.
        • Costanzo B.D.
        • Angelillo M.
        • et al.
        Epidemiological study on vocal disorders in paediatric age.
        J Prev Med Hyg. 2008; 49: 1-5
        • Connor N.P.
        • Cohen S.B.
        • Theis S.M.
        • et al.
        Attitudes of children with dysphonia.
        J Voice. 2008; 22: 197-209
        • Pribuisiene R.
        • Pasvenskaite A.
        • Pribuisis K.
        • et al.
        Dysphonia screening in vocally trained and untrained children.
        Int J Pediatr Otorhinolaryngol. 2020; 129109776
        • Cohen W.
        • Wynne D.M.
        • Kubba H.
        • et al.
        Development of a minimum protocol for assessment in the paediatric voice clinic. Part 1: evaluating vocal function.
        Logoped Phoniatr Vocol. 2012; 37: 33-38
        • Cohen W.
        • Wardrop A.
        • Wynne D.M.
        • et al.
        Development of a minimum protocol for assessment in the paediatric voice clinic. Part 2: subjective measurement of symptoms of voice disorder.
        Logoped Phoniatr Vocol. 2012; 37: 39-44
        • Zur K.B.
        • Cotton S.
        • Kelchner L.
        • et al.
        Pediatric voice handicap index (pVHI): a new tool for evaluating pediatric dysphonia.
        Int J Pediatr Otorhinolaryngol. 2007; 71: 77-82
        • Jacobson B.H.
        • Johnson A.
        • Grywalski C.
        • et al.
        The voice handicap index (VHI): development and validation.
        Am J Speech Lang Pathol. 1997; 6: 66-70
        • Schindler A.
        • Tiddia C.
        • Ghidelli C.
        • et al.
        Adaptation and validation of the Italian pediatric voice handicap index.
        Folia Phoniatrica Logop. 2011; 63: 9-14
        • Shoeib R.M.
        • Malki K.H.
        • Mesallam T.A.
        • et al.
        Development and validation of the Arabic pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2012; 76: 1297-1303
        • Park S.S.
        • Kwon T.K.
        • Choi D.H.
        • et al.
        Reliability and validity of the Korean version of pediatric voice handicap index: in school age Children.
        Int J Pediatr Otorhinolaryngol. 2013; 77: 107-112
        • Sanz L.
        • Bau P.
        • Arribas I.
        • et al.
        Adaptation and validation of Spanish version of the pediatric voice handicap index (P-VHI).
        Int J Pediatr Otorhinolaryngol. 2015; 79: 1439-1443
        • Devadas U.
        • Dhanya M.
        • Gunjawate D.
        Adaptation and validation of the Malayalam pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2015; 79: 1425-1428
        • Ozkan E.T.
        • Tuzuner A.
        • Demirhan E.
        • et al.
        Reliability and validity of the Turkish pediatric voice handicap index.
        Pediatr Otorhinolaryngol. 2015; 79: 680-684
        • Veder L.
        • Pullens B.
        • Timmerman M.
        • et al.
        Reliability and validity of the Dutch pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2017; 96: 15-20
        • Liu K.
        • Liu S.
        • Zhou Z.
        • et al.
        Reliability and validity of the Chinese pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2018; 105: 127-131
        • Oddon P.A.
        • Boucekine M.
        • Boyer L.
        • et al.
        Health-related quality of life in children with dysphonia and validation of the French pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2018; 104: 205-209
        • Carrera Fernández S.M.
        • Massé P.G.
        • Wilder F.
        • et al.
        Index of pediatric voice handicap: translation, transculturalization and validation to Argentinian Spanish.
        Int J Pediatr Otorhinolaryngol. 2019; 127109663
        • Schneider K.
        • Mehlum C.S.
        • Grønhøj C.
        • et al.
        Reliability and validity of the Danish pediatric voice handicap index.
        Int J Pediatr Otorhinolaryngol. 2019; 125: 11-14
        • Krasnodębska P.
        • Szkiełkowska A.
        • Rosińska A.
        • et al.
        Polish version of the pediatric voice handicap index (pVHI).
        Int J Pediatr Otorhinolaryngol. 2020; 138110278
        • khoshhal Z.
        • ShahMahmood T.M.
        • Ghayoumi-Anaraki Z.
        • et al.
        Adaptation and validation of the Persian version of pediatric Voice Handicap Index (pVHI).
        Int J Pediatr Otorhinolaryngol. 2020; 137110204
        • Pribuišienė R.
        • Baceviciene M.
        • Uloza V.
        • et al.
        Validation of the Lithuanian version of the glottal function index.
        J Voice. 2012; 26: 73-78
        • Pribuisiene R.
        • Pribuisis K.
        • Liutkevicius V.
        • et al.
        Glottal function index questionnaire for screening of pediatric dysphonia.
        Int J Pediatr Otorhinolaryngol. 2019; 123: 97-101
        • Šiupšinskienė N.
        • Adamonis K.
        • Belafsky P.
        • et al.
        Linguistic adaptation and validization of Lithuanian version of reflux symptom index.
        Health Sci. 2015; 25: 63-69
        • Aaronson N.
        • Alonso J.
        • Burnam A.
        • et al.
        Assessing health status and quality-of-life instruments: attributes and review criteria.
        Qual Life Res. 2002; 11: 193-205
        • Furmonavičius T.
        Su sveikata susijusios gyvenimo kokybės tyrimų metodologiniai aspektai.
        Medicina (Kaunas). 2004; : 509-516
      2. https://www.wevosys.com/products/lingwaves/lingwaves.html.

        • Wuyts F.L.
        • De Bodt M.S.
        • Molenberghs G.
        The dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach.
        Speech Lang Hear Res. 2000; 43: 796-809