Summary
Objectives
Voice-related quality of life (Qol) questionnaires provide the clinician with information
regarding the impact of voice disorders on the patient's well-being. The available
voice-related QoL tools for Dutch-speaking children are parent-proxy in nature. However,
the use of proxy measurements has been debated in the literature. The Children's Voice
Handicap Index-10 (CVHI-10) is a self-reported QoL tool for dysphonic children. Therefore,
the aim of this study is to develop and validate a Dutch version of the CVHI-10.
Study design
Observational, prospective, cross-sectional study.
Methods
The original version of the CVHI-10 was translated and adapted to Dutch according
to the recommendations of the Quality of Life Special Interest Group - Translation
and Cultural Adaptation group. Subsequently, the questionnaire was individually completed
by 77 children (dysphonic group: n = 30, control group: n = 47) between eight and
14 years. In order to investigate test-retest reliability, 50% of the participants
were asked to complete the questionnaire twice with an interval of 2 weeks. Internal
consistency, test-retest reliability and construct validity were calculated. A receiver
operating characteristic (ROC) analysis was conducted to check the sensitivity and
specificity levels of the instrument.
Results
Internal consistency measured with Cronbach's alpha coefficient was 0.745. Test-retest
reliability measured with intraclass correlation coefficients was 0.718. Mean total
CVHI-10 score was 6.17 ± 2.7 in the dysphonic group and 2.68 ± 2.6 in the control
group. The difference in total score between the groups was statistically significant
(P < 0.001), suggesting that the tool has good construct validity. ROC analysis demonstrated
moderate diagnostic accuracy (area under the curve = 0.869) and suggested a cut-off
score of 3.5.
Conclusions
The Dutch CVHI-10 is the first self-reported voice-related QoL tool for dysphonic
Dutch-speaking children. It is a valid, reliable and sensitive tool to assess the
impact of a voice disorder on the child's well-being.
Key Words
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Article info
Publication history
Published online: May 28, 2022
Accepted:
April 27,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
