Page 78 - Portuguese Journal - SPORL - Vol 61. Nº2

Table 3
Clinimetric properties of the VHI versions in EP

VHI-9i VHI-10 pVHI SVHI
Total – 0.890 with
dysphonia
Internal consistency 0.91 5 0.882 8 Total – 0.94 11
and 0.989 without
dysphonia 10 10
Reliability Reproducibility mentioned) 5 Spearman's rhô ICC- Total=0.91; p<0.001 rs=0.84; p<0.01 11
X (not
Phy=0.89; F=0.74;
(rs) =0.9512
8
E=0.75
10
121 90 (45 with and Children with 10 Singers and/or actors - 50
dysphonia- 6 ; 147
9
Measurement error Portuguese without voice Without dysphonia with dysphonia and 25
adults 5 complaints ) without dysphonia 11
8
-37 ; 136 10
9
Analysis by «review by a health
Experts X 5 Three experts 9
experts 8 proffionals and singers» 11
pilot version
Pre-test X 5 X 28 X 9
with five singers 11
Content Does not
validity Format include the Does not include the
same According to question about In accordance with final question about
as the the VHI-30 5 perception the original 9 perception of the
original of the voice voice problem 11-12
problem 8
Structural Factorial X 28 Subscales- Phy-F=0.76; X 23
validity analysis 5 F-E=0.85; Phy-E=0.72 10
Professionals Individuals Singers with
with voice with
complaints vs dysphonia Children with dysphonia versus
Discriminant those without vs those dysphonia vs those those without dysphonia
validity without dysphonia (p<0.01) ; Sex, marital
11
voice without 9-10
complaints dysphonia (p<0.001) status, and working
time (p<0.05)
11
25
p<0.001
p<0.053
8
Validity Construct Values higher than Values similar
to the original
validity
Telephone the original Internal consistency
11
10
interview ≠ from Sample – 147 versus 45; (0.94 versus 0.97)
8
10
Stability the original ICC total > 0.91 Discriminates between
4
singers with dysphonia
versus 0.82
of the X 5 (interview in the Values lower than in the vs those without
measure 1st consultation, original dysphonia
11
filled in by
the patient). Overall voice Values lower than
perception scale the original
(0.412 versus 0.660) Test-retest (0.84 11
10
versus 0.92)
VHI-10 versus SVHI versus VHI-30
VHI9i versus
VHI-30- r=0.95 5 VHI-30 adults pVHI versus Overall voice in singers
Concurrent Smoking with dysphonia perception scale (rs=0.648-0.660
validity (rs=0.915 p<0.001); p<0.001) ; EVA de 10
11
Criterion habits without dysphonia (rs=0.412; p<0.001) 10 pontos (rs=0.62;
validity r=0.806 25 (rs=0.647 p<0.001) 8 p<0.01) 211
ROC AUC=0.993 ROC AUC [0.511-0.560]
Predictive X 5 X 8 p<0.001 Cutoff for laryngitis, functional
10
validity
value=10.5 10 dysphonia and nodules 11
ST Students
– Pre-training
– total VHI9i
Sensitivity to change p>0.05; X X X
Post-training
– total VHI9i
– p<0.05 24
Abbreviations: VHI, Voice Handicap Index; VHI-10, VHI with 10 items selected from the original; pVHI, pediatric VHI; VHI-9i, international
abbreviated VHI; ROC, receiver operating characteristic curve; AUC, area under the ROC curve; SVHI, Voice Handicap Index for singers;
ST; speech therapist; EP, European Portuguese; T, total; Phy, physical; F, functional; E, emotional: ICC, intra-class correlation coefficient.
220 Portuguese Journal of Otorhinolaryngology - Head and Neck Surgery