Development, Validation, and Reliability of the Teacher-Reported Pediatric Voice Handicap Index

Author(s):  
Damlasu Yağcıoğlu ◽  
Fatma Esen Aydınlı ◽  
Gizem Aslan ◽  
Meltem Ç. Kirazlı ◽  
Ayşen Köse ◽  
...  

Purpose: The purpose of this study was to develop a novel teacher-reported pediatric voice outcome measure and to investigate its psychometric properties. Method: In the first stage, a new instrument, the Teacher-Reported Pediatric Voice Handicap Index (TRPVHI), was developed. After item generation, a panel of experts evaluated the items to assess the content validity. Subsequently, the final version of the preliminary instrument was applied to teachers of 306 children (57 dysphonic and 249 vocally healthy) between the ages of 4 and 11 years. Eventually, the construct validity, criterion-related validity, test–retest reliability, and internal consistency of the developed instrument were examined. Results: The items with a content validity ratio less than .8 were modified or removed, and accordingly, the preliminary version of the index was finalized. After the application of the preliminary version, item reduction was made based on the factor analysis. The index is composed of 27 questions and three subscales: Functional, Physical, and Emotional. A significant difference was observed between the dysphonic and vocally healthy children for the TRPVHI scores ( p < .001). A positive moderate correlation was determined between the Pediatric Voice Handicap Index and TRPVHI scores. Correlation coefficients between the test and retest scores of the TRPVHI were in the range of .92–.98. Cronbach's alpha values computed to assess the internal consistency were in the range of .94–.98. Conclusions: The TRPVHI is the only valid and reliable teacher-reported outcome measure of the effects of voice disorders on children. It is anticipated that the deployment of the TRPVHI in conjunction with other subjective tools, both in the initial evaluation and the follow-up of the treatment results, will allow a better understanding of the physical, functional, and emotional effects of voice disorders on children. Furthermore, it can potentially lead further research to enable the use of the TRPVHI for screening purposes.

Author(s):  
Rizka Aries Putranti ◽  
Ova Emilia ◽  
Efrayim Suryadi

Background: Medical faculty has to make sure that the students meet the minimal competence needed using apropriate exam. While the exam itself should facilitate students to learn. Oral examination has known for its ability to facilitate students learn but low in validity and reliability. Medical faculty of Lampung University (FK Unila) apply the student oral case analysis (SOCA) exam as one of block assessment component, as with MCQ, tutorial, and laboratory exam. This study aimed to evaluate validity and reliability of SOCA examination at FK UnilaMethod: Video of 65 students doing SOCA examination and 28 question rubrics had taken when odd semester exam year 2014-2015 has been carying out at FK Unila. Video and question rubrics were assessed by 5 panelis and analysed using Lawshe's content validity ratio (CVR) to determinate its content validity. Students performance on the video were re-assessed by another assessor to see inter-rater reliability, than analysed using kappa Cohen. Two expert in medical education assessed the cognitive comlpexity of the question rubrics. Data of SOCA's student's mark from year II, III, and IV were analysed for construct valdity and internal consistency.Results: 93,7% of the overall question in 65 video were valid (CVR>99%) and 71,8% question number in 28 question rubrics also valid according to 5 panelis. SOCA cognitive complexity were at level of analyse, know how and 4a. Inter-rater reliability analysis showed 0,549 (moderate agreement) kappa value. Mann Whitney analysis for construct validity showed no significant difference of all year. Cronbach alpha analysis showed internal consistency at the point 0,575.Conclusion: FK Unila's SOCA of odd semester examination year 2014-2015 has sufficient content validity, sufficient cognitive complexity and sufficent inter-rater reliability but lack in construct validity and internal consistency. Keywords: SOCA, validity, reliability


Author(s):  
Chen-Chi Wang ◽  
Jia-Shiou Liao ◽  
Hsiu-Chin Lai ◽  
Yi-Hsuan Lo

Purpose The Voice Handicap Index (VHI) questionnaire assesses the impact of total laryngectomy on voice-related quality of life. This study evaluates the Mandarin VHI, including its internal consistency, test–retest reliability, content validity, and differences in scores for Mandarin alaryngeal patients with pneumatic artificial laryngeal (PA) and esophageal (ES) speech. Method Translation and validation of the VHI questionnaire was performed through the forward–backward translation technique. This study used a sample of 78 PA and 23 ES participants from Taiwan who completed the Mandarin VHI. Forty-two of the alaryngeal participants completed the Mandarin VHI twice over a period of 7–63 days. Results The measurement of the internal consistency of the Mandarin VHI showed a high Cronbach's alpha coefficient for the total score (.975) and the functional (.930), physical (.939), and emotional (.938) subscales. Based on the results of the intraclass correlation coefficients, good test–retest reliability for the total and domain scores was found (intraclass correlation coefficient = .827–.863). Conclusion The Mandarin VHI was validated as an instrument with proper internal consistency and reliability, which supports the Mandarin VHI as a valid instrument for the self-evaluation of handicaps related to voice problems in PA and ES speakers.


2009 ◽  
Vol 17 (5) ◽  
pp. 701-707 ◽  
Author(s):  
Marília Estevam Cornélio ◽  
Maria Cecília Bueno Jayme Gallani ◽  
Gaston Godin ◽  
Roberta Cunha Matheus Rodrigues ◽  
Roberto Dela Rosa Mendes ◽  
...  

This study aimed to present the content validity and reliability analyses of an instrument to study the determinant factors of salt consumption among hypertensive subjects, based on an extension of the Theory of Planned Behavior. Content validity was assessed by 3 experts and a pre-test was carried out with 5 subjects. The final tool, comprising 3 different behaviors related to salt consumption and corresponding psychosocial variables, was applied to 32 subjects for internal consistency and temporal stability (15-day interval) analysis. Cronbach's alpha coefficients > 0.70 and significant intra-class correlation coefficients were observed for most variables, indicating the temporal stability of the measured concepts. The developed instrument exhibited evidence of both content validity and reliability.


2020 ◽  
Author(s):  
Fareeha Amjad ◽  
Mohammad Ali Mohseni Bandpei ◽  
Syed Amir Gilani ◽  
Ashfaq Ahmad ◽  
Muhammad Waqas ◽  
...  

Abstract Background:Although Oswestry Disability Index (ODI) is broadly used in clinical and research settings for assessing the disability level in patients with lumbar radiculopathy but it has not been translated into Urdu language according to the pre-established translation guidelines as well as the validity and reliability of ODI Urdu version has not been tested yet. The aim of this study was to translate ODI in native Urdu language (ODI-U) according to recommended guidelines and to measure its psychometric properties in Urdu speaking patients suffering from lumber radiculopathy. Methods: The ODI-U was developed through previously described translation procedures. 108 participants were recruited, out of which 54 were healthy and 54 were patients of lumber radiculopathy. ODI-U was filled by all participants. However, the patients were administered through ODI-U and visual analogue scales for disability (VAS disability) and pain intensity (VAS pain) at baseline and after 3 days. Reliability was investigated through test-retest method, internal consistency, standard error of measurement (SEM) and smallest detectable change (SDC) at 95% confidence level. ODI-U was assessed for exploratory factor analysis, construct (convergent and discriminative) validity and content validity. Alpha level <0.05 was considered statistically significant and psychometric standards were evaluated contrary to priori hypothesis.Results: The culturally adapted ODI-U revealed excellent test-retest reliability for total score (ICC=0.95) and for all item (ICC=0.72-0.98). Cronbach’s alpha of 0.89 showed excellent internal consistency and a moderate correlation between ODI-U total score and each item was observed through spearman’s correlation coefficient (r=0.51 to 0.76). One factor structure was created for ODI-U explaining 52.5% variance. There was no floor and ceiling effect of total ODI-U score showing good content validity. The discriminative validity was assessed by independent sample t-test which indicated significant difference in ODI-U total score between healthy and patients (P<0.001). The convergent validity was evaluated through Pearson’s correlation showing moderate correlation between ODI-U and VAS pain (r=0.49) as well as VAS disability (r=0.51).Conclusion: ODI-U showed adequate psychometric properties. ODI-U was found to be a reliable and a valid tool to measure the level of disability in Urdu-speaking patients with lumber radiculopathy.


2014 ◽  
pp. 179-185 ◽  
Author(s):  
Daniel Jorge Luis Serrani Azcurra

Introduction: Empowerment refers to patient skills that allow them to become primary decision-makers in control of daily self-management of health problems. As important the concept as it is, particularly for elders with chronic diseases, few available instruments have been validated for use with Spanish speaking people. Objective: Translate and adapt the Health Empowerment Scale (HES) for a Spanish-speaking older adults sample and perform its psychometric validation. Methods: The HES was adapted based on the Diabetes Empowerment Scale-Short Form. Where “diabetes” was mentioned in the original tool, it was replaced with “health” terms to cover all kinds of conditions that could affect health empowerment. Statistical and Psychometric Analyses were conducted on 648 urban-dwelling seniors. Results: The HES had an acceptable internal consistency with a Cronbach’s α of 0.89. The convergent validity was supported by significant Pearson’s Coefficient correlations between the HES total and item scores and the General Self Efficacy Scale (r= 0.77), Swedish Rheumatic Disease Empowerment Scale (r= 0.69) and Making Decisions Empowerment Scale (r= 0.70). Construct validity was evaluated using item analysis, half-split test and corrected item to total correlation coefficients; with good internal consistency (α> 0.8). The content validity was supported by Scale and Item Content Validity Index of 0.98 and 1.0, respectively. Conclusions: HES had acceptable face validity and reliability coefficients; which added to its ease administration and users’ unbiased comprehension, could set it as a suitable tool in evaluating elder’s outpatient empowerment-based medical education programs.


2010 ◽  
Vol 124 (3) ◽  
pp. 306-314 ◽  
Author(s):  
C Hopkins ◽  
J Fairley ◽  
M Yung ◽  
I Hore ◽  
S Balasubramaniam ◽  
...  

AbstractObjectives:We modified and abbreviated a pre-existing research questionnaire, the Tonsil and Adenoid Health Status Instrument, to make it suitable for rapid completion as a disease-specific, health-related quality of life research tool for children with tonsil and adenoid disease in the UK. We determined the main psychometric properties of the resulting 14-item Paediatric Throat Disorders Outcome Test.Design, setting and participants:Pre- and post-operative questionnaires were completed by the parents of children with throat disorders referred to two large hospitals. We included children with recurrent tonsillitis and with obstructive sleep apnoea. A separate cohort of healthy children of comparable age range was also studied.Main outcome measures:The test's internal consistency and responsiveness were analysed and its construct validity documented via known-group differences.Results:A total of 126 completed questionnaires were received from the hospital referral group. The children's mean age was 6.5 years (range one to 16). The 40 unaffected children were well matched in age to the study population (mean 6.1 years, range two to 15). Cronbach's α coefficient for the pre-operative assessment total score was 0.84. The test–retest reliability coefficient for the total score was 0.98, indicating very high reproducibility. The 14-item Paediatric Throat Disorders Outcome Test discriminated well between children known to suffer with throat problems and a group of healthy controls (p < 0.0001; t = 24.016). Six months after surgical intervention, parentally reported questionnaire scores had improved (i.e. were lower) (p < 0.0001; t = 7.01). The standard effect size (i.e. change in mean divided by baseline standard deviation) for children for whom post-operative questionnaires were completed was 1.53; this is very large.Conclusions:The 14-item Paediatric Throat Disorders Outcome Test is an appropriate, disease-specific, parent-reported outcome measure for children with throat disorders, for which we have demonstrated internal consistency, reliability, responsiveness to change and two forms of construct validity.


2020 ◽  
Vol 27 (6) ◽  
pp. 1-9
Author(s):  
Tahereh Daftari ◽  
Naser Havaei ◽  
Mandana Rezaei ◽  
Babak Ghalibaf

Background/Aims Cystic fibrosis affects the respiratory system and may interfere with an individual's occupational performance. This study intended to evaluate the reliability of the Canadian Occupational Performance Measure in children with cystic fibrosis and to compare the occupational performance of children with cystic fibrosis to that of healthy participants. Methods A total of 21 children with cystic fibrosis were included in the reliability and comparison phases of this study and 30 healthy children were recruited for the comparison phase. The Canadian Occupational Performance Measure was used to collect data on occupational performance and satisfaction. Intraclass correlation coefficients and standard error measurements were obtained to evaluate the reliability of the Canadian Occupational Performance Measure. An independent t-test was used to compare the occupational performance of the two groups. Results The test–retest reliability using a 7-day interval was 0.86–0.87 (standard error: 1.79–1.91). The agreement between therapists' scores for inter-rater reliability ranged from 0.87 to 0.90 (standard error: 1.44–1.68). There was a significant difference in performance subscale scores between children with cystic fibrosis and healthy children (P<0.05). There was no significant between-group difference in satisfaction scores. Conclusions The Canadian Occupational Performance Measure is a reliable tool for evaluating the occupational performance of children with cystic fibrosis. Cystic fibrosis directly and indirectly affects occupational performance. Children with cystic fibrosis and their parents may require help and education in the performance and organisation of activities and occupations.


Author(s):  
Wanchat Komon ◽  
Jittima Manonai ◽  
Athasit Kijmanawat ◽  
Chatchawan Silpakit ◽  
Bhatarachit Tunkoon ◽  
...  

Abstract Introduction and hypothesis The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) was developed and validated to assess women’s knowledge regarding etiology, diagnosis and treatment of pelvic organ prolapse (POP) and urinary incontinence (UI). We aimed to translate and validate a Thai version of the PIKQ to use as a tool to evaluate knowledge of POP and UI among Thai-speaking women. Methods The English PIKQ, which comprises the PIKQ-POP and PIKQ-UI sections, was translated into Thai. Psychometric properties of the final version of the Thai PIKQ were tested for content validity, construct validity, internal consistency and test-retest reliability among 168 women attending a gynecology clinic and 150 nurses. Results Regarding content validity of the final Thai PIKQ, the number of missing items was 0. Participants in the nurse group were more likely than those in the patient group to select the correct answer for all items for the POP scale and UI scale (P < 0.001). For internal consistency testing, Cronbach’s alpha coefficient was 0.745 for the PIKQ-POP and 0.754 for the PIKQ-UI scales, suggesting that the items had relatively high internal consistency. The item-total correlation values ranged from 0.204 to 0.539, showing an adequate correlation of each item with the scale overall. The correlation coefficients between the test and retest for PIKQ-POP and PIKQ-UI were 0.685 and 0.735, respectively (P < 0.001). Conclusions The Thai PIKQ is a simple instrument which shows good validity and high reliability and could be a useful tool for assessing knowledge regarding POP and UI in clinical practice.


2016 ◽  
Vol 24 (1) ◽  
pp. 108-130
Author(s):  
Carol L. Lawrence ◽  
Anne E. Norris

Background and Purpose: The purpose of this research was to evaluate the psychometric properties of a new instrument to measure mother–infant togetherness, Mother–Infant Togetherness Survey (MITS). Methods: Stage 1 examined content validity. Stage 2 pretested the readability and understandability and further examined content validity. Stage 3 examined women’s ability to accurately self-report on the Delivery Events subscale. Stages 4 and 5 examined construct validity. Results: Good content validity was obtained at the scale/subscale level (CVI = .91–1.00). Internal consistency reliability was evaluated at the scale/subscale level (α = .62–.89). Construct validity was supported with known groups testing and factor analysis. Conclusion: Study findings provide support for the reliability and validity of the MITS. Future research should be done to improve the internal consistency reliability of the Postpartum Events subscale.


Neurology ◽  
2018 ◽  
Vol 91 (15) ◽  
pp. e1381-e1384 ◽  
Author(s):  
Katy Eichinger ◽  
Joshua Burns ◽  
Kayla Cornett ◽  
Chelsea Bacon ◽  
Mary Lohse Shepherd ◽  
...  

ObjectiveThe purpose of this study was to examine the feasibility, reliability, and convergent validity of the Charcot-Marie-Tooth Functional Outcome Measure (CMT-FOM), a new performance-based measure assessing functional ability in adults with CMT disease.MethodsAdults with CMT type 1A (CMT1A) were recruited at the Universities of Rochester and Iowa. Participants were assessed using the CMT-FOM, CMT Exam Score (CMTES), and a symptom report. Test-retest reliability was examined using intraclass correlation coefficients, internal consistency using Cronbach α, and convergent and known-groups validity using Spearman rank analysis and the Mann-Whitney test.ResultsForty-three individuals (70% women; mean age 41, SD 14.9 years) participated. The CMT-FOM (mean 25.3 ± 8.7, range 12–44/52) was moderately correlated with the CMTES (ρ = 0.62; p < 0.0001) and exhibited acceptable reliability (intraclass correlation coefficient = 0.92) and internal consistency (Cronbach α = 0.81). The CMT-FOM discriminated between participants with clinically mild vs moderate-severe CMT1A. Participants with the mildest CMT1A who demonstrated a floor effect on the CMTES showed functional limitations on the CMT-FOM.ConclusionsThe CMT-FOM is well tolerated and showed no floor/ceiling effects in an adult CMT1A cohort matching those likely to enter upcoming clinical trials. It appears to be reliable, and our data support convergent and known-groups validity in adults with CMT1A. Longitudinal studies further examining the psychometric properties of the CMT-FOM and its responsiveness to change before its application in therapeutic trials are necessary.


Sign in / Sign up

Export Citation Format

Share Document