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阿拉伯语版嗓音疲劳障碍问卷的信度与效度

Reliability and Validity of the Arabic Version of the Voice Fatigue Handicap Questionnaire.

临床研究咽喉科IF 2.4Q1

文献信息

PMID42722548
原文在 PubMed 查看原文 ↗
发表日期2026
作者Abdulaziz R Alsalem
查看其他 5 位作者

Manal Bukhari；Mohammed Almohizea；Tamer A Mesallam；Mohamed Farahat；Khalid H Malki

作者单位College of Medicine, King University, Riyadh, Saudi Arabia. Electronic address: Abdulazizalsalem1@gmail.com.
查看其他 2 条单位信息

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.；Research Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

期刊Journal of voice : official journal of the Voice Foundation
SCI 分区Q1
IF2.4
研究类型临床研究 · 临床
所属专科咽喉科

中文摘要

目的： 本研究旨在将嗓音疲劳障碍问卷（VFHQ）翻译为阿拉伯语并进行文化调适，同时验证其信度。
方法： 这项横断面研究纳入了130名参与者：65名发声困难患者和65名对照者，在一所三级大学医院开展，历时12个月。VFHQ根据ISPOR患者报告结局翻译与文化调适良好实践原则被翻译为阿拉伯语。采用Cronbach's alpha和重测组内相关系数（ICC）评估信度，同时通过比较发声困难患者与健康对照者的得分来评估结构效度。
结果： 阿拉伯语版嗓音疲劳障碍问卷（A-VFHQ）总分显示出极好的内部一致性，Cronbach's alpha为0.932。条目删除分析显示，逐一删除每个条目后alpha仍保持较高水平（0.926-0.932）。所有分量表的信度范围为0.792至0.919。30个条目、三个分量表（功能、情感和躯体）以及A-VFHQ总分的得分在测试与重测之间无显著差异（P > 0.05）。功能（0.763）、情感（0.819）和躯体（0.939）分量表以及A-VFHQ总分（0.893）的组内相关系数均较强。最后，所有30个条目、三个分量表以及A-VFHQ总分在患者中的得分均显著高于对照者（P < 0.001）。
结论： A-VFHQ在本样本中表现出极好的内部一致性、高重测信度和较强的结构效度。这些发现支持其作为评估阿拉伯语人群嗓音疲劳的有前景工具的应用。

英文摘要

OBJECTIVES: This study aimed to translate and culturally adapt the Voice Fatigue Handicap Questionnaire (VFHQ) into Arabic and validate its reliability.
METHODS: This cross-sectional study involved 130 participants: 65 patients with dysphonia and 65 controls, conducted at a tertiary university hospital over 12 months. The VFHQ was translated into Arabic based on the ISPOR Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes. Reliability was assessed using Cronbach's alpha and test-retest intraclass correlation coefficients (ICCs), while construct validity was evaluated by comparing scores between patients with dysphonia and healthy controls.
RESULTS: The total Arabic Voice Fatigue Handicap Questionnaire (A-VFHQ) score showed excellent internal consistency, with a Cronbach's alpha of 0.932. Item-deletion analyses showed that alpha remained high when each item was removed individually (0.926-0.932). The reliability of all subscales ranged from 0.792 to 0.919. The scores for the 30 items, three subscales (functional, emotional, and physical), and total A-VFHQ score did not differ significantly between the test and retest (P > 0.05). The intraclass correlation coefficients were strong for the functional (0.763), emotional (0.819), and physical (0.939) subscales, as well as for the total A-VFHQ score (0.893). Finally, the scores for all 30 items, the three subscales, and the total A-VFHQ were significantly higher among the patients than the controls (P < 0.001).
CONCLUSION: The A-VFHQ demonstrated excellent internal consistency, high test-retest reliability, and strong construct validity within the present sample. These findings support its use as a promising instrument for assessing voice fatigue among Arabic-speaking individuals.