土耳其语使用者中发音障碍风险筛查协议-通用版的跨文化适应、效度和信度研究

文献信息

中文摘要

背景： 筛查是早期识别和预防嗓音障碍的关键第一步，尤其是在高危人群中。发音障碍风险筛查协议-通用版（DRSP-G）是一种综合筛查工具，同时也作为标准化的患者病史记录；然而，此前尚无适用于土耳其语使用者的等效工具。本研究旨在将DRSP-G翻译并跨文化适应为土耳其语版本（DRTP-TR），并检验其效度和信度。
方法： 根据医学结局信托科学咨询委员会（SAC）指南对DRSP-G进行翻译，包括正向和反向翻译、专家评审和预试验。共有140名参与者（70名发音障碍者，70名健康者）分为三组：女性、男性和儿童，完成了DRSP-G。通过已知组比较以及与嗓音障碍指数、儿童嗓音障碍指数、听觉感知（GRBAS）评级和声学测量的相关性来评估效度。使用受试者工作特征（ROC）分析确定截断分数。通过重测和评分者间分析评估信度。
结果： DRTP-TR分数在所有组中均能显著区分发音障碍者与健康参与者（p < 0.001）。DRTP-TR在女性（AUC = 0.96）和儿童（AUC = 1.00）中表现出极好的区分能力，在男性中表现出很好的区分能力（AUC = 0.85）。女性、男性和儿童的截断分数分别为39、32.5和19.5。重测信度强（r = 0.95）。
结论： DRTP-TR是一种有效且可靠的筛查工具，适用于土耳其语使用者中不同年龄和性别群体的发音障碍风险筛查。

英文摘要

BACKGROUND: Screening is a critical first step in the early identification and prevention of voice disorders, particularly among at-risk populations. The Dysphonia Risk Screening Protocol-General (DRSP-G) is a comprehensive screening tool that also functions as a standardized patient history; however, no equivalent instrument has previously been available for Turkish-speaking individuals. This study aimed to translate and culturally adapt the DRSP-G into Turkish (DRTP-TR) and to examine its validity and reliability.
METHODS AND PROCEDURES: The DRSP-G was translated following the Scientific Advisory Committee of the Medical Outcomes Trust (SAC) guidelines, which comprise forward and backward translation, expert review, and a pilot study. A total of 140 participants (70 dysphonic, 70 healthy) across three groups: women, men, and children completed the DRSP-G. Validity was assessed using known-groups comparisons and correlations with the Voice Handicap Index, Pediatric Voice Handicap Index, auditory-perceptual (GRBAS) ratings, and acoustic measures. Receiver operating characteristic (ROC) analysis was used to determine cutoff scores. Reliability was evaluated via test-retest and inter-rater analyses.
OUTCOMES AND RESULTS: DRTP-TR scores significantly differentiated dysphonic from healthy participants across all groups (p < 0.001). The DRTP-TR demonstrated excellent discriminatory power in women (AUC = 0.96) and children (AUC = 1.00), and very good discriminatory power in men (AUC = 0.85). Cutoff scores were 39, 32.5, and 19.5 for women, men, and children, respectively. Test-retest reliability was strong (r = 0.95).
CONCLUSION AND IMPLICATION: The DRTP-TR is a valid and reliable screening instrument for dysphonia risk among Turkish-speaking individuals across age and gender groups.