土耳其语儿童版儿童嗓音问卷的跨文化适应与心理测量学评价：CVQ-TR的验证及CVQ-10-TR的嵌入式评估
Cross-Cultural Adaptation and Psychometric Evaluation of the Children's Voice Questionnaire in Turkish-Speaking Children: Validation of the CVQ-TR and Embedded Evaluation of the CVQ-10-TR.
文献信息
| PMID | 42892560 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Harun Ayas |
| 作者单位 | Rectorate, Yalova University, Yalova, Türkiye; Department of Speech and Language Therapy, Faculty of Health Sciences, Istinye University, Maltepe Mahallesi, Teyyareci Sami Sokak No. 3, Zeytinburnu, Istanbul, 34010, Türkiye. Electronic address: harun12ayas@gmail.com. |
| 期刊 | Journal of voice : official journal of the Voice Foundation |
| SCI 分区 | Q1 |
| IF | 2.4 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 将18个条目的儿童嗓音问卷（CVQ）进行跨文化适应并译为土耳其语，并在患有和未患有发声障碍的土耳其语儿童中评价其测量学特性。次要目的是将预设的10个条目简版（CVQ-10-TR）作为嵌入式评分进行检验。
方法： 适应过程包括正向-反向翻译、多学科专家评审（n = 8）以及15名儿童的认知访谈。心理测量学样本包括180名儿童（60例发声障碍，120例对照）。采用有序验证性因子分析评估结构效度。评价内部一致性、重测信度、测量误差、结构效度、不同信息提供者的关联以及已知组效度。重测分析纳入50名临床稳定参与者。
结果： 内容效度较高（总体S-CVI/Ave = 0.955）。CVQ-TR支持可接受的单因子模型（稳健CFI = 0.964，TLI = 0.959，RMSEA = 0.057，SRMR = 0.051），而三因子模型因潜变量相关接近或超过1而不可接受。内部一致性较高（ω = 0.952），重测信度良好（ICC = 0.892）。所有预设的结构效度假设均得到证实。发声障碍儿童的得分显著高于对照（Hedges' g = 1.75）。嵌入式CVQ-10-TR显示连贯的单因子解、较高的内部一致性（ω = 0.944）、良好的重测信度（ICC = 0.896），并与完整版具有极高的一致性（ρ = 0.971），外部关联模式也基本保持一致。
结论： CVQ-TR是测量土耳其语儿童自我感知嗓音障碍的有效、可靠且以单维度为主的工具。嵌入式CVQ-10-TR显示出有前景的心理测量学性能，但独立使用仍需单独验证。
英文摘要
OBJECTIVES: To cross-culturally adapt the 18-item Children's Voice Questionnaire (CVQ) into Turkish and evaluate its measurement properties in Turkish-speaking children with and without dysphonia. A secondary aim was to examine the predefined 10-item short form (CVQ-10-TR) as an embedded score.
METHODS: The adaptation included forward-back translation, multidisciplinary expert review (n = 8), and cognitive debriefing with 15 children. The psychometric sample comprised 180 children (60 with dysphonia, 120 controls). Ordinal confirmatory factor analysis assessed structural validity. Internal consistency, test-retest reliability, measurement error, construct validity, informant-specific associations, and known-groups validity were evaluated. Test-retest analyses included 50 clinically stable participants.
RESULTS: Content validity was high (overall S-CVI/Ave = 0.955). The CVQ-TR supported an admissible one-factor model (robust CFI = 0.964, TLI = 0.959, RMSEA = 0.057, SRMR = 0.051), whereas the three-factor model was inadmissible because latent correlations approached or exceeded unity. Internal consistency was high (ω = 0.952), and test-retest reliability was good (ICC = 0.892). All prespecified construct-validity hypotheses were confirmed. Children with dysphonia had substantially higher scores than controls (Hedges' g = 1.75). The embedded CVQ-10-TR showed a coherent one-factor solution, high internal consistency (ω = 0.944), good test-retest reliability (ICC = 0.896), and very high correspondence with the full form (ρ = 0.971), with closely preserved external-association patterns.
CONCLUSIONS: The CVQ-TR is a valid, reliable, predominantly unidimensional measure of child-perceived voice handicap in Turkish-speaking children. The embedded CVQ-10-TR showed promising psychometric performance, but standalone administration requires independent validation.