波斯语版眩晕残障问卷的验证与信度检验
Validation and reliability testing of the Persian translation of the Vertigo Handicap Questionnaire.
文献信息
| PMID | 42985260 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Yousef Reyhani |
| 作者单位 | Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. |
| 期刊 | Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences |
| SCI 分区 | Q2 |
| IF | 1.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景： 眩晕残障问卷（VHQ）是评估眩晕对身体和心理社会影响的成熟工具。为便于在波斯语人群中应用，本研究旨在翻译、文化调适并验证波斯语版VHQ。
材料与方法： 采用回译、专家评审和认知访谈将VHQ进行波斯语文化调适。心理测量学评估纳入470例患者和101名对照。效度评估包括表面效度、内容效度、结构效度（先探索性因子分析，再以路径图进行验证性因子分析[CFA]）、区分效度（t检验/协方差分析/受试者工作特征曲线）和聚合效度（与头晕残障量表[DHI]的相关性）。信度通过内部一致性（Cronbach's alpha/omega）和重测信度（1周内组内相关系数[ICC (3,1)]；n = 128）测量。
结果： 波斯语版VHQ（VHQ-P）呈现四因子结构（活动受限、社交焦虑、眩晕恐惧和眩晕严重程度）。CFA证实模型拟合良好（χ2/df = 2.85，比较拟合指数 = 0.95，近似误差均方根 = 0.063），标准化因子载荷范围为0.65至0.95（P < 0.001）。区分效度极佳（AUC = 0.99；截断值 = 19.5；敏感度 = 97%，特异度 = 100%）。与DHI各分量表的强相关性（ρ = 0.88-0.90）支持聚合效度。重测信度极佳（ICC [3,1] = 0.98），内部一致性优异（Cronbach's α = 0.985；各分量表：0.898-0.972）。
结论： 波斯语版VHQ是可用于临床的有效且可靠的工具。可使用VHQ-P评估眩晕药物或手术治疗的效果。VHQ-P似乎是评估患者在康复干预后感知残障和获益的合适工具。
英文摘要
BACKGROUND: The Vertigo Handicap Questionnaire (VHQ) is a well-established instrument for assessing the physical and psychosocial impact of vertigo. To facilitate its use in Persian-speaking populations, this study aimed to translate, culturally adapt, and validate the Persian version of the VHQ.
MATERIALS AND METHODS: The VHQ was culturally adapted into Persian using forward-backward translation, expert review, and cognitive interviews. Psychometric evaluation included 470 patients and 101 controls. Validity assessed face, content, construct (exploratory factor analysis then confirmatory factor analysis [CFA] with path diagram), discriminant (t-test/analysis of covariance/receiver operating characteristic), and convergent (correlation with Dizziness Handicap Inventory [DHI]) validity. Reliability was measured by internal consistency (Cronbach's alpha/omega) and test-retest (intraclass correlation coefficient [ICC (3,1)] over 1 week; n = 128).
RESULTS: The Persian Version of the VHQ (VHQ-P) showed a four-factor structure (restriction of activity, social anxiety, fear of vertigo, and severity of vertigo). CFA confirmed good model fit (χ2/df = 2.85, comparative fit index = 0.95, root mean square error of approximation = 0.063) with standardized factor loadings ranging from 0.65 to 0.95 (P < 0.001). Discriminant validity was excellent (AUC = 0.99; cutoff = 19.5; sensitivity = 97%, specificity = 100%). Convergent validity was supported by strong correlations with DHI subscales (ρ = 0.88-0.90). Test-retest reliability was excellent (ICC [3,1] = 0.98), and internal consistency was outstanding (Cronbach's α = 0.985; subscales: 0.898-0.972).
CONCLUSION: The Persian version of the VHQ is a valid and reliable tool for clinical use. The efficacy of medical or surgical treatment of vertigo can be assessed using VHQ-P. The VHQ-P appears to be an appropriate tool for evaluating patients' perceived handicaps and advantages after rehabilitation interventions.