Validation of the German version of the voice handicap index (VHI)

Validation of the German version of the voice handicap index (VHI)
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DOI:
10.1007/s00106-003-0909-8
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发表时间:
2003-11-01
期刊:
HNO
影响因子:
0.9
通讯作者:
Gonnermann, U
Gonnermann, U
中科院分区:
医学4区
文献类型:
--
作者:
Nawka, T;Wiesmann, U;Gonnermann, U

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声音障碍指数(VHI)是在美国发展起来的,用于主观评价患者的声音障碍。翻译成德语已适用于德国患者群体。通过对316例成年患者(女性221例,男性95例)的检查,验证了该方法的有效性。VHI的可靠性取决于高Cronbach's alpha(0.96)。为了构建项目的因素分析产生了四个因素,可以解释为消极的声音体验(因素1-解释20.83%的方差轮换后),缺乏自信(因素2 - 18.82%),缺乏发声能力(因素3 - 12.84%)和消极情绪(因素4 - 11.01%)。在不同程度的语音干扰情况下,患者自身估计的VHI平均分存在显著差异。语音障碍指数被认为是德语国家的诊断工具。
The voice handicap index (VHI) was developed in the United States for subjective evaluation of a voice disturbance by the patient. The translation into German has been applied for a German population of patients. It was validated by the examination of 316 adult patients, 221 female and g 95 male. The reliability of the VHI rests on high Cronbach's alpha (0.96). A factor analysis in order to structure the items yields four factors that can be interpreted as negative voice experience (factor, 1-explaining 20.83% of the variance after rotation), lack of assertiveness (factor 2 - 18.82%),lack of vocal power (factor 3 - 12.84%),and negative emotionality (factor 4 - 11.01%). The mean VHI scores differ significantly from each other in different degrees of voice disturbance as estimated by the patients themselves. The voice handicap index is qualified as a diagnostic tool for German-speaking countries.