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Krishtopova M.A.

Vitebsk State Order of Friendship of Peoples Medical University

Semenov S.A.

Vitebsk City Clinical Emergency Hospital

Petrova L.G.

Belarusian Medical Academy of Postgraduate Education

Linguistic adaptation and validation of the voice handicap index (VHI)-30 in patients with dysphonia into Russian

Authors:

Krishtopova M.A., Semenov S.A., Petrova L.G.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(3): 20‑27

DOI: 10.17116/otorino20218603120

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Table of contents

LINGUISTIC ADAPTATION AND VALIDATION OF THE VOICE HANDICAP INDEX (VHI)-30 IN PATIENTS WITH DYSPHONIA INTO RUSSIAN
LINGUISTIC ADAPTATION AND VALIDATION OF THE VOICE HANDICAP INDEX (VHI)-30 IN PATIENTS WITH DYSPHONIA INTO RUSSIAN

To cite this article:

Krishtopova MA, Semenov SA, Petrova LG. Linguistic adaptation and validation of the voice handicap index (VHI)-30 in patients with dysphonia into Russian. Russian Bulletin of Otorhinolaryngology. 2021;86(3):20‑27. (In Russ.)
https://doi.org/10.17116/otorino20218603120

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Purpose of the study is to assess the internal consistency, reliability of retesting and clinical reliability of the Russian version of the Voice Handicap Index (VHI)-30 questionnaire.

MATERIAL AND METHODS

It is prospective observational study. The original English version of the VHI-30 questionnaire was translated into Russian by two independent researchers (professional translators). The final Russian version (VHI-30rus) was formulated by a third researcher (otorhinolaryngologist) on the basis of these two translations, and then translated back into English. The 181 participants were included in this study. The main group patients (n=91) were additionally divided into subgroups in accordance with the form of dysphonia: 65 (71.4%) patients had functional and organic dysphonia, 8 (8.8%) had chronic inflammatory diseases of the larynx, 7 (7.7%) — benign neoplasms of the larynx (singing nodules, polyps, cysts), 11 (12.1%) — unilateral laryngeal paralysis. The control group consisted of 90 people without voice disorders. Internal consistency (Cronbach’s α coefficient), retest reliability (intraclass correlation coefficient (ICC) VHI-30, comparison of VHI-30 indicators of patients and studied control group (Mann-Whitney U-test, Kruskal-Wallis test) and correlation with the overall severity of dysphonia (Spearman’s ρ rank correlation coefficient) were determined.

RESULTS

In the patient group, we observed excellent internal consistency for VHI-30rus (α=0.95) and good internal consistency for all VHI-30rus subscales: physical (α=0.88), functional (α=0.88), and emotional (α=0.88). The intraclass correlation coefficient (ICC) indicated high retest reliability for patients (0.99) and control group subjects (0.84). The 30-item mean total values for patients with dysphonia were statistically significantly higher than for control group participants (p<0.001). A correlation was found between the overall VHI-30rus value and the overall severity of dysphonia (ρ=0.748, p<0.001). In the patient’s group, female and male participants showed a statistically insignificant difference in the total value of VHI-30rus (Mann-Whitney U-test, p<0.001). There was a correlation in terms of VHI-30rus indicators in different subgroups of the patient group and the control group (Spearman’s correlation coefficient: functional dysphonia — 0.942; chronic laryngitis — 0.756; unilateral laryngeal paralysis — 0.888; benign neoplasms — 0.982; control group studied — 0.882).

CONCLUSION

As a result of this study, the VHI-30 questionnaire was translated from English into Russian for use in the Russian-speaking environment. The study showed good internal consistency, retest reliability, and clinical validity for the Russian version of the VHI-30rus questionnaire. The VHI-30rus questionnaire can be recommended for use in clinical practice for patients with dysphonia.

Keywords:

voice change index
Russian version
questionnaire
clinical confirmation
dysphonia

Authors:

Krishtopova M.A.

Vitebsk State Order of Friendship of Peoples Medical University

Semenov S.A.

Vitebsk City Clinical Emergency Hospital

Petrova L.G.

Belarusian Medical Academy of Postgraduate Education

Received:

20.12.2019

Accepted:

07.09.2020

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