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Translation, Validity, and Reliability of the Persian Version of the Aging Voice Index Publisher Pubmed



Ahmadi A1, 10, 11 ; Hosseinifar S2 ; Faham M3, 4 ; Shahramnia MM5 ; Ebadi A6, 7 ; Etter NM8 ; Shiani A9 ; Dehghan M1, 10
Authors
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Authors Affiliations
  1. 1. Department of Speech Therapy, School of Rehabilitation, Babol University of Medical Sciences, Babol, Iran
  2. 2. Otorhinolaryngology Research Center, AmirAlam Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Speech and Language Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
  4. 4. Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
  7. 7. Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
  8. 8. Department of Communication Sciences and Disorders, College of Health and Human Development, The Pennsylvania State University, PA, United States
  9. 9. Department of Radiology and Nuclear Medicine, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
  10. 10. Department of Speech Therapy, School of Rehabilitation, Babol University of Medical Sciences, Babol, Iran
  11. 11. Mobility Impairment Research Center, Babol, Iran

Source: Journal of Voice Published:2021


Abstract

Objectives: The Aging Voice Index (AVI) was developed to study quality of life in older adults with voice disorders. The purpose of this study was to translate the original English version of the AVI to Persian version of Aging Voice Index (P-AVI) and validate the P-AVI for the Persian-speaking older adults with voice disorders. Methods: A cross-sectional, descriptive, and methodological study was performed to translate and validate the Persian version of the AVI. The translation was performed in accordance with recommendations from the World Health Organization. Eighty-five treatment-seeking patients with voice disorders and 20 older adults without voice complaints were recruited for this study. Psychometric properties were investigated, including: different types of validity (content validity, construct validity, and criterion-related validity), reliability (test-retest and internal consistency), and item analysis of the Persian version of AVI. The relationship between total score of P-AVI and age, sex, and voice pathology were determined using multiple linear regression. Results: A panel of three speech pathologists performed the content validity of the P-AVI and reached agreement on all of the items. Construct validity was confirmed by a significant difference in the mean of total score of the P-AVI was identified between the particiapnts with voice disorders and those with no voice complaints (P < 0.001). There was high correlation between the total scores of the participants in the Persian version of the AVI and the Persian version of the voice-related quality of life (r = 0.86, P < 0.001). All reliability measures were found to be good with scores higher than 0.8. To assess the need for item reduction, a Cronbach's alpha coefficient remained constant with the elimination of each item; therefore, all no items were removed. Age and voice pathology were not predictive for the total P-AVI score, but a weak effect was identified for sex and the total score of P-AVI (F = 18.75, P < 0.001) with an R2 of 0.21. Conclusions: The Persian version of AVI is a valid and reliable questionnaire designed specifically for older adults that speech-language pathologists and otolaryngologists can use to objectively assess the impact of voice disorders in aging Persian-speaking patients. © 2019 The Voice Foundation