KMID : 1036820220270010202
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Communication Sciences & Disorders 2022 Volume.27 No. 1 p.202 ~ p.211
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Validity and Reliability of the Korean Version of the Children¡¯s Voice Handicap Index-10 (CVHI-10) in School Age Children: ROC Curve and Cutoff Analysis for Diagnostic Test
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Ra Sang-Hak
Choi Seong-Hee Lee Kyung-Jae Choi Chul-Hee
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Abstract
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Objectives: Dysphonia is a common pathologic condition in childhood. Multidimensional voice assessments are recommended in voice assessments for children. Recently, a childbased self voice assessment has been developed. This study assessed the reliability and validity of the Korean version of the CVHI-10 as a reliable self-administered voice assessment.
Methods: A total of 100 school age children with voice disorders, aged 7-12 years and 100 age and gender-matched children with no voice disorders and their 200 parents participated in this study. Internal consistency was calculated through Cronbach¡¯s ¥á coefficient and the test-retest reliability of the Korean version of the CVHI-10 was estimated.
Results: The Korean version of the CVHI-10 revealed a high internal consistency ; ¥á= .911 for children, ¥á= .876 for parents as well as good test-retest reliability r= .759 for children, r= .762 for their parents. There was a strong correlation between the Korean version of the CVHI-10 and the K-pVHI in both children and their parents¡¯ responses (r= .759, r= .752), respectively. The Korean version of the CVHI-10 showed a low significant correlation with the acoustical measurements of %jitter and %shimmer, and the ¡®G¡¯ score of GRBAS scale. Furthermore, in the K- CVHI-10 results obtained from children, the cut-off score was found to be 75% positive predictive value and 69% negative predictive value, based on 3.50 points, and the area under the curve was shown to be .683. Similarly, in their parents, the cut-off score was found to be 90.6% positive predictive value and 86.2% negative predictive value, based on 3.50 points, and the area under the curve was shown to be .95.
Conclusion: The Korean version of the CVHI-10 can be a useful voice assessment tool as a diagnostic test as well as a screening tool for children and their parents to identify voice problems and provide appropriate intervention with objective voice assessment.
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KEYWORD
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Korean version of CVHI-10, Dysphonia, Diagnostic, Validity, Reliability, School age children, Parents
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