罗德岛大学嗓音依从性评估量表的汉化与信效度检验  

Reliability and validity of the Chinese version of URICA-Voice scale

作　　者：刘彩鹏 王雅静[2] 尚艳华[3] 庞艺施[4] 李华[5] 杨金珊[2] 陈文君 郑亿庆[2] 梁发雅[2] LIU Caipeng;WANG Yajing;SHANG Yanhua;PANG Yishi;LI Hua;YANG Jinshan;CHEN Wenjun;ZHENG Yiqing;LIANG Faya(Department of Otolaryngology Head and Neck Surgery,Guangzhou Red Cross Hospital of Ji'nan University,Guangzhou,510220,China;Department of Otolaryngology Head and Neck Surgery,Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation,Sun Yat-sen Memorial Hospital,Sun Yat-sen University;Department of Vocal Diseases,the First Affiliated Hospital of Henan University of Chinese Medicine;Department of Otolaryngology Head and Neck Surgery,the First People's Hospital of Foshan;Department of Otolaryngology Head and Neck Surgery,Guangdong Province Hospital of Chinese Medicine)

机构地区：[1]暨南大学附属广州市红十字会医院耳鼻咽喉头颈外科,广州510220 [2]中山大学孙逸仙纪念医院耳鼻咽喉头颈外科广东省恶性肿瘤表观遗传与基因调控重点实验室 [3]河南中医药大学第一附属医院嗓音病科 [4]佛山市第一人民医院耳鼻咽喉头颈外科 [5]广东省中医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第5期323-328,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广东省自然科学基金自由申请项目(No:2018A030313691);广东省自然科学基金面上项目(No:2020A1515011460)。

摘　　要：目的:对罗德岛大学嗓音依从性评估量表(the university of Rhode Island change assessment of voice,URICA-Voice)英文版进行汉化,并对中文版量表进行信度和效度检验。方法:对URICA-Voice英文量表进行直译、文化调试、专家咨询、预调查、回译等汉化过程后形成中文版URICA-Voice量表。采用便利抽样选取2022年2月-2022年5月在中山大学孙逸仙纪念医院、河南中医药大学第一附属医院、佛山市第一人民医院、广东省中医院言语治疗中心的嗓音治疗患者为调查对象并发放该量表问卷,回收后进行信效度检验。通过克朗巴赫ɑ(Cronbachɑ)系数评价量表信度;采用临界比值法和题总Pearson相关系数进行项目分析;运用条目水平的内容效度(item-level content validity index,I-CVI)、量表水平的内容效度(scale-level content validity index,S-CVI)和验证性因子分析进行量表效度检验。结果:共收回247份有效问卷。(1)项目分析:32个条目的高低分组临界比均>3.00,差异均有统计学意义(P<0.01);所有条目与总分的Pearson相关均达到显著(P<0.01)。(2)效度分析:量表的I-CVI=1.00,S-CVI/Ave=1.00;χ^(2)/df=2.30,RMSEA=0.07。除条目9和23外,其余各条目标准化因子载荷系数均>0.50,量表4个维度的AVE均>0.50,组合信度均>0.70,各维度与其他维度的相关系数均小于该维度的AVE平方根。(3)信度分析:量表总体Cronbachɑ系数=0.94,量表4个维度的Cronbachɑ系数分别为0.88、0.92、0.94、0.88。结论:URICA-Voice中文版量表具有良好的信度和效度,可作为国内嗓音训练依从性评估的特异性测量工具。Objective:To translate the University of Rhode Island Change Assessment of voice scale(URICA-Voice)into Chinese and test its reliability and validity.Methods:The URICA-Voice scale was converted into Chinese by literal translation,cultural adjustment,expert consultation,pre-investigation,and back translation.Convenience sampling was used to recruit patients at four speech therapy centers from February to May 2022.Then the Chinese version of the scale was distributed to them,and the reliability and validity of the scale were tested after data collection.Cronbachɑwas used to evaluate the reliability.The critical ratio method and Pearson correlation coefficient were used for item analysis.Item-level content validity,scale-level content validity,and confirmatory factor analysis were used to test the validity of the scale.Results:A total of 247 valid questionnaires were collected.(1)Item analysis:the critical ratios between a high-score and low-score groups of 32 items were all statistically significant(P0.01)and all the critical ratios were above 3.00.The Pearson correlation between 32 items and the total score was significant(P0.01).(2)Validity analysis:I-CVI=1.00,S-CVI/Ave=1.00,χ^(2)/df=2.30,RMSEA=0.07.Except for item 9 and 23,the standardized factor loading coefficients of other items were all above 0.50.AVE of the four dimensions of the scale was all above 0.50,and the combined reliability of the four dimensions was all above 0.70.The correlation coefficients between dimensions were less than the square root of the AVE of the dimension itself.(3)Reliability analysis:the Cronbachɑof the whole scale was 0.94,and the Cronbachɑof the four dimensions were 0.88,0.92,0.94,and 0.88 respectively.Conclusion:The Chinese version of URICA-Voice has good reliability and validity,and can be used as a specific measurement tool for evaluating the compliance of voice training in China.

关 键 词：嗓音训练 URICA-Voice量表 依从性 信度 效度 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]