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Adaptation of the self-assessment scale of communication experiences after laryngectomy to Turkish: Validity and
Eda Uzuner1, S Seyhun Topbaş1, Ayşegül Batıoğlu Karaaltın2
1Department of Speech and Language Therapy, Istanbul Medipol University, Istanbul, Turkey.
Objective:
To adapt the Self-Evaluation of Communication Experiences after Laryngectomy (SECEL) scale into Turkish (TR-SECEL) and to examine its validity and reliability in Turkish-speaking individuals following laryngectomy.
Study Design:
Prospective, descriptive validity and reliability study.
Methods:
The adaptation process involved forward- and back-translation and expert review. A total of 104 individuals with laryngectomy (94 men and 10 women; mean age = 63.65 ± 8.61 years) were included in the study and completed the TR-SECEL, EORTC QLQ-H&N35, and the Voice-Related Quality of Life Scale (V-RQOL). Psychometric evaluation included content validity, internal consistency (Cronbach's alpha), test-retest reliability, exploratory factor analysis, and convergent validity.
Results:
TR-SECEL showed excellent internal consistency for the total scale (α = .95), high reliability for the environmental (α = .93) and attitudinal (α = .92) subscales, and moderate reliability for the general subscale (α = .61). Test-retest reliability was very high (r = .99, p < .001). TR-SECEL scores were significantly correlated with the V-RQOL and the subscales of EORTC QLQ-H&N35. Factor analysis indicated a three-factor structure explaining 53.4% of the total variance.
Conclusions:
The findings of this study suggest that the TR-SECEL has satisfactory psychometric properties for assessing communication experiences in Turkish-speaking individuals after laryngectomy. The scale may be a useful tool in clinical and research settings for evaluating communication-related outcomes and monitoring rehabilitation processes.

