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Validity and Reliability of the Arabic Voice Activity and Participation Profile (A-VAPP) Questionnaire
Nawaf S Alqarni1, Hamad F Alrabiah2, Nasser F AlSunbul3
1Department of Medical Imaging, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh 12347, Saudi Arabia.
The Arabic Voice Activity and Participation Profile (A-VAPP) is a reliable tool for assessing voice disorders in Saudi Arabia. It effectively measures the impact of voice problems on daily life and social participation.
Area of Science:
- Speech and Hearing Sciences
- Clinical Psychology
- Health Services Research
Background:
- Voice disorders significantly impact daily activities and social participation.
- Existing assessment tools may not be culturally or linguistically adapted for Arabic-speaking populations.
- The Voice Activity and Participation Profile (VAPP) is a comprehensive measure of voice disorder impact.
Purpose of the Study:
- To translate the VAPP into Arabic (A-VAPP).
- To validate the A-VAPP for assessing voice disorders in Saudi Arabia.
- To test the reliability and validity of the A-VAPP in Arabic-speaking patients.
Main Methods:
- Forward and backward translation of the VAPP into Arabic.
- Descriptive, questionnaire-based validation study with 120 participants (60 with voice complaints, 60 healthy controls).
- Reliability assessed using Cronbach's alpha and test-retest (ICC); validity assessed using EFA and Mann-Whitney U test.
Main Results:
- The A-VAPP demonstrated excellent reliability (Cronbach's alpha=0.967, ICC > 0.979).
- Significantly higher impact scores were found in voice complaint patients across job, daily communication, social communication, and emotional domains.
- Strong discriminative validity was confirmed (AUC=0.960, sensitivity=84%, specificity=100%).
Conclusions:
- The Arabic VAPP (A-VAPP) is a reliable and valid instrument.
- A-VAPP is suitable for assessing voice disorders in Arabic-speaking patients.
- The tool can be utilized in both clinical practice and research settings.
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