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A Shortened Version of the Children's Voice Questionnaire (CVQ-10): Development and Validation
Ofer Amir1, Noam Lotem Kaufman1, Adi Primov-Fever2
1Department of Communication Disorders, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Summary
The new Children's Voice Questionnaire (CVQ-10) is a reliable and valid tool for assessing voice handicap in children. It effectively distinguishes between children with and without dysphonia, aiding clinical evaluation.
Area of Science:
- Pediatric Otolaryngology
- Speech-Language Pathology
- Voice Science
Background:
- Childhood voice disorders can significantly impact a child's quality of life.
- Accurate and reliable assessment tools are crucial for identifying and managing pediatric voice conditions.
- Existing questionnaires may not be optimally suited for self-administration by children.
Purpose of the Study:
- To introduce and validate the Children's Voice Questionnaire-10 (CVQ-10), a novel 10-item self-administered tool.
- To assess the validity and reliability of the CVQ-10 in quantifying children's voice handicap.
- To establish the CVQ-10's utility in differentiating between dysphonic and non-dysphonic children.
Main Methods:
- An observational, prospective, cross-sectional study design was employed.
- The CVQ-10 was developed by selecting items from the full CVQ based on Cohen's d scores.
- The questionnaire was administered to 208 children (aged 6-17 years), with concurrent parent-reported data using the Pediatric Voice Handicap Index (pVHI).
- Test-retest reliability was assessed on a subset of 30 children, and validity was evaluated against the full CVQ in another subset of 30 children.
Main Results:
- The CVQ-10 demonstrated high internal consistency (Cronbach's α = 0.94) and excellent test-retest reliability (r = 0.91).
- A significant difference was observed between dysphonic and non-dysphonic groups (t[206] = 17.00, P < 0.001), with a cutoff score of nine points.
- A strong positive correlation was found between children's self-reports on the CVQ-10 and parents' pVHI scores (r = 0.766, P < 0.001).
Conclusions:
- The CVQ-10 is a valid and reliable instrument for assessing voice handicap in children.
- The findings confirm the single-factor structure of the CVQ-10, indicating children can reliably report their voice handicap.
- The CVQ-10 serves as a brief, user-friendly tool for evaluating dysphonic children in clinical and research settings.
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