语音障碍指数:检查欧洲葡萄牙语语音障碍的截止点
Isabel Guimarães1, Gabriela Torrejano2, Raquel Aires2
1Clinical and Therapeutics Pharmacological Unit, Faculty of Medicine, Instituto de Medicina Molecular, University of Lisbon, Lisbon, Portugal; Speech Therapy Department, Alcoitão Health School of Sciences, Faculty of Medicine, Instituto de Medicina Molecular, University of Lisbon, Lisbon, Portugal.
Journal of voice : official journal of the Voice Foundation
|October 7, 2023
概括
语音障碍指数 (VHI) 和VHI-10有效地识别了欧洲葡萄牙语说者有语音障碍. 新的切线值和项目分析证实了它们对各种疾病的诊断准确性.
科学领域:
- 语音和听力科学 语言和听力科学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床语言学 临床语言学
背景情况:
- 语音障碍显著影响生活质量.
- 有效的评估工具对于准确的诊断和管理至关重要.
- 语音障碍指数 (VHI) 和其缩短版本 (VHI-10) 广泛使用,但需要文化特定的验证.
研究的目的:
- 为欧洲葡萄牙语版本的VHI和VHI-10建立最佳切断值.
- 评估个别VHI-10项目的歧视力.
- 评估VHI-10在声音障碍患者中区分各种耳鼻喉 (ENT) 诊断的能力.
主要方法:
- 一项涉及350名成年参与者的横截面队列研究 (171例语音障碍病例,179例对照).
- 参与者完成了欧洲葡萄牙语VHI和语音障碍严重程度自我评估.
- 使用接收器操作特征 (ROC) 曲线分析分析数据以确定准确度和截止值.
主要成果:
- 确定了最佳的切断值:VHI 13.5 (灵敏度0.994,特异性0.989) 和VHI-10 5.5 (灵敏度0.977,特异性0.955).
- 无论是VHI还是VHI-10,都显示出高精度 (AUC> 0.997).
- 个别的VHI-10项目显示出不同的歧视力,并且在特定的ENT诊断之间发现了显著的差异.
结论:
- 欧洲葡萄牙语VHI和VHI-10是声音障碍的高度准确的查工具.
- 确定的切线值为临床使用提供了可靠的基准.
- VHI-10的各个项目对评估语音障碍作出了有意义的贡献.
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