以患者为中心的方法来评估语音障碍
Elizabeth G Willard1, Thomas L Carroll2, Minjee Kim2
1Department of Surgery, Mass General Brigham, Boston, Massachusetts.
JAMA otolaryngology-- head & neck surgery
|September 11, 2025
概括
这项研究开发了一个更短,以患者为中心的语音障碍指数-10 (VHI-10) 的版本,用于语音障碍评估. 新的VHI-10子集优先考虑患者体验和临床相关性,以改善语音评估.
科学领域:
- 喉腔病理学 喉腔病理学
- 心理测量 心理测量 心理测量
- 患者报告的结果
背景情况:
- 语音障碍指数-10 (VHI-10) 是用于语音障碍评估的广泛使用的工具.
- 除了诊断测试结果之外,人们越来越重视以患者为中心的结果.
- 患者对VHI-10项目的看法以前是未知的.
研究的目的:
- 调查患者对VHI-10项目的看法.
- 为了确定临床使用的VHI-10项目的更短,以患者为中心的子集.
主要方法:
- 未来的心理测量和以患者为中心的研究设计.
- 因素分析和物品反应理论 (IRT) 应用于来自6048名患者的VHI-10数据.
- 患者对VHI-10项目的排名和定性反以及建议的更短的子集.
主要成果:
- 因子分析证实了VHI-10的单维性.
- IRT分析确定了具有高歧视参数的关键项目 (项目4,3,6,1).
- 患者更喜欢一个6项子集 (包括项目1,2,3,5,6,7),它平衡了患者体验和临床相关性.
结论:
- 确定了一个更短,以患者为中心的VHI-10版本,可能会增强临床评估.
- 这种精细的VHI-10子集可以提供更有效,更细致的语音损伤评估.
- 研究结果支持开发更多以患者为中心的语音评估工具.
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