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摘要: 目的 对罗德岛大学嗓音依从性评估量表(the university of Rhode Island change assessment of voice,URICA-Voice)英文版进行汉化,并对中文版量表进行信度和效度检验。方法 对URICA-Voice英文量表进行直译、文化调试、专家咨询、预调查、回译等汉化过程后形成中文版URICA-Voice量表。采用便利抽样选取2022年2月-2022年5月在中山大学孙逸仙纪念医院、河南中医药大学第一附属医院、佛山市第一人民医院、广东省中医院言语治疗中心的嗓音治疗患者为调查对象并发放该量表问卷,回收后进行信效度检验。通过克朗巴赫ɑ(Cronbach ɑ)系数评价量表信度;采用临界比值法和题总Pearson相关系数进行项目分析;运用条目水平的内容效度(item-level content validity index,I-CVI)、量表水平的内容效度(scale-level content validity index,S-CVI)和验证性因子分析进行量表效度检验。结果 共收回247份有效问卷。①项目分析:32个条目的高低分组临界比均>3.00,差异均有统计学意义(P < 0.01);所有条目与总分的Pearson相关均达到显著(P < 0.01)。②效度分析:量表的I-CVI=1.00,S-CVI/Ave=1.00;χ2/df=2.30,RMSEA=0.07。除条目9和23外,其余各条目标准化因子载荷系数均>0.50,量表4个维度的AVE均>0.50,组合信度均>0.70,各维度与其他维度的相关系数均小于该维度的AVE平方根。③信度分析:量表总体Cronbach ɑ系数=0.94,量表4个维度的Cronbach ɑ系数分别为0.88、0.92、0.94、0.88。结论 URICA-Voice中文版量表具有良好的信度和效度,可作为国内嗓音训练依从性评估的特异性测量工具。
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关键词:
- 嗓音训练 /
- URICA-Voice量表 /
- 依从性 /
- 信度 /
- 效度
Abstract: Objective To translate the University of Rhode Island Change Assessment of voice scale(URICA-Voice) into Chinese and test its reliability and validity.Methods The URICA-Voice scale was converted into Chinese by literal translation, cultural adjustment, expert consultation, pre-investigation, and back translation. Convenience sampling was used to recruit patients at four speech therapy centers from February to May 2022. Then the Chinese version of the scale was distributed to them, and the reliability and validity of the scale were tested after data collection. Cronbach ɑ was used to evaluate the reliability. The critical ratio method and Pearson correlation coefficient were used for item analysis. Item-level content validity, scale-level content validity, and confirmatory factor analysis were used to test the validity of the scale.Results A total of 247 valid questionnaires were collected. ①Item analysis: the critical ratios between a high-score and low-score groups of 32 items were all statistically significant(P < 0.01) and all the critical ratios were above 3.00. The Pearson correlation between 32 items and the total score was significant(P < 0.01). ②Validity analysis: I-CVI=1.00, S-CVI/Ave=1.00, χ2/df=2.30, RMSEA=0.07. Except for item 9 and 23, the standardized factor loading coefficients of other items were all above 0.50. AVE of the four dimensions of the scale was all above 0.50, and the combined reliability of the four dimensions was all above 0.70. The correlation coefficients between dimensions were less than the square root of the AVE of the dimension itself. ③Reliability analysis: the Cronbach ɑ of the whole scale was 0.94, and the Cronbach ɑ of the four dimensions were 0.88, 0.92, 0.94, and 0.88 respectively.Conclusion The Chinese version of URICA-Voice has good reliability and validity, and can be used as a specific measurement tool for evaluating the compliance of voice training in China.-
Key words:
- voice therapy /
- URICA-Voice questionnaire /
- compliance /
- reliability /
- validity
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表 1 URICA-Voice中文版量表
姓名: 性别: 日期: 评分: 尊敬的先生/女士:
我们想了解您如何应对自己的嗓音。以下有32句话,内容是关于人们对自己嗓音的态度。请仔细阅读并考虑您在多大程度上同意或不同意这些说法。所有的表述没有对错之分,仅仅体现了不同的行为方式。请在对应的选项上打√以表明您的观点或态度。非常不同意 不同意 不知道 同意 非常同意 PC1.我不需要改变自己的嗓音 5 4 3 2 1 C2.我已经做好了改善嗓音的准备 1 2 3 4 5 A3.我的嗓音问题困扰着我,我一直努力尝试治好它 1 2 3 4 5 C4.呵护自己的嗓音是值得的 1 2 3 4 5 PC5.我没有嗓音问题,所以不需要治疗 5 4 3 2 1 M6.我担心自己的嗓音会出新问题,所以我正在寻求帮助 1 2 3 4 5 A7.我开始对我的嗓音问题进行治疗 1 2 3 4 5 C8.呵护自己的嗓音是值得的 1 2 3 4 5 M9.我已经成功治好我的嗓音,但我不确定在没有良好的帮助下,能否一直拥有这样的嗓音 1 2 3 4 5 A10.虽然我觉得我的嗓音很难医治,但我正在努力 1 2 3 4 5 PC11.我没有为自己的嗓音所困扰,所以没必要浪费时间去治疗它 5 4 3 2 1 C12.我希望更好地了解自己的嗓音 1 2 3 4 5 PC13我知道我有嗓音问题,但我不需要做任何改变 5 4 3 2 1 A14.为了改善我的嗓音问题,我付出了很多时间和精力 1 2 3 4 5 C15.我有嗓音问题,但我相信我能解决它 1 2 3 4 5 M16.我的嗓音无法保持良好状态,而且我想避免出现新的问题 1 2 3 4 5 A17.虽然我的嗓音一直不太好,但我仍努力改善它 1 2 3 4 5 M18.我以为接受嗓音治疗后,嗓音问题将不会再出现,但实际上它仍困扰着我 1 2 3 4 5 C19.我想学习更多改善嗓音的知识 1 2 3 4 5 A20.我已经开始治疗我的嗓音问题,但我需要更多帮助 1 2 3 4 5 C21.也许言语治疗师或某种治疗方法可以解决我的嗓音问题 1 2 3 4 5 M22.我需要动力去持续改善我的嗓音 1 2 3 4 5 PC23.也许我嗓音出现问题的原因并不全部在我身上 5 4 3 2 1 C24.我希望有人能帮助我改善嗓音 1 2 3 4 5 A25.我已经在尽我所能来改善自己的嗓音 1 2 3 4 5 PC26.所有关于嗓音的话题都让人觉得厌烦。人们为什么不能接受自己有问题的嗓音 5 4 3 2 1 M27.我正在努力避免嗓音问题复发 1 2 3 4 5 M28.我很沮丧,我感到自己的嗓音又在变差 1 2 3 4 5 PC29.我像其他人一样在乎自己的嗓音,不需要耗费时间去关注它 5 4 3 2 1 A30.我正在积极努力改善嗓音问题 1 2 3 4 5 PC31.我宁愿忍受自己的嗓音问题,也不愿治疗它 5 4 3 2 1 M32.尽管我做了很多事情来改善我的嗓音,但它仍然困扰着我 1 2 3 4 5 注:总分计算中不包括条目1、4、9、20、31的分值。总分=(C的平均值+ A的平均值+ M的平均值)-PC的平均值。得分≤8为意向前阶段;8~11为意向阶段;11~14为行动阶段;>14为维持阶段。得分越高,说明患者依从性越好。 表 2 信度分析(n =247)
条目 维度 项已删除的Cronbach ɑ系数 维度Cronbach ɑ系数 1 PC 0.87 0.88 5 PC 0.86 11 PC 0.86 13 PC 0.85 23 PC 0.88 26 PC 0.88 29 PC 0.87 31 PC 0.86 2 C 0.90 0.92 4 C 0.91 8 C 0.91 12 C 0.90 15 C 0.93* 19 C 0.90 21 C 0.90 24 C 0.90 3 A 0.93 0.94 7 A 0.93 10 A 0.93 14 A 0.93 17 A 0.92 20 A 0.92 25 A 0.93 30 A 0.93 6 M 0.85 0.88 9 M 0.89* 16 M 0.86 18 M 0.87 22 M 0.86 27 M 0.85 28 PC 0.88 32 PC 0.87 注:*为该条目的项已删除Cronbach ɑ系数>其所在维度的Cronbach ɑ系数。 表 3 因子载荷系数及聚合效度分析(n =247)
条目 维度 标准化载荷因子系数 AVE 组合信度 1 PC 0.70 0.50 0.89 5 PC 0.72 11 PC 0.81 13 PC 0.91 23 PC 0.48* 26 PC 0.52 29 PC 0.63 31 PC 0.81 2 C 0.82 0.62 0.93 4 C 0.78 8 C 0.72 12 C 0.80 15 C 0.52 19 C 0.90 21 C 0.81 24 C 0.88 3 A 0.78 0.65 0.94 7 A 0.78 10 A 0.76 14 A 0.72 17 A 0.89 20 A 0.87 25 A 0.81 30 A 0.86 6 M 0.86 0.51 0.89 9 M 0.47* 16 M 0.75 18 M 0.59 22 M 0.77 27 M 0.90 28 M 0.52 32 M 0.73 适配值 - >0.50 >0.50 >0.70 注:*为标准化载荷因素系数 < 0.50。 表 4 量表区分效度(n =247)
意向前期 意向期 行动期 维持期 意向前期 0.50 意向期 0.42 0.62 行动期 0.42 0.77 0.65 维持期 0.36 0.50 0.59 0.51 AVE平方根 0.71 0.79 0.81 0.71 -
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