THEME: "Explore and Emphasize the Innovations of Otorhinolaryngology- ENT"
A.O.R. San Carlo, Italy
Title: Children Voice Handicap Index (Cvhi-10) - Pediatric Voice Symptom Questionnaire (Pvsq): A Comparison Of Two Pediatric Voice Self-Assessment Questionnaires"
Time:
Objectives/hypothesis: The main core of this study is a comparison between two paediatric voice
self-assessment questionnaires: the Children Voice Handicap Index (CVHI-10) and
the Pediatric Voice Symptom Questionnaire (PVSQ).
This
comparison should not be understood as a way to determine the best
questionnaire, in fact the objectives of the study are two: the first is to
evaluate the practicality and applicability of the same in a school setting
while the second is to identify and analyze strengths and/or weaknesses of
both.
Study design: Cross-sectional survey
study.
Methods: After a brief introduction on the anatomy and physiology of the voice,
using age-appropriate play material, the two
self-assessment questionnaires CVHI-10 and PVSQ were administered to a sample
of 112 elementary school children in grades 3, 4 and 5 and their parents. All
data are reported on excel.
Results: The first finding that
jumps out is that, with the exception of a few isolated cases, the totality of
the discrepancies in the parent/child response in both questionnaires turn out
to be in favor of the child, i.e., the parent underestimates or does not
perceive that aspect in their child's voice. This further confirms what has
been said in the previously mentioned studies, that is, how important the
child's point of view is in evaluating his or her own voice.
The average discrepancy in the responses
between parent/child of both the CVHI (-9.06%) with associated estimated
Cronbach's alpha coefficient of 0.83, and the PVSQ (-7.83%) with associated
estimated Cronbach's alpha coefficient of 0.88 was also calculated. Because of
these results, we can say that the more number of questions and consequently
the longer time taken to compile the PVSQ does not necessarily demonstrate
better accuracy in detecting certain aspects in the child's voice. This aspect
needs further study to confirm the above.
Conclusions: CVHI-10 has proven to
be an excellent tool for self-assessment of voice in children, despite its
rapidity in compilation and practicality in use