{"title":"Validity and Reliability of the Mandarin Chinese Version of the Reflux Sign Assessment.","authors":"Lingyu Yu, Jia Ren, Manlin Chen, Wei Mo, Jiaqiao Liang, Honghui Zhang, Hui Yang","doi":"10.1016/j.jvoice.2025.04.024","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to validate and assess the reliability and validity of the Mandarin Chinese version of the Reflux Sign Assessment (RSA) among individuals with and without laryngopharyngeal reflux disease (LPRD).</p><p><strong>Methods: </strong>This study was carried out from May 2023 to August 2024. A total of 202 individuals were enrolled in this study, including 106 with LPRD and 96 without. Multichannel intraluminal impedance-pH was performed to diagnose LPRD. The internal consistency, test-retest reliability, content validity, clinical, sensitivity, and specificity were analyzed, and the cutoff point was determined.</p><p><strong>Results: </strong>The internal consistency of the Chinese RSA was high, with Cronbach α coefficients for the subscale scores ranged from 0.707 to 0.822; the values for the total score were 0.812. Test-retest reliability was high for the total score (intraclass correlation coefficient (ICC) = 0.953) and the subscales (ICCs = 0.936, 0.895, 0.923). The patient group had significantly higher total scores, subscale scores, and majority item scores than the control group (P < 0.001). The cutoff point for screening between the two groups was 17.5, with a sensitivity of 94.7% and a specificity of 66.7%.</p><p><strong>Conclusions: </strong>The Chinese RSA is a valid and reliable tool for identifying individuals with probable LPRD. It has good reliability, validity, and sensitivity in the Mandarin Chinese-speaking population.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2025.04.024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this study was to validate and assess the reliability and validity of the Mandarin Chinese version of the Reflux Sign Assessment (RSA) among individuals with and without laryngopharyngeal reflux disease (LPRD).
Methods: This study was carried out from May 2023 to August 2024. A total of 202 individuals were enrolled in this study, including 106 with LPRD and 96 without. Multichannel intraluminal impedance-pH was performed to diagnose LPRD. The internal consistency, test-retest reliability, content validity, clinical, sensitivity, and specificity were analyzed, and the cutoff point was determined.
Results: The internal consistency of the Chinese RSA was high, with Cronbach α coefficients for the subscale scores ranged from 0.707 to 0.822; the values for the total score were 0.812. Test-retest reliability was high for the total score (intraclass correlation coefficient (ICC) = 0.953) and the subscales (ICCs = 0.936, 0.895, 0.923). The patient group had significantly higher total scores, subscale scores, and majority item scores than the control group (P < 0.001). The cutoff point for screening between the two groups was 17.5, with a sensitivity of 94.7% and a specificity of 66.7%.
Conclusions: The Chinese RSA is a valid and reliable tool for identifying individuals with probable LPRD. It has good reliability, validity, and sensitivity in the Mandarin Chinese-speaking population.
期刊介绍:
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.