更年期嗓音相关工作限制量表（MenoVWL）：开发与验证。

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-05-01 DOI:10.1016/j.jvoice.2022.11.019

Filipa M.B. Lã , Ana M. Ramírez , Diego Ardura , Mauro B. Fiuza , Nuria Polo

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引用次数: 0

摘要

目的：据报道，更年期会影响女性专业嗓音使用者（FPVU）的嗓音。本研究旨在开发和验证一个量表，用于测量更年期女性职业用嗓者自我感觉到的与更年期嗓音相关的工作限制，以下简称 "更年期嗓音相关工作限制量表"（MenoVWL）：方法：从以往关于性类固醇激素对嗓音影响的研究、现有的有效量表以及对绝经后 FPVU 的深入访谈中选取项目。由 15 位嗓音专家组成的小组对包含 16 个项目的初步版本进行了评估。修订后的版本与当前内分泌生殖状况和相关症状、闭经史、职业和人口统计学信息等问题一起在线填写。我们只选取了专业嗓音使用者的回答，并采用了包容性和排斥性标准，以便在限定的年龄范围内将参与者正确划分为绝经前和绝经后阶段；192 对回答进行了因子分析，以验证 MenoVWL。Cronbach's alpha 测量了内部可靠性。通过比较绝经前和绝经后 FPVU 的 MenoVWL 分数（分别为 98 分和 94 分），对量表进行了测试：专家小组评估保留了 13 个项目。项目的内容效度指数较高（1 分中的 0.94），项目接受率较高（86.25%）。通过探索性和确认性因子分析，一个维度的量表具有极好的内部一致性（Cronbach's alpha = .9）。曼-惠特尼测试结果显示，绝经后 FPVU 的 MenoVWL 得分高于绝经前 FPVU（Z = - 2.818；P = .005）：MenoVWL是一个经过验证的综合量表，具有已知的因子结构。结论：MenoVWL 是一个全面的、经过验证的量表，具有已知的因子结构。它是一种医疗保健和安全结果的自我感知量表，对于早期发现更年期 FPVU 因嗓音而导致的工作限制具有重要价值。

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Menopausal Voice-Related Work Limitation Scale (MenoVWL): Development and Validation

Objectives

Menopause has been reported to affect the voice of female professional voice users (FPVUs). The present study aims at the development and validation of a scale to measure self-perceived menopausal voice-related limitation to work in FPVUs, henceforth the Menopausal Voice-Related Work Limitation Scale (MenoVWL).

Methods

Items were drawn from previous studies on impacts of sex steroid hormones on voice, available validated scales, and in-depth interviews with post-menopausal FPVUs. A preliminary version with 16 items was evaluated by a panel of 15 voice experts. The resulting revised version was filled in online, together with questions on current endocrinological reproductive status and related symptoms, history of amenorrhea, professional occupation, and demographic information. Responses concerning only professional voice users were selected and inclusive and exclusive criteria were applied for correct allocation of participants into pre- and post-menopausal stages within a restrict age range;192 responses were subject to factorial analysis for MenoVWL validation. Cronbach's alpha measured internal reliability. The scale was tested by comparing MenoVWL scores between pre- and post-menopausal FPVUs (98 and 94, respectively).

Results

Thirteen items were retained from the expert panel evaluation. Items presented a high Content Validity Index (.94 out of 1) and high Item Acceptance Ratio (86.25 %). Both exploratory and confirmatory factorial analysis rendered one dimension scale with an excellent internal consistency (Cronbach's alpha = .9). The results of a Mann-Whitney test showed a higher MenoVWL score for post- as compared to pre-menopausal FPVUs (Z = - 2.818; P = .005).

Conclusions

MenoVWL is a comprehensive and validated scale with a known factor structure. It constitutes a health care and safety outcome self-perceived measure of value to the early detection of voice-related limitations to work in FPVUs during menopause.

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

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.