Examining the Construct Validity of the V-RQOL in Speakers Who Use Alaryngeal Voice Purpose The construct validity of the Voice-Related Quality of Life (V-RQOL; Hogikyan & Sethuraman, 1999) measure was evaluated in a sample of 109 individuals who have undergone total laryngectomy. Method A principal components factor analysis was performed on participant responses to the 10-question V-RQOL measure. Results ... Research Note
Research Note  |   May 01, 2014
Examining the Construct Validity of the V-RQOL in Speakers Who Use Alaryngeal Voice
 
Author Affiliations & Notes
  • Catherine C. Bornbaum
    Laboratory for Well-Being and Quality of Life in Oncology, Western University, London, Ontario
  • Adam M. B. Day
    Laboratory for Well-Being and Quality of Life in Oncology, Western University, London, Ontario
  • Philip C. Doyle
    Laboratory for Well-Being and Quality of Life in Oncology, Western University, London, Ontario
    London Health Sciences Centre, Western University, London, Ontario
    Western University, London, Ontario
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Catherine C. Bornbaum: cbornba@gmail.com
  • Editor: Carol Scheffner Hammer
    Editor: Carol Scheffner Hammer×
  • Associate Editor: Julie Barkmeier-Kraemer
    Associate Editor: Julie Barkmeier-Kraemer×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Speech, Voice & Prosody / Research Notes
Research Note   |   May 01, 2014
Examining the Construct Validity of the V-RQOL in Speakers Who Use Alaryngeal Voice
American Journal of Speech-Language Pathology, May 2014, Vol. 23, 196-202. doi:10.1044/2013_AJSLP-13-0024
History: Received March 7, 2013 , Revised August 23, 2013 , Accepted November 23, 2013
 
American Journal of Speech-Language Pathology, May 2014, Vol. 23, 196-202. doi:10.1044/2013_AJSLP-13-0024
History: Received March 7, 2013; Revised August 23, 2013; Accepted November 23, 2013

Purpose The construct validity of the Voice-Related Quality of Life (V-RQOL; Hogikyan & Sethuraman, 1999) measure was evaluated in a sample of 109 individuals who have undergone total laryngectomy.

Method A principal components factor analysis was performed on participant responses to the 10-question V-RQOL measure.

Results Factor analysis of the V-RQOL in our alaryngeal sample confirmed the presence of two factors (physical and social–emotional), which is consistent with the identified domains in the current V-RQOL. However, the current data indicate that some of the questions proposed by the original authors of the V-RQOL (Questions 7 and 9) do not align with their proposed domains in this postlaryngectomy sample.

Conclusion The results indicate that some V-RQOL questions do not align with their proposed domains. Consequently, an alternative scoring algorithm may be warranted for alaryngeal populations, and the authors make suggestions for this change that are simple and efficient. Based on the findings of the present factor analysis, use of this modified scoring procedure may serve to increase the sensitivity of the V-RQOL for those who are laryngectomized and use alaryngeal methods of voice and speech. Consequently, the value and application of the V-RQOL may be expanded in the clinical setting.

Acknowledgments
The first author is the recipient of a Doctoral Research Award courtesy of the Canadian Institutes of Health Research. We also wish to acknowledge the Voice Production and Perception Laboratory at Western University.
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