Validation of the Voice Handicap Index-Throat in Brazilian Portuguese
Carvalho, Sabrina Rodrigues ; Dornelas, Rodrigo ; Lyberg-Åhlander, Viveka LU
; Schalen, Lucyna
; Behlau, Mara
and Ribeiro, Vanessa Veis
(2025)
In Journal of Voice
- Abstract
Objective: To validate the Voice Handicap Index-Throat (VHI-T) in Brazilian Portuguese and compare the three formats: VHI-T-Br, VHI-T used in combination with the Voice Handicap Index (VHI), and VHI-T used in combination with the reduced version of the Voice Handicap Index (VHI-10) Methods: This cross-sectional study was approved by the Research Ethics Committee. Recruitment and data collection were conducted remotely via social media and Google Forms, and in-person in different outpatient clinics at three hospitals. Participants were divided into two groups: those with and those without throat-related symptoms. The procedures were: (a) application of the VHI-T-BR and VHI; (b) application of the Cough Severity Index (CSI-Br) and... (More)
Objective: To validate the Voice Handicap Index-Throat (VHI-T) in Brazilian Portuguese and compare the three formats: VHI-T-Br, VHI-T used in combination with the Voice Handicap Index (VHI), and VHI-T used in combination with the reduced version of the Voice Handicap Index (VHI-10) Methods: This cross-sectional study was approved by the Research Ethics Committee. Recruitment and data collection were conducted remotely via social media and Google Forms, and in-person in different outpatient clinics at three hospitals. Participants were divided into two groups: those with and those without throat-related symptoms. The procedures were: (a) application of the VHI-T-BR and VHI; (b) application of the Cough Severity Index (CSI-Br) and Laryngeal Hypersensitivity Questionnaire (LHQ-Br); (c) reapplication of the VHI-T-BR and VHI after 2 to 15 days. The psychometric properties evaluated were construct validity and reliability. Results: The VHI-T-Br used alone and in combination with the VHI-10 (forming the VHI-20-Br) and the VHI (forming the VHI-40-BR) had results within the expected range for all psychometric properties. The VHI-20-BR had better internal consistency, known-groups validity hypothesis, and test-retest reliability scores. The VHI-40-BR had the best structural validity but was at risk of redundancy. The VHI-T-BR alone had better results in the convergent validity hypothesis. Conclusion: The VHI-T-Br was validated and proved reliable both alone and in combination with the VHI-10 (forming the VHI-20-BR) and the VHI (forming the VHI-40-BR). The VHI-20-BR had the best balance of psychometric properties.
(Less)
- author
- Carvalho, Sabrina Rodrigues
; Dornelas, Rodrigo
; Lyberg-Åhlander, Viveka
LU
; Schalen, Lucyna
; Behlau, Mara
and Ribeiro, Vanessa Veis
- publishing date
- 2025
- type
- Contribution to journal
- publication status
- epub
- keywords
- Handicap, Larynx, Symptoms, Throat, Validation, Voice
- in
- Journal of Voice
- publisher
- Elsevier
- external identifiers
-
- pmid:40883149
- scopus:105014982600
- ISSN
- 0892-1997
- DOI
- 10.1016/j.jvoice.2025.08.006
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © 2025 The Voice Foundation
- id
- 61f9571d-db24-413e-9a54-734173cf0cb1
- date added to LUP
- 2026-06-23 09:42:40
- date last changed
- 2026-06-24 03:00:01
@article{61f9571d-db24-413e-9a54-734173cf0cb1,
abstract = {{<p>Objective: To validate the Voice Handicap Index-Throat (VHI-T) in Brazilian Portuguese and compare the three formats: VHI-T-Br, VHI-T used in combination with the Voice Handicap Index (VHI), and VHI-T used in combination with the reduced version of the Voice Handicap Index (VHI-10) Methods: This cross-sectional study was approved by the Research Ethics Committee. Recruitment and data collection were conducted remotely via social media and Google Forms, and in-person in different outpatient clinics at three hospitals. Participants were divided into two groups: those with and those without throat-related symptoms. The procedures were: (a) application of the VHI-T-BR and VHI; (b) application of the Cough Severity Index (CSI-Br) and Laryngeal Hypersensitivity Questionnaire (LHQ-Br); (c) reapplication of the VHI-T-BR and VHI after 2 to 15 days. The psychometric properties evaluated were construct validity and reliability. Results: The VHI-T-Br used alone and in combination with the VHI-10 (forming the VHI-20-Br) and the VHI (forming the VHI-40-BR) had results within the expected range for all psychometric properties. The VHI-20-BR had better internal consistency, known-groups validity hypothesis, and test-retest reliability scores. The VHI-40-BR had the best structural validity but was at risk of redundancy. The VHI-T-BR alone had better results in the convergent validity hypothesis. Conclusion: The VHI-T-Br was validated and proved reliable both alone and in combination with the VHI-10 (forming the VHI-20-BR) and the VHI (forming the VHI-40-BR). The VHI-20-BR had the best balance of psychometric properties.</p>}},
author = {{Carvalho, Sabrina Rodrigues and Dornelas, Rodrigo and Lyberg-Åhlander, Viveka and Schalen, Lucyna and Behlau, Mara and Ribeiro, Vanessa Veis}},
issn = {{0892-1997}},
keywords = {{Handicap; Larynx; Symptoms; Throat; Validation; Voice}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Journal of Voice}},
title = {{Validation of the Voice Handicap Index-Throat in Brazilian Portuguese}},
url = {{http://dx.doi.org/10.1016/j.jvoice.2025.08.006}},
doi = {{10.1016/j.jvoice.2025.08.006}},
year = {{2025}},
}