Translation, Cross-Cultural Adaptation, and Psychometric Evaluation of the Persian Version of the Newcastle Laryngeal Hypersensitivity Questionnaire


Mansuri B., AZIMI H., Vertigan A., Kohansal A., Asadi M., Tohidast S. A.

Journal of Voice, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.jvoice.2025.07.050
  • Dergi Adı: Journal of Voice
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Periodicals Index Online, CINAHL, Communication Abstracts, Linguistics & Language Behavior Abstracts, MEDLINE, Music Index, Music Periodicals Database, RILM Abstracts of Music Literature
  • Anahtar Kelimeler: Laryngeal hypersensitivity, Larynx, Reliability, Translation, Validity, Voice
  • Marmara Üniversitesi Adresli: Evet

Özet

Objectives: The present study was conducted to translate, cross-culturally adapt, and perform psychometric evaluation of the Persian version of the Newcastle Laryngeal Hypersensitivity Questionnaire (P-LHQ). Methods: The study was conducted in two stages: translation and cross-cultural adaptation, and psychometric evaluation of the P-LHQ. The first stage included five phases: forward translation, synthesis of the forward translations, backward translation, expert panel review, and pretesting of the P-LHQ on 10 participants. Stage two included determination of convergent validity, internal consistency using Cronbach's alpha, test-retest reliability, and responsiveness to change of the P-LHQ. Sixty-five participants with laryngeal hypersensitivity syndromes, including muscle tension dysphonia, chronic refractory cough, and globus pharyngeus, completed the P-LHQ. Results: The first stage of the study resulted in a questionnaire named as the Persian Laryngeal Hypersensitivity Questionnaire (P-LHQ). Convergent validity was confirmed via a significant negative correlation with the Cough Severity Index (r = −0.688, P < 0.001). The P-LHQ demonstrated good internal consistency (Cronbach’s α = 0.827) and excellent test-retest reliability (intraclass correlation coefficient [ICC] = 0.92), with item-level ICCs ranging from 0.78–0.96. The instrument showed responsiveness to clinical improvement following a voice therapy program in patients with muscle tension dysphonia. Conclusion: The P-LHQ is a valid, reliable, and culturally appropriate instrument for assessing laryngeal hypersensitivity symptoms in Persian-speaking populations. Its psychometric robustness and sensitivity to therapeutic change support its application in clinical evaluation and longitudinal research.