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Menopausal Voice-Related Work Limitation Scale (MenoVWL): development and validation

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dc.contributor.authorFilipa M.B., Lã
dc.contributor.authorMateos Ramírez, Ana
dc.contributor.authorArdura Martínez, Diego
dc.contributor.authorBarro Fiuza, Mauro
dc.contributor.authorPolo Cano, Nuria
dc.date.accessioned2024-05-20T11:20:56Z
dc.date.available2024-05-20T11:20:56Z
dc.date.issued2022-11-30
dc.description.abstractObjectives 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.en
dc.description.versionversión final
dc.identifier.doihttps://doi.org/10.1016/j.jvoice.2022.11.019
dc.identifier.issn0892-1997
dc.identifier.urihttps://hdl.handle.net/20.500.14468/11756
dc.journal.titleJournal of Voice
dc.journal.volumeIn press
dc.language.isoen
dc.publisherElsevier
dc.relation.centerFacultad de Educación
dc.relation.departmentDidáctica, Organización Escolar y Didácticas Especiales
dc.rightsAtribución 4.0 Internacional
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.subject.keywordsMenopause
dc.subject.keywordsFemale professional voice users
dc.subject.keywordsOccupational voice-related limitation to work
dc.titleMenopausal Voice-Related Work Limitation Scale (MenoVWL): development and validationes
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
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