Translation, Adaptation, and Preliminary Validation of Dacakis and Davies' “Transsexual Voice Questionnaire (Male to Female)” in French

Morsomme, Dominique; Révis, Joana; Thomas, Elisabeth

doi:10.1016/j.jvoice.2018.03.001

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…The internal consistency of the I-TVQ MtF appeared to be excellent, with an overall Cronbach's  coefficient value of 0.912 in 153 transgender women. This result is similar to the ones obtained by the English ( = 0.964) [16], Portuguese ( = 0.911) [8], Spanish ( = 0.976) [29], French ( = 0.97) [30] and German ( = 0.97) [28] versions of the instrument. As far as the reliability of the I-TVQ MtF is concerned, the results of test-retest analysis, with an ICC of 0.849, support the high stability and reproducibility over time of the Italian version of this PRO instrument.…”

Section: Discussionsupporting

confidence: 88%

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Translation, Cross-Cultural Adaptation, and Preliminary Validation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals (I-TVQMtF) Into Italian

et al. 2022

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Objective. To perform a cross-cultural adaptation into Italian and to analyse reliability and validity of the Transsexual Voice Questionnaire for male-to-female transsexuals (I-TVQ MtF). Study Design. Cross-sectional non-randomized survey study. Methods. For item-generation, a cross-cultural adaptation and translation process was performed following standard guidelines. Transgender women were consecutively recruited and asked to fill out the I-TVQ MtF and a form on social, demographic and transition-related variables. Firstly, data collected from participants were used to perform confirmatory factor analysis (CFA), and to evaluate internal consistency and test-retest reliability Subsequently, convergent validity was evaluated comparing I-TVQ MtF total scores with the two extra items addressing self-perception (SPVF) and aspiration (AVF) of voice femininity. To further evaluate convergent validity, scores of the Italian version of the Voice Handicap Index (I-VHI) were considered for comparisons. A correlation analysis was performed to verify potential association between I-TVQ MtF scores and social, demographic and transition-related variables. Results. CFA demonstrated that a two-factor model fits data better than the unidimensional one. Both internal consistency and test retest reliability of the I-TVQ MtF were satisfactory. Negative correlations were highlighted between I-TVQ MtF scores on one side and SPVF and AVF on the other. Positive correlations between I-TVQ MtF and I-VHI scores were also found. Finally, negative correlations were demonstrated between I-TVQ MtF scores and time spent living in the female role. Conclusion. The I-TVQ MtF appears to be a reliable and valid instrument for the assessment of voice-related quality of life in transgender women.

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Section: Discussionsupporting

confidence: 88%

“…Several studies have already assessed the reliability and the validity of the TVQ MtF [15,16,25]. Moreover, the TVQ MtF has been already adapted and validated for different cultural and linguistic contexts [8,[27][28][29][30]. To date, however, a validated Italian version of this instrument is not yet available.…”

Section: Introductionmentioning

confidence: 99%

Translation, Cross-Cultural Adaptation, and Preliminary Validation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals (I-TVQMtF) Into Italian

et al. 2022

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“…The participant's overall scores on the TWVQ [11] decreased from T1 to T3, with a greater decrease after the therapy sessions (T2). Recall that higher scores indicate more complaints.…”

Section: Participant's Perceptionmentioning

confidence: 99%

“…The TWVQ enabled the participant to express her voice-related problems in various situations [11]. Although this questionnaire has no cut-off score, the higher the score, the greater the complaints [11,18]. Ambulatory measures focused primarily on fo tracked using voice monitoring during daily activities.…”

Section: Evaluations and Data Analysesmentioning

confidence: 99%

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Can ambulatory biofeedback help a transgender woman speak at a higher pitch?

Morsomme

Remacle

2021

Logopedics Phoniatrics Vocology

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Voice feminization for transgender women remains a challenge. The fundamental frequency of the voice (fo) is one of the main parameters contributing to the perception of gender. One of the aims of voice therapy is to help transgender women acquire a new vocal motor behavior to increase their fo. We hypothesized that ambulatory biofeedback could help extend the new vocal behavior to daily life.This prospective case study assessed the impact of two weeks of ambulatory vibrotactile biofeedback (VTBF) applied to one transgender woman, following two weeks of voice therapy (three 60-minute sessions). The VTBF was activated when the participant's voice was lower than 150 Hz for more than 500 ms and was accompanied by two 60-minute counseling sessions.The results showed that mean fo monitored in daily activities tended to increase following the two weeks of voice therapy (Δ = 8 Hz or 1 semitone) and then increased significantly immediately after the two weeks of VTBF (Δ = 13 Hz or 1.5 semitones). The increase in mean fo from day to day and the decrease in the activation percentage from the first to the second week of VTBF (Δ = 6%) indicated a gradual integration of the motor behavior, making it possible to achieve the targeted female frequency.The results suggest that ambulatory VTBF helped the participant to generalize the techniques acquired during the voice therapy sessions to real-life communication situations. These results are promising for therapeutic programs that integrate tools that can be used outside the clinical context.

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Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

et al. 2023

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ImportanceGender-affirming care is a key clinical area that can benefit from implementation of patient-reported outcome measures (PROMs). Identifying barriers to and enablers of PROM implementation is needed to develop an evidence-based implementation strategy.ObjectiveTo identify (1) PROMs previously implemented for gender-affirming care and constructs measured, (2) how patients completed PROMs and how results were reported and used, and (3) barriers to and enablers of PROM implementation.Evidence ReviewIn this systematic review, PubMed, Embase, MEDLINE, PsycINFO, CINAHL, and Web of Science were searched from inception to October 25, 2021, and updated on December 16, 2022. Gray literature was searched through gray literature database, online search engine, and targeted website searching. Inclusion criteria were (1) original articles of (2) a formally developed PROM or ad hoc instrument administered for gender-affirming care to (3) patients accessing gender-affirming care. The Critical Appraisal Skills Programme tool was used to evaluate quality of included studies. This review was registered on PROSPERO (CRD42021233080).FindingsIn total, 286 studies were included, representing 85 395 transgender and nonbinary patients from more than 30 countries. A total of 205 different PROMs were used in gender-affirming care. No studies described using an implementation science theory, model, or framework to support PROM deployment. Key barriers to PROM implementation included issues with evidence strength and quality of the PROM, engaging participants, and PROM complexity. Key enablers of PROM implementation included using PROMs validated for gender-affirming care, implementing PROMs able to be deployed online or in person, implementing PROMs that are shorter and reduce patient burden, engaging key stakeholders and participants as part of developing an implementation plan, and organizational climate.Conclusions and RelevanceIn this systematic review of barriers to and enablers of PROM implementation in gender-affirming care, PROM implementation was inconsistent and did not follow evidence-based approaches in implementation science. There was also a lack of patient input in creating implementation strategies, suggesting a need for patient-centered approaches to PROM implementation. Frameworks created from these results can be used to develop evidence-based PROM implementation initiatives for gender-affirming care and have potential generalizability for other clinical areas interested in implementing PROMs.

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Translation, Adaptation, and Preliminary Validation of Dacakis and Davies' “Transsexual Voice Questionnaire (Male to Female)” in French

Abstract: The psychometric properties of the French version of the questionnaire are acceptable. The questionnaire can be used as is in daily clinical practice.

Cited by 8 publications

References 10 publications

Translation, Cross-Cultural Adaptation, and Preliminary Validation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals (I-TVQMtF) Into Italian

Translation, Cross-Cultural Adaptation, and Preliminary Validation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals (I-TVQMtF) Into Italian

Can ambulatory biofeedback help a transgender woman speak at a higher pitch?

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

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