Validity and Reliability of the Arabic Voice Activity and Participation Profile (A-VAPP) Questionnaire

Authors

• Nawaf S. Alqarni, Department of Medical Imaging, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh 12347, Saudi ArabiaFollow
• Hamad F. Alrabiah, Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaFollow
• Nasser F. AlSunbul, Orthopedics and Traumatology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia 11676, P.O. Box 106998Follow
• Manal A. Bukhari, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFollow
• Mohamed Farahat, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia AND Research Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFollow
• Mohammed Almohizea, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFollow
• Tamer A. Mesallam, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia AND Research Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFollow
• Khalid H. Malki, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia AND Research Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFollow

Abstract

Objectives: The purpose of this study was to translate and validate the Voice Activity and Participation Profile (VAPP), a comprehensive tool for assessing the impact of voice disorders on daily life activities and social participation, into Arabic and to test its reliability among voice disorders patients in Riyadh, Saudi Arabia \looseness-1 Methods: A descriptive, questionnaire-based validation study was conducted at two university hospitals from December 2023 to September 2024. The VAPP was translated using forward and backward translation methods from English into Arabic. The questionnaire's reliability and internal consistency were assessed using Cronbach's alpha and test-retest reliability. To measure the construct validity, exploratory factor analysis (EFA) was conducted. Discriminant validity was assessed using the Mann-Whitney U test, and reproducibility was evaluated using the intraclass correlation coefficient (ICC) Result: The study included 120 participants, of which 60 had voice complaints (VCG) and 60 were healthy HCG (HCG). The Arabic-VAPP (A-VAPP) demonstrated excellent reliability, with a Cronbach's alpha of 0.967 and ICC exceeding 0.979 (p < 0.001). Significantly higher scores were observed in the VCG compared to the HCG across job (p = 0.03), daily communication (p < 0.001), social communication (p = 0.01), and emotional impact (p < 0.001) domains. Receiver operating characteristic analysis further confirmed strong discriminative validity with an area under the curve of 0.960, sensitivity of 84%, and specificity of 100%. Conclusion: A-VAPP is a reliable and valid tool for assessing voice disorders in Arabic-speaking patients, making it suitable for both clinical practice and research.

Article Type

Original Study

First Page

704

Last Page

717

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Recommended Citation

Alqarni, Nawaf S.; Alrabiah, Hamad F.; AlSunbul, Nasser F.; Bukhari, Manal A.; Farahat, Mohamed; Almohizea, Mohammed; Mesallam, Tamer A.; and Malki, Khalid H. (2026) "Validity and Reliability of the Arabic Voice Activity and Participation Profile (A-VAPP) Questionnaire," Saudi Medical Journal: Vol. 47: Iss. 4, Article 12.
DOI: https://doi.org/10.15537/1658-3175.1068