Face validity of the LEAPA instrument for morphologic description of benign organic injury of the vocal folds

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.8176

Keywords:

Dysphonia, Laryngoscopy, Validation Study, Technical report

Abstract

Objectives: The study aims to present the face and content validation of the LEAPA instrument, proposing a systematization for static description of the laryngoscopic findings of the benign organic lesions of the vocal folds with emphasis on the use of key elements of the morphological description (location / L / , extension / E /, organic aspect / A /, plurality / P /, associations / A /). The importance of this instrument is that dysphonia is highly prevalent world wide and in about 50% of cases it occurs due to benign vocal fold injuries. Thus, the morpho-functional visualization of the larynx through laryngoscopy and the ability to write a reliable technical report of the examination findings are essential for the correct diagnosis of dysphonia. Methods: A face evaluation was developed by 13 laryngology specialists to analyze the reliability of the lesion description method using Cronbach's alpha coefficient using 17 thought-provoking questions. Results: the LEAPA instrument obtained high internal consistency and high reliability (alpha 0.94). Conclusion: LEAPA allows the morphological description of benign vocal fold injuries, contributing to the preparation of concise laryngoscopic reports, with a uniform, reliable and correct diagnostic impression for this group of injuries.

Author Biographies

  • Alexandre Augusto Fernandes, Federal University of Sergipe

    PhD in Health Science Graduate Program, Federal University of Sergipe

  • Ricardo Queiroz Gurgel, Federal University of Sergipe

    Professor of Pediatrics, Department of Medicine and Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Brazil.

  • Jeferson Sampaio DAvila, Federal University of Sergipe

    Professor of Federal University of Sergipe, Department of Medicine and Health Science Graduate Program. Pos Doc Lisbon University.

References

Bland, J. M., & Altman, D. G., (1997). Statistics notes: Cronbach’s alpha. BMJ.314:572.

Borges, J. W. P., Moreira, T. M. M., Rodrigues, M. T. P., Souza, A. C. C., & Silva, D. B., (2013). Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension. Revista da Escola de Enfermagem da USP, 47(5), 1076-1082. https://doi.org/10.1590/S0080-623420130000500010

D’avila, J. S., Sennes, L. U., & Tsuji, D. H., (2003). Estudo comparativo da microvascularização das cordas vocais humanas acometidas por cisto e reação nodular contralateral sob endoscopia rígida. Revista Brasileira de Otorrinolaringologia. 69: 166-173.

Frizzarini, R., & Tsuji, D. H., (2007). Rouquidão. In: Cavalcanti EFA, Martins HF. Clínica médica: dos sinais e sintomas ao diagnóstico e tratamento. Barueri: Manole; p.1640-1645.

George, D., & Mallery, P., (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn &Bacon. p. 82-88.

Jerjes, W. K., Upile, T., Wong, B. J., Betz, C. S., Sterenborg, H. J., Witjes, M. J., & et al. (2011). The future of medical diagnostics: review paper. Head& Neck Oncology.23:3-38.

Krasnodębska, P., Szkiełkowsk, A., Miaśkiewicz, B., Włodarczyk, E., Domeracka-kołodziej, A., & Skarżyński, B., (2018). Objective measurement of mucosal wave parameters in diagnosing benign lesions of the vocal folds. Logopeddics Phoniatrics Vocology. 10:1-6.

Melo, E. C. M., Brito, L. L., Brasil, O. C. O., Behlau, M., Melo, D. M., & et al. (2001). Incidência de lesões laríngeas não neoplásicas em pacientes com queixas vocais. Revista Brasileira de Otorrinolaringologia. 67:788-94.

Neofytou, M. S., Tanos, V., Pattichis, M. S., Pattichis, C. S., Kyriacou, E. C., Koutsouris, D. D., & et al. (2007). A standardised protocol for texture feature analysis of endoscopic images in gynaecological cancer. Biomedical Engineering Online. 29;44.

Oxman, A. D., Guyatt, G. H., Cook, D. J., Jaeschke, R., Heddle, N., Keller, J., & et al., (1993). An index of scientific quality for health reports in the lay press. Journal of Clinical Epidemiology. 46:987-1001.

Ramig, L., & Verdolini, K., (1998). Treatment efficacy: voice disorders. Journal of Speech, Language, and Hearing Research. 41: 101-16.

Rzepakowska, A., Sielka-badurek, E., Sobol, M., Osuch-wólcikiewicz, E., & Niemczy, K., (2017). The predictive value of videostroboscopy in the assessment of premaligmant lesions and early glottis cancers. Otolaryngologia Polska. 71:14-18.

Pereira, A. S., & et al., (2018). Metodologia da pesquisa científica [eBook]. Santa Maria: UFSM/UAB/NTE.

Streiner, D. G., Norman, G. R., & Cairney, J., (1989). Health measurements scales: a practical guide to their development and use. Oxford: Oxford University Press.

Dalmoro, M., & Vieira, K. M. (2013). Dilemas na construção de escalas Tipo Likert: o número de itens e a disposição influenciam nos resultados?. Revista gestão organizacional, 6(3).

Vilas Boas, A. V. O., & Silvany Neto, A. M., (2012). Elaboração e validação de questionário de avaliação da qualidade científica de pesquisas epidemiológica. Revista Baiana de Saúde Pública. 36: 432-64.

Published

2020-09-08

Issue

Section

Health Sciences

How to Cite

Face validity of the LEAPA instrument for morphologic description of benign organic injury of the vocal folds. Research, Society and Development, [S. l.], v. 9, n. 9, p. e839998176, 2020. DOI: 10.33448/rsd-v9i9.8176. Disponível em: https://rsdjournal.org/rsd/article/view/8176. Acesso em: 4 nov. 2025.