{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T22:11:47Z","timestamp":1767046307250,"version":"3.48.0"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n Dysphonia, dysphagia, and dyspnea are frequent symptoms of unilateral vocal fold paralysis (UVFP). The CoPE patient\u2010reported outcome measure (PROM) evaluates the disability associated with UVFP but has only been validated in English. This study aims to translate, cross\u2010culturally adapt, and validate the Spanish version of CoPE (Es\u2010CoPE).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This prospective, single\u2010center study included 50 Spanish\u2010speaking UVFP patients and 50 controls at a tertiary care voice clinic. CoPE was adapted through forward and reverse translation using rigorous methodology. Es\u2010CoPE was evaluated for test\u2013retest reliability, internal consistency, criterion validity (score comparison to gold standard VHI\u201010 and EAT\u201010), and construct validity through factor analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n UVFP and control groups had similar demographics (24 female\/26 male cases vs. 22 female\/28 male controls). Test\u2013retest reliability was confirmed with a Pearson correlation of 0.87 (95% CI 0.81\u20130.91) and for its subscales (voice:\n r<\/jats:italic>\n \u2009=\u20090.784 [95% CI 0.69\u20130.85], swallowing:\n r<\/jats:italic>\n \u2009=\u20090.789 [95% CI 0.70\u20130.85], psychosocial:\n r<\/jats:italic>\n \u2009=\u20090.704 [95% CI 0.58\u20130.79]). Es\u2010CoPE showed construct validity as scores were significantly higher in UVFP patients than in controls (mean 34.68 [28.53\u201340.82\u2009\u00b1\u200921.63] vs. 4.94 [2.37\u20137.51\u2009\u00b1\u20099.04]). Factor analysis showed most items had strong factor loadings (>\u20090.8). Cronbach's alpha coefficient was 0.96, indicating strong internal consistency. The Es\u2010CoPE voice subscale correlated with VHI\u201010 (\n r<\/jats:italic>\n \u2009=\u20090.79 cases,\n r<\/jats:italic>\n \u2009=\u20090.52 controls), and the swallowing subscale correlated with EAT\u201010 (\n r<\/jats:italic>\n \u2009=\u20090.81 cases,\n r<\/jats:italic>\n \u2009=\u20090.57 controls), demonstrating criterion validity.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The Spanish version of the CoPE is as reliable and valid as the English version, which fills the gap in the ability to assess the patient\u2010reported disability associated with UVFP in patients in the Spanish\u2010speaking population.<\/jats:p>\n \n Level of evidence:<\/jats:bold>\n 2\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.32415","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T09:43:32Z","timestamp":1751967812000},"page":"4793-4799","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Es\u2010\n CoPE<\/scp>\n : Translation and Validation of the Vocal Cord Paralysis Experience Questionnaire for Spanish Speakers"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1993-431X","authenticated-orcid":false,"given":"Laura","family":"Pujol\u2010Vil\u00e0","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4591-2607","authenticated-orcid":false,"given":"Eduardo","family":"Lehrer","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"},{"name":"Department of Surgery and Medical Surgical Specialties School of Medicine, Universitat de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Remacha","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1064-5892","authenticated-orcid":false,"given":"David Oliver","family":"Francis","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery University of Wisconsin\u2013Madison Madison Wisconsin USA"},{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery, School of Medicine and Public Health University of Wisconsin\u2013Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Nordby","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery, School of Medicine and Public Health University of Wisconsin\u2013Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"Egea","sequence":"additional","affiliation":[{"name":"Rehabilitation Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ada","family":"Cabero","sequence":"additional","affiliation":[{"name":"Rehabilitation Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Larrosa","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"},{"name":"Department of Surgery and Medical Surgical Specialties School of Medicine, Universitat de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Vilaseca","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Cl\u00ednic de Barcelona Barcelona Spain"},{"name":"Department of Surgery and Medical Surgical Specialties School of Medicine, Universitat de Barcelona Barcelona Spain"},{"name":"Gen\u00f2mica Traslacional i ter\u00e0pies Dirigides en Tumors s\u00f2lids, Institut D'investigacions Biom\u00e8diques August Pi i Sunyer, IDIBAPS Barcelona Spain"},{"name":"Head Neck Cl\u00ednic, Ag\u00e8ncia de Gesti\u00f3 D'ajuts Universitaris i de Recerca Barcelona 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