{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:40:26Z","timestamp":1787928026130,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Impairment of voice and swallowing after thyroidectomy can negatively affect communication, eating and overall quality of life. The Thyroidectomy\u2010Related Voice and Symptom Questionnaire was developed to facilitate the early identification and monitoring of voice and swallowing outcomes in patients who have undergone thyroidectomy. While it has been translated and culturally adapted to Brazilian Portuguese, there is currently no evidence supporting its construct validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the construct validity of the Brazilian Portuguese version of the Thyroidectomy\u2010Related Voice and Symptom Questionnaire (BR\u2010PT\u2010TVSQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Procedures<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 395 Brazilian individuals undergoing thyroidectomy, mainly female (95.2%), with a mean age of 41.38 \u00b1 11.12 years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the structural validity of the 20\u2010item BR\u2010PT\u2010TVSQ. Internal consistency was assessed using Cronbach's alpha. Convergent and discriminant validity were analysed through internal correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Results<\/jats:title>\n                    <jats:p>The EFA suggested a three\u2010factor model with a Cronbach's alpha of 0.947. The CFA confirmed the three\u2010factor model with acceptable goodness\u2010of\u2010fit indices: Factor 1 = voice symptoms; Factor 2 = oropharyngolaryngeal symptoms and Factor 3 = cervical and thoracic discomfort. All three factors presented significant convergent validity. The discriminatory power between Factors 2 and 3 was smaller than in other comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Implications<\/jats:title>\n                    <jats:p>The BR\u2010PT\u2010TVSQ provided evidence of construct validity for a three\u2010factor model with acceptable structure, convergent and discriminant validity. These sources of validity evidence are crucial to clinically ensure that the TVSQ\u2010PT\u2010BR structure accurately represents the investigated outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The Thyroidectomy\u2010Related Voice and Symptom Questionnaire (TVSQ) was developed to identify and monitor symptoms related to voice, swallowing and neck discomfort in patients undergoing thyroidectomy. The TVSQ has already been translated and culturally adapted into Brazilian Portuguese (BR\u2010PT\u2010TVSQ). However, the BR\u2010PT\u2010TVSQ still lacks validation for other measurement properties, including construct validity.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic>What this paper adds to existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This study demonstrates that the BR\u2010PT\u2010TVSQ has construct validity, featuring three dimensions and acceptable levels of internal consistency, convergent validity and discriminant validity. These forms of validity evidence ensure that the structure of the instrument accurately represents the outcomes and dimensions being investigated, making it suitable for clinical use.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic>What are the potential or actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The BR\u2010PT\u2010TVSQ is the only tool available in Brazilian Portuguese that has verified construct validity for the early assessment of symptoms related to voice, swallowing and neck discomfort in patients undergoing thyroidectomy. This questionnaire aids in decision\u2010making and the rehabilitation process.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70183","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:30:52Z","timestamp":1767677452000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Construct Validity of the Brazilian Portuguese Version of the Thyroidectomy\u2010Related Voice and Symptom Questionnaire (BR\u2010PT\u2010TVSQ)"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-380X","authenticated-orcid":false,"given":"Ana Fl\u00e1via de Sales","family":"C\u00e2ndido","sequence":"first","affiliation":[{"name":"PhD Program in Decision and Health Models Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozemar Pereira dos","family":"Santos","sequence":"additional","affiliation":[{"name":"PhD Program in Decision and Health Models Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9119-5629","authenticated-orcid":false,"given":"Anna Alice","family":"Almeida","sequence":"additional","affiliation":[{"name":"PhD Program in Decision and Health Models Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Agnaldo do","family":"Nascimento","sequence":"additional","affiliation":[{"name":"PhD Program in Decision and Health Models Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6246-9769","authenticated-orcid":false,"given":"Leandro","family":"Pernambuco","sequence":"additional","affiliation":[{"name":"PhD Program in Decision and Health Models Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Brazil"},{"name":"Department of Speech, Language and Hearing Sciences Federal University of Pernambuco (UFPE)  Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"crossref","unstructured":"Abaalkhail M. 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