{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T04:41:30Z","timestamp":1778820090961,"version":"3.51.4"},"reference-count":38,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T00:00:00Z","timestamp":1657324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background: Laryngectomized patients have communicative limitations when they lose their phonatory function after surgery. The scale \u201cSelf-Evaluation of Communication Experiences after Laryngectomy\u201d (SECEL) assesses the impact of total laryngectomy on quality of life related to communication. The aim of this study was to translate and adapt the SECEL from English to Spanish and to apply this first version to a group of patients to check its reliability and validity. Materials and Methods: One-hundred-and-one laryngectomized patients completed the SECEL scale adjusted to Spanish, the Voice Handicap Index (VHI-30), the Hospital Anxiety and Depression Scale (HADS) and the EORTC QLQ-H&amp;N35 questionnaire. Results: The Spanish version of the SECEL questionnaire has the same format and conceptual, semantic and idiomatic meaning as the original. The resulting model is composed of 21 items dimensioned in two highly correlated factors that are clear, meaningful, and replicable leading to measures that are reliable enough to be used in clinical evaluation. Conclusion: The Spanish translation and validation of the SECEL questionnaire were performed. It can be considered an appropriate tool to assess communication skills from laryngectomized people.<\/jats:p>","DOI":"10.3390\/cancers14143347","type":"journal-article","created":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T21:19:28Z","timestamp":1657487968000},"page":"3347","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Validation of \u201cSelf-Evaluation of Communication Experiences after Laryngectomy\u201d (SECEL) Questionnaire for Spanish-Speaking Laryngectomized Patients"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3664-2729","authenticated-orcid":false,"given":"Eva","family":"Villanueva","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Central de Asturias (HUCA), 33011 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Paula","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Speech Therapy, University of Oviedo, 33003 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanna","family":"Arena","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Speech Therapy, University of Oviedo, 33003 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 L.","family":"Llorente","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Central de Asturias (HUCA), 33011 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncolog\u00eda del Principado de Asturias (IUOPA), University of Oviedo, IUOPA, CIBERONC-ISCIII, 33011 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3063-0890","authenticated-orcid":false,"given":"Juan P.","family":"Rodrigo","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Central de Asturias (HUCA), 33011 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncolog\u00eda del Principado de Asturias (IUOPA), University of Oviedo, IUOPA, CIBERONC-ISCIII, 33011 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7019-9746","authenticated-orcid":false,"given":"Fernando","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Central de Asturias (HUCA), 33011 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncolog\u00eda del Principado de Asturias (IUOPA), University of Oviedo, IUOPA, CIBERONC-ISCIII, 33011 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar","family":"\u00c1lvarez-Marcos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Central de Asturias (HUCA), 33011 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncolog\u00eda del Principado de Asturias (IUOPA), University of Oviedo, IUOPA, CIBERONC-ISCIII, 33011 Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.wjorl.2020.02.010","article-title":"\u201cThe Laryngectomee Guide\u201d is available in 18 languages (Free eBooks)","volume":"7","author":"Brook","year":"2020","journal-title":"World J. Otorhinolaryngol. Head Neck Surg."},{"key":"ref_2","first-page":"128","article-title":"Olfactory rehabilitation after total laryngectomy","volume":"61","year":"2010","journal-title":"Acta Otorrinolaringol. Esp."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"482","DOI":"10.7162\/S1809-97772012000400009","article-title":"Limits on quality of life in communication after total laryngectomy","volume":"16","author":"Chaves","year":"2012","journal-title":"Int. Arch. Otorhinolaryngol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S1632-3475(14)68305-3","article-title":"Seguimiento y reinserci\u00f3n del paciente laringectomizado","volume":"43","author":"Roger","year":"2014","journal-title":"EMC-Otorrinolaringol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1016\/j.joms.2007.07.006","article-title":"Immediate impact of primary surgery on health-related quality of life of hospitalized patients with oral and oropharyngeal cancer","volume":"66","author":"Biazevic","year":"2008","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"3431","DOI":"10.1007\/s00405-014-3335-5","article-title":"The effects of indwelling voice prosthesis on the quality of life, depressive symptoms, and self-esteem in patients with total laryngectomy","volume":"272","author":"Polat","year":"2015","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.otc.2015.04.013","article-title":"Voice restoration after total laryngectomy","volume":"48","author":"Tanga","year":"2015","journal-title":"Otolaryngol. Clin. N. Am."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"578","DOI":"10.4067\/s0034-98872018000500578","article-title":"Head and neck cancer: Validation of the QLQ-H&N35 quality of life questionnaire","volume":"146","author":"Carcamo","year":"2018","journal-title":"Rev. M\u00e9d. Chile"},{"key":"ref_9","first-page":"386","article-title":"Adaptation and validation to the Spanish of the Voice Handicap Index (VHI-30) and its shortened version (VHI-10)","volume":"58","year":"2007","journal-title":"Acta. Otorrinolaringol. Esp."},{"key":"ref_10","first-page":"249","article-title":"Validation of the Spanish adaptation of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)","volume":"66","year":"2015","journal-title":"Acta Otorrinolaringol. Esp."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1044\/1058-0360.0203.82","article-title":"Development and assessment of a scale addressing communication needs of patients with laryngectomies","volume":"2","author":"Blood","year":"1993","journal-title":"Am. J. Speech Lang Pathol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Johansson, M., Ryd\u00e9n, A., and Finizia, C. (2008). Self-Evaluation of communication experiences after laryngeal cancer\u2013A longitudinal questionnaire study in patients with laryngeal cancer. BMC Cancer, 8.","DOI":"10.1186\/1471-2407-8-80"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1080\/028418699431159","article-title":"A cross-sectional validation study of Self-Evaluation of Communication Experiences after Laryngeal Cancer-A questionnaire for use in the voice rehabilitation of laryngeal cancer patients","volume":"38","author":"Finizia","year":"1999","journal-title":"Acta Oncol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1002\/hed.23198","article-title":"Reliability and validity of the Italian self-evaluation of communication experiences after laryngeal cancer questionnaire: Reliability and Validity of the I-SECEL Questionnaire","volume":"35","author":"Schindler","year":"2013","journal-title":"Head Neck"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1080\/14015439.2019.1615544","article-title":"Self-evaluation of communication experiences after laryngectomy (SECEL): Translation and psychometric properties in European Portuguese","volume":"45","author":"Torrejano","year":"2020","journal-title":"Logoped. Phoniatr. Vocol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e1678","DOI":"10.1590\/2317-6431-2016-1678","article-title":"Transcultural adaptation of the Self-Evaluation of Communication Experiences After Laryngectomy (SECEL) instrument into Brazilian Portuguese","volume":"21","author":"Fahl","year":"2016","journal-title":"Audiol. Commun. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1080\/13548506.2011.575167","article-title":"Communication adjustment of patients with a laryngectomy in Turkey: Analysis by type of surgery and mode of speech","volume":"16","author":"Evitts","year":"2011","journal-title":"Psychol. Health Med."},{"key":"ref_18","first-page":"63","article-title":"How is an instrument for measuring health to be validated?","volume":"34","author":"Carvajal","year":"2011","journal-title":"An. Sist. Sanit. Navar."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the process of cross-cultural adaptation of self-report measures","volume":"25","author":"Beaton","year":"2000","journal-title":"Spine"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1524-4733.2005.04054.x","article-title":"Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation","volume":"8","author":"Wild","year":"2005","journal-title":"Value Health."},{"key":"ref_21","first-page":"127","article-title":"Ansiedad y depresi\u00f3n. Validaci\u00f3n de la escala HAD en pacientes oncol\u00f3gicos","volume":"12","author":"Pastor","year":"2000","journal-title":"Rev. Psicol. Salud"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1177\/0013164417719308","article-title":"Assessing the quality and appropriateness of factor solutions and factor score estimates in exploratory item factor analysis","volume":"78","author":"Ferrando","year":"2017","journal-title":"Educ. Psychol. Meas."},{"key":"ref_23","first-page":"1170","article-title":"Exploratory item factor analysis: Some additional considerations","volume":"30","author":"Ferrando","year":"2014","journal-title":"An. Psicol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3758\/BF03192753","article-title":"FACTOR: A computer program to fit the exploratory factor analysis model","volume":"38","author":"Ferrando","year":"2006","journal-title":"Behav. Res. Methods"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1037\/1082-989X.1.1.16","article-title":"The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis","volume":"51","author":"Curran","year":"1996","journal-title":"Psychol. Methods"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/a0023353","article-title":"Dimensionality assessment of ordered polytomous items with parallel analysis","volume":"16","author":"Timmerman","year":"2011","journal-title":"Psychol. Methods"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"1999","journal-title":"Struct. Equ. Model."},{"key":"ref_28","unstructured":"Kline, R.B. (2011). Principles and Practice of Structural Equation Modeling, The Guilford Press. [3rd ed.]."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/BF02294054","article-title":"Factor simplicity index and transformations","volume":"42","author":"Bentler","year":"1977","journal-title":"Psychometrika"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1177\/0013164418773851","article-title":"On the added value of multiple factor score estimates in essentially unidimensional models","volume":"79","author":"Ferrando","year":"2019","journal-title":"Educ. Psychol. Meas."},{"key":"ref_31","first-page":"23","article-title":"Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures","volume":"8","author":"Moosbrugger","year":"2003","journal-title":"Methods Psychol. Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Evaluating structural equation models with unobservable variables and measurement error","volume":"18","author":"Fornell","year":"1981","journal-title":"J. Mark. Res."},{"key":"ref_33","first-page":"3","article-title":"Estimating ordinal reliability for Likert-type and ordinal item response data: A conceptual, empirical, and practical guide","volume":"17","author":"Gadermann","year":"2012","journal-title":"Pract. Assess. Res. Eval."},{"key":"ref_34","unstructured":"Kazdin, A.E. (2016). An Effect Size Primer: A Guide for Clinicians and Researchers. Methodological Issues and Strategies in Clinical Research, American Psychological Association."},{"key":"ref_35","first-page":"149","article-title":"Using reversed items in Likert scales: A questionable practice","volume":"30","author":"Pedrosa","year":"2018","journal-title":"Psicothema"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1080\/02841860260088809","article-title":"A longitudinal study of the swedish self-evaluation of communication experiences after laryngeal cancer questionnaire in patients treated for laryngeal cancer","volume":"41","author":"Finizia","year":"2002","journal-title":"Acta Oncol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.3758\/s13428-018-1059-y","article-title":"Sample size estimation for heterogeneous growth curve models with attrition","volume":"51","author":"Ato","year":"2019","journal-title":"Behav. Res. Methods"},{"key":"ref_38","first-page":"556","article-title":"the (ir)responsibility of (under)estimating missing data","volume":"20","year":"2018","journal-title":"Front. Psychol."}],"container-title":["Cancers"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6694\/14\/14\/3347\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:47:24Z","timestamp":1760140044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6694\/14\/14\/3347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,9]]},"references-count":38,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["cancers14143347"],"URL":"https:\/\/doi.org\/10.3390\/cancers14143347","relation":{},"ISSN":["2072-6694"],"issn-type":[{"value":"2072-6694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,9]]}}}