Objective To validate the Pediatric Voice-Related Quality-of-Life (PVRQOL) survey, which was designed to assess voice changes over time in the pediatric population.
Design Prospective longitudinal study.
Setting Outpatient pediatric otolaryngology office practice.
Participants One hundred twenty parents of children aged 2 through 18 years having a variety of otolaryngological diagnoses including disorders that affect the voice.
Interventions The previously validated Pediatric Voice Outcomes Survey and the PVRQOL were jointly administered to the parents of the study participants. Test-retest reliability was accomplished by having 70 caregivers repeat the instrument 2 weeks after the initial visit. The Cronbach 
value was calculated to determine reliability. Instrument validity was determined by examining convergent and discriminant validity.
Main Outcome Measure Correlation of PVRQOL scores with Pediatric Voice Outcomes Survey scores.
Results Reliability of the PVRQOL was established by evaluating the Cronbach value (.96; P<.001) and by test-retest reliability (weighted 
value, 0.8). Validity of the PVQROL was tested by evaluating its ability to show significant change in voice-related quality-of-life after adenoidectomy (discriminant validity) (P<.001). The PVQROL also proved valid when the overall score was correlated with the previously validated Pediatric Voice Outcomes Survey (r = 0.7; P<.001).
Conclusion The PVRQOL is a more comprehensive survey than the previously validated Pediatric Voice Outcomes Survey and is another valid instrument to examine the health-related quality-of-life issues in pediatric voice disorders.
