Tamil Version Research Articles

Development and Cross-Cultural Adaptation of the Tamil Version of the Stroke-Specific Quality of Life Scale (SSQoL) and Assessment of its Reliability and Validity

Development and Cross-Cultural Adaptation of the Tamil Version of the Stroke-Specific Quality of Life Scale (SSQoL) and Assessment of its Reliability and Validity

Quality of life (QOL) of patients with schizophrenia and epilepsy attending an outpatient clinic in a tertiary care hospital in Sri Lanka

Background: Schizophrenia and epilepsy are chronic relapsing disorders, that share common disadvantages that affects QOL.Methods: A cross-sectional descriptive study was conducted on 68 patients with schizophrenia and 68 patients with epilepsy, presenting to psychiatry and neurology clinics of the Colombo South Teaching Hospital (CSTH). The validated Sinhala and Tamil version of the WHO QOL 100 was used to assess the QOL.Results: Schizophrenia group had poorer QOL in physical (p<0.05), social (p<0.01), independence (p<0.05) and environmental (p<0.05) domains, compared to epilepsy. Longer duration of illness (> 5 years) was associated with poorer QOL in the independence (p<0.05) and social domains (p<0.05) and longer duration of untreated illness was associated with lower QOL in the physical (p<0.01) and social domains (p<0.01) in schizophrenia group.Conclusions: Patients with schizophrenia had poorer QOL compared to patients with epilepsy. Longer duration of untreated illness was associated with poorer QOL in both groups.

Translation, cultural adaptation and validation of the Tamil version of the Cardiff Acne Disability Index (CADI) in Sri Lanka

BackgroundAssessment of QoL has become an essential component in the holistic care of patients with acne. The Cardiff Acne Disability Index (CADI) is used globally to assess quality of life (QoL) in patients with acne. This study was done to validate CADI in Tamil, as 90 million of the global population are native speakers and Tamil is an official language of several countries.MethodsCADI was translated and validated into Tamil according to published guidelines. The Tamil versions of both CADI and Dermatology Life Quality Index (DLQI), was administered to 150 Sri Lankan young adults with acne. The clinical severity was assessed using the Global Acne Grading System (GAGS). Discriminant validity was tested by comparing the results of CADI with those of GAGS and DLQI, using reliability, validity, Cronbach’s alpha, and Spearman’s correlation coefficient measurements. Construct validity was assessed by factor analysis.Results70% were female, and the mean age was 25.1 (SD, 5.2). The majority (91.3%) had acne of mild to moderate severity when measured by GAGS. CADI-Tamil showed high internal consistency and reliability (Cronbach’s alpha coefficient = 0.83). The CADI total score showed a strong correlation (0.86) with that of DLQI. The correlation between CADI and GAGS was low, whereas CADI had a high and significant correlations with the DLQI. The construct validity explained 61% of the variability.ConclusionsThe CADI-Tamil is a reliable and valid tool for assessing the QoL of Tamil speaking patients with acne. This tool will help clinicians understand the patient’s perspective on acne.

Development and validation of Tamil version of CARIES-QC questionnaire among socially marginalized school children in Chennai City.

The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC), which was developed to assess dental caries-specific Child Oral Health Related Quality of Life (COHRQoL), has been translated into few world languages. To develop and validate the Tamil version of Caries Impacts and Experience Questionnaire for Children (CARIES-QC). This cross-sectional study was conducted among socially marginalized school children in Chennai City. The initial translation of the English CARIES-QC questionnaire to Tamil was made by two independent translators followed by an expert committee discussion to derive a prefinal version of the Tamil questionnaire. Subsequently, content validation was performed by bilingual subject experts followed by preliminary pilot testing among 30 school children aged 8-10 years studying in Adidravidar Welfare High School, Chennai, to produce the final version of the questionnaire. Convergent validity, discriminant validity, and test-retest reliability of the translated questionnaire were tested among 191 children. The content validation process revealed that the translated version had relevant questions and content coverage (Scale-wise Content Validity Index score = .91). The children with and without dental caries had mean CARIES-QC scores of 5.39 + 3.7 and 3.71 + 5.1, respectively, and their statistically significant difference (p-value = .04) between them indicates the scale's satisfactory discriminant validity. The Cronbach's alpha was .87 indicating the questionnaire's good internal consistency. The newly developed Tamil CARIES-QC questionnaire is a valid and reliable tool for assessing COHRQoL among Tamil-speaking school children.

Content and Context of Kaṇakkatikāram Manuscripts

Kaṇakkatikāram is the title of elementary mathematical treatises that focus on measurements, calculation techniques and practical-recreational word problems. These treatises enjoyed substantial distribution in medieval and colonial Tamil Nadu and Kerala (Parameswara Iyer 1990, Vol. 2, 524-527). In this paper we will describe these treatises based on Malayalam manuscripts. We will discuss their content, linguistic and stylistic form, context of use, relation to actual professional practices, the cultural values that they express, and the political-economic reality that they reflect. Since the Tamil versions have already been analyzed in Senthil Babu (2022), here we focus on aspects that complement his analysis and on features that are unique to, or more salient in, the Malayalam versions.

Translation and Validation of the Niigata PPPD Questionnaire into Tamil: A Tool to Assess Persistent Postural-Perceptual Dizziness.

PPPD is a chronic and functional disorder without diagnostic data and definitive laboratory tests. In such conditions, questionnaires are the easiest quantifiable measures to identify and rate the severity of individuals suffering from PPPD. The current study aimed to adapt the Niigata PPPD Questionnaire (NPQ) into Tamil language and analyze its psychometric properties. A conventional method of translation involving forward and backward translation was carried out, followed by subsequent content validation. The translated version was field tested in three groups, the controls, the dizzy group, and PPPD group, for further analysis. The final Tamil version of the questionnaire, NPQ-T, had good reliability and validity. This version was identified to have good sensitivity and specificity in discriminating the PPPD group from the dizzy group. The NPQ in Tamil (NPQ-T) is a valid tool for identifying individuals with PPPD and noting the severity of the exacerbating factors.

Patient satisfaction with anaesthesia care - Development, pilot testing and validation of a survey questionnaire

Patient satisfaction is the single most important “Quality of care” indicator that gives insight into effectiveness of care provided. There is a paucity of specific validated questionnaire for assessment of patient satisfaction with perioperative anaesthesia care for Indian sub-continent. We aimed to develop and validate a questionnaire for assessment of patient satisfaction with anaesthesia care. Through a review of literature, input from expert anaesthesiologists, and patient feedback, we came up with thirty-six preliminary questions, which we then categorised into six categories: Communication, Information provided, Involvement in decision-making, Anaesthesia care provided, Continuity of care, and Addressal of perioperative discomforts. All satisfaction-related responses were graded using a 5-point Likert scale. Questions were corrected to twenty-four based on inputs from six experts. The questionnaire was then translated (forward-backwards translation) to the regional language (Tamil) and subjected to pre-pilot testing. Questions were then modified, and Pilot testing was done for statistical validation.The response rate for pilot test was 70% and we received 60 responses. 93% of patients used Tamil version. We received 50% of responses on postoperative day (POD)-1 and remaining 50% on POD-2. None of our questions showed “Floor” or “Ceiling” response needing elimination. Cronbach’s alpha was estimated as 0.697. Our survey's mean score was 87.29 ± 4.65, showing that it accurately measured patient satisfaction.Ours is thefirst validated questionnaire for assessment of patient satisfaction with anaesthesia care suitable for the Indian population. The questionnaire can further be translated into the appropriate regional languages and utilized.

Cross-cultural adaptation, validity and reliability of the Tamil version of the Falls-Efficacy Scale – International in Indian elderly population

Background. Fall Efficacy Scale - International (FES-I) is a validity and reliability measure used to assess fear of fall. However, it is worth noting that FES-I is currently not available in the Tamil language. Therefore, the objective of this particular study was to cross-culturally adapt the measure into Tamil and subsequently test the validity and reliability of the translated version. Methods. The original English version of FES-I was translated according to the protocol set by ProFaNE. The Tamil version, FES-I (T), was given to 81 elderly Tamil-speaking participants. Statistical analyses were done to compare groups based on age, gender, fear of falling, and fall history. The validity of FES-I (T) was assessed by comparing its scores with the TUG test and SPPB. The reliability of FES-I (T) was evaluated using the Intraclass correlation coefficient. Results. The total scores obtained from FES-I (T) exhibited a positive correlation with the scores obtained from the TUG test (rs = 0.584), while displaying a negative correlation with the scores obtained from the SPPB (rs = −0.619, p-value < 0.001). Furthermore, the test-retest reliability of FES-I (T) was found to be excellent, with the Intraclass correlation coefficient for the total score recording a value of 0.99. Conclusion. Based on the findings of this study, it can be concluded that the FES-I (T) is a valuable tool that can be effectively utilized in both clinical practice and research settings to assess fear of falling in elderly individuals who speak Tamil.

Translation and Validation of Tamil Version of Fatigue Severity Scale (FSS) in Individuals with Rheumatoid Arthritis

Background: Fatigue has a significant negative impact on individuals with Rheumatoid Arthritis (RA). Fatigue Severity Scale (FSS) is the most widely used tool to assess fatigue severity which is a common problem in RA. Availability of FSS in local vernacular language could add more value and the study aims to construct the Tamil version of the FSS and validate it among patients with RA. Methodology: The study was conducted in 2 phases. In phase I, the English version of FSS was translated into Tamil by following the Linguistic Guidelines by mapi eprovide. In Phase II – Validation of Tamil version of FSS was carried out in 50 patients of RA by establishing; Test-retest reliability, Internal consistency, Content validity; and Convergent validity in comparison with HAQ-DI and SF-12 Results: The initial testing between Tamil FSS with English version revealed an intraclass correlation coefficient (ICC) (0.821) and α(0.902). The content validity was established by Cohen’ kappa agreement k which is >80% with a significance <0.004, which shows Good substantial agreement between raters. FSS showed strong positive correlation with HAQ-DI (>0.0005) and negative correlation with SF-12 (>0.0005). The scale demonstrated excellent internal consistency ( α = 0.972) and test-retest reliability (ICC = 0.93). Conclusions: The validated Tamil version demonstrated excellent content validity as well as good internal consistency and test-retest reliability, would be a useful instrument for clinical practice and research. It can be recommended for the assessment of Fatigue severity among Tamil-speaking population with RA.

Construct Validation and Reliability Assessment of Tamil Translated Hill-Bone-Compliance to High Blood Pressure Therapy Scale Among Hypertensive Patients in Rural Puducherry, South India.

Pharmacological drugs and medications are being widely used for the control of non-communicable diseases like hypertension. Hill-Bone-Compliance to High Blood Pressure Therapy Scale (HB-HBP) is a newly developed specific questionnaire for assessing the anti-hypertensive medication adherence. Hence, this study was done to translate the HB-HBP in Tamil and to assess the construct validity and reliability of the Tamil version. Translation of HB-HBP to native language, Tamil was done by experts and piloted with subsample of hypertensive patients from rural Puducherry. Final Tamil-translated HB-HBP was administered among 328 Tamil-speaking hypertensive patients in the selected villages of rural Puducherry (union territory in South India). Construct validity was assessed by exploratory factor analysis (EFA) through the principal component method. Based on the minimum average partial and parallel analysis, three-factor model was distinguished. Confirmatory factor analysis was done to obtain the goodness-of-fit. Reliability of questionnaire was assessed through Cronbach's alpha coefficient. Three factor structures were obtained with eigenvalues of 6.5045, 2.8165, and 1.2261, respectively, which accounted for 75.34% of variance. Three-factor model assessed by the confirmatory factor method found Chi-square value of 1055.048 (P value <0.001). Goodness of fit revealed acceptable comparative fit index (0.773), Tucker-Lewis index (0721), standardized root mean square residual (0.077), and root mean square error of approximation (0.201). The reliability coefficient (Cronbach's alpha) for the scale was 0.9020. Our study concludes that the HB-HBP questionnaire is internally valid and consistent with a good reliability coefficient for application in Tamil-speaking patients with hypertension.

The Tamil Version of the Three-Factor Eating Questionnaire-R18V2: Reliability and Factor Structure Among Persons with Schizophrenia.

Persons with schizophrenia (PwS) are vulnerable to developing disordered eating behaviors. However, standardized tools to assess disordered eating patterns are unavailable in the regional language, Tamil. Different versions of the Three-Factor Eating Questionnaire (TFEQ) have been used to measure disordered eating patterns among PwS worldwide. This study aimed to assess the factor structure and reliability of the Tamil version of TFEQ-R18V2 among Tamil-speaking PwS. Over three months, 135 PwS, aged 18-65 years, who attended the outpatient department of a tertiary mental health service provider in Chennai, completed the Tamil version of TFEQ-R18V2. Thirty PwS completed the tool after two weeks to assess its test-retest reliability. The factor structure of the tool was explored using principal component analysis. The sample included 75 (55.6%) males and 60 (44.4%) females with a mean (±SD) age of 40.1 (±9.8) years and a mean duration of illness of 11.99 (± 8.72) years. Internal consistency and test-retest reliability of the Tamil version were 0.84 and 0.532, respectively. A five-factor structure emerged from the factor analysis, with 65.67% of the variance. The Tamil version of TFEQ-R18V2 emerged as a reliable tool to assess disordered eating patterns among Tamil-speaking PwS.

Prevalence, correlates and explanatory models of cognitive deficits in patients with schizophrenia-A cross sectional study.

Schizophrenia may cause significant impairment in social and economic aspects of a patient's life. Current evidence suggests that cognitive deficits may affect the functioning of a person with schizophrenia more than positive or negative symptoms. There is a lack of literature on explanatory models of cognitive deficits in schizophrenia that can influence help-seeking behavior. This study aimed to estimate the prevalence of cognitive deficits and assess their relationship with socio-demographic and clinical characteristics among patients with schizophrenia. We also planned to explore the explanatory models of cognitive deficits in these patients. Consecutive outpatients with schizophrenia who met eligibility criteria were recruited after obtaining informed consent. The Addenbrooke's Cognitive Examination Tamil version (ACE III) and Observable Social Cognition - A Rating Scale (OSCARS) and Positive and Negative Symptom Scale (PANSS) were used to assess cognitive functioning and symptom profile, respectively. Beliefs about illness were recorded using the modified Short Explanatory Model Interview (SEMI). Socio-demographic and treatment-related details were collected with a structured proforma. Statistical analysis was done using SPSS for Windows (version 16.0.1). One hundred and forty patients participated in the study. The prevalence of cognitive deficits was 75.7% using ACE-III scores, 19.3% on OSCARS, and 40% based on subjective reports. Though the majority (81.4%) of patients reported a medical explanatory model for cognitive impairment, a significant number of them (70.7%) also held non-medical models simultaneously. Cognitive deficits are prevalent in the majority of patients with schizophrenia. Poor test performance on cognitive testing was observed in those with a significant family history. Multiple contradictory explanatory models for the causation of cognitive deficits were reported.

Cross-cultural adaptation, reliability, validity, and psychometric evaluation of the Tamil version STarT back screening tool among low back pain subjects

BackgroundThe STarT back screening tool helps primary care workers make the initial clinical decision and classify low back pain subjects into subgroups. Currently, the tool is required for stratification/triaging of low back pain and is commonly used in clinical practice, and requires linguistic validation in Tamil. The study aimed to determine the validity and reliability of the Tamil version of the STarT back screening tool. MethodsThe baseline measurements include the Tamil version of the STarT back screening tool-, pain severity using the Numeric pain rating Scale (NPRS), disability status using the Tamil version of the Roland Morris Disability Questionnaire (RMDQ), and fear avoidance beliefs using the fear-avoidance beliefs questionnaire (FABQ) - Tamil were obtained. After five days, the retest measures are done to investigate the test-retest reliability. ResultsThe current study showed excellent test-retest reliability of total score (ICC – 0.80) and psychosocial subscore (ICC-0.82) with excellent internal consistency and moderate to high validity with clinical outcomes. ConclusionThe study concludes that the Tamil version of the STarT Back Screening Questionnaire is a reliable and valid tool that reported good understanding and easy completion by the subject.

Linguistic and Content Validation of the Stroke Impact Scale (SIS) 3.0 in Three Languages

Introduction: A stroke can have devastating consequences and may reduce the Quality of Life (QoL) of stroke survivors. Specific QoL measurement is therefore needed to appreciate and quantify the impact of this condition. The objective of the study is to culturally adapt, translate and validate the Bahasa Melayu, Mandarin and Tamil versions of the Stroke Impact Scale (SIS) 3.0 for its application in clinical practice and stroke research in Malaysia. Methods: A total of nine translators translated the SIS 3.0 and five professional experts carried out the linguistic validation of the SIS 3.0 in accordance with the Mapi Research Institute’s linguistic validation guideline. The steps for linguistic validation included forward translation, synthesis, backward translation, clinicians’ review, and cognitive debriefing. Ten to thirteen healthcare practitioners rated the translated versions of SIS 3.0 using the Content Validity Index (CVI) and Content Validity Ratio (CVR). Results: During the translation processes, concerns were expressed about various grammatical and semantic issues, such as the appropriateness of some phrases used for the Malaysian demographic. The Scale-CVI average was 0.91 and 0.95 for relevance and clarity respectively which indicated excellent content validity. The CVR values ranged from 0.40 to 1.00. Conclusion: The Bahasa Melayu, Mandarin and Tamil versions of SIS 3.0 was well developed. The translated versions of SIS 3.0 could be adopted in clinical, community and educational settings. Nevertheless, further in-depth psychometric testing including construct validity and reliability on a larger sample among the multi-ethic Malaysians stroke survivors is advised.

Translation and Validation of the Tamil Version of the Dysphagia Handicap Index in Tamil-Speaking Patients.

Introduction Dysphagia is one of the general symptoms encountered in clinical practice. The impact of dysphagia can be devastating to a patient's physical condition and quality of life (QOL). To evaluate the QOL of patients with dysphagia there are numerous self-reported questionnaires. The most commonly used one such questionnaire is the Swallowing Quality-of-Life Questionnaire (SWAL-QOL). However, it is not concise and is incomplete as it does not address all the aspects of dysphagia. To overcome this, the Dysphagia Handicap Index (DHI) was developed. It focuses on the functional and emotional aspects in addition to the physical aspects of dysphagia. Objective To develop a Tamil version of the DHI (DHI-T) and assess its reliability, cultural adaptability and validity. Materials and method This cross-sectional study was conducted from May 2021 to December 2022 on 140 participants consisting of 70 dysphagia patients and 70 healthy individuals. Results The reliability and validity of the DHI-T were good with a high correlation between DHI-T and self-perceived severity scales of dysphagia. The mean total score in the Dysphagia group was 59.77 with the mean physical, functional and emotional scores being 23.86, 17.46 and 18.46 respectively. These scores were less compared to the Healthy group (p-value <0.01). Conclusion This study shows that DHI-T can be used as a reliable and valid tool to grade and study the different domains of dysphagia in our study population. Among the various causes of dysphagia studied in our population, it wasnoted thatcoronavirus disease 2019 (COVID-19)-related dysphagia patients had higher mean score in the emotional domain. To the best of our knowledge, the DHI scores for COVID-19-related dysphagia have not been done before. As the application of DHI in routine clinical practice and research is increasing, we believe this DHI-T can be of aid to Tamil-speaking patients.

The Tamil version of Eating Attitudes Test-26: Reliability and factor structure among persons with schizophrenia.

Disordered eating behaviors (DEBs) among persons with schizophrenia (PwS) have been reported widely in the literature, with very few studies in India. Robust tools to assess DEB are needed in the vernacular language to capture symptoms of disordered eating accurately. No such tools are available in the Tamil language. Globally, the Eating Attitudes Test (EAT-26) is widely used to assess DEB among PwS. This study aimed to translate and study the factor structure and reliability of EAT-26 among Tamil-speaking PwS. EAT-26 was translated into Tamil following the Oxford linguistic validation process. Experts evaluated its face validity and content validity. One hundred and fifty PwS, aged between 18 and 65 years, who attended the outpatient department of a psychiatric facility, and consented to participate, completed the Tamil version of EAT-26. Test-retest reliability of EAT-26 was assessed by readministering the tool to 30 PwS after two weeks. Data were analyzed using Stata 16.1. Internal consistency and test-retest reliability were computed using Cronbach's alpha and intraclass coefficients, respectively. The factor structure of EAT-26 was explored using principal component analysis (PCA). Spearman's rho was calculated to understand the correlation between the factors. EAT-26 had an internal consistency of 0.71 and test-retest reliability of 0.896. Factor analysis revealed nine latent factors consisting of 21 of the original 26 items on EAT-26. These 21 items could explain a variance of 63.63%. The Tamil version of the EAT-26 is a reliable tool to assess DEB among Tamil-speaking PwS. It can be used to screen PwS for eating disorder risk.

Knowledge, attitudes and practices on menstrual hygiene and associated factors among grade 10 schoolgirls in the district of Kalutara, Sri Lanka

Introduction: Menstruation is a natural phenomenon that occurs with sexual maturity of females. However, the topic is taboo for most female adolescents leading to improper practices on menstrual hygiene (MH) management. Objectives: To assess the knowledge, attitudes and practices on MH and associated factors among Grade 10 adolescent girls in Kalutara District, Sri Lanka Methods: A descriptive cross-sectional study was conducted. The final sample size computed was 720, applying a design effect of 3.8. As the cluster size decided was 15, 48 clusters/classes were selected using multi-stage stratified cluster sampling applying probability sampling techniques. A validated self-administered questionnaire was administered using Sinhala and Tamil versions. Bivariate and multivariate logistic regression was conducted to determine the associated factors. Results: Response rate at the time of recruitment was 100%. Satisfactory level of overall knowledge was observed in 25% (95% CI: 21.9, 28.3), attitudes in 67.2% (95% CI: 64.0, 70.9) and practices in 17.3% (95% CI: 14.7, 20.3). Unsatisfactory knowledge was associated with menstrual information not provided by a science teacher (ScT) (p&lt;0.001) school types 1C and 2 combined (p=0.002) and mothers having less than tertiary education (p=0.03). Unsatisfactory attitudes were associated with menstrual information not provided by a ScT (p&lt;0.001) and lack of premenarcheal awareness (p=0.009). Unsatisfactory practices were associated with school types IC and 2 combined (p&lt;0.001), residing in urban sector (p=0.004) and having extended families (p=0.034). Conclusions &amp; Recommendations: Overall knowledge on menstruation and menstrual hygiene related practices were poor, whereas attitudes were satisfactory. School type, maternal educational level, lack of premenarcheal awareness, menstrual information not being provided by a science teacher, residing in urban sector and living with extended family were the factors associated with unsatisfactory knowledge, attitudes and practices.

Development and Evaluation of the Psychometric Properties of the Tamil Version of Eating Assessment Tool - 10 (EAT-10): Preliminary Findings from Persons with Head and Neck Cancer.

The online version contains supplementary material available at 10.1007/s12070-022-03376-8.

Translation and validation of the Tamil version of depression anxiety stress scales-21

• The present study statistically represented the psychometric structure of the Tamil version of DASS-21. • 511 Tamil speaking students ranging between 18 and 35 of age were taken as a sample • This study supports metric, scalar, strict variance measurement models • DASS-21 three-factor model shows excellent validity and reliability on the entire sample • Tamil DASS-21 can be used as a universal measure to map symptoms and screen for depression, anxiety, and stress The Depression Anxiety Stress Scales-21 (DASS-21) is a well-established scale designed to measure the negative emotional states of depression, anxiety, and stress. DASS-21 has been translated into various languages, and findings conclude that it is psychometrically sound, with good reliability and validity. This study adapts and validates the psychometric properties of DASS-21 in the Tamil language. The instrument was administered to 511 Tamil speaking students ranging between 18 and 35 of age with an average age of 21 years. Results reaffirm that DASS-21 three-factor model shows excellent validity and reliability on the entire sample and groups based on age, gender, and residential area. They also find support in different hierarchical variance measurement models (metric, scalar, strict models). This study concludes that Tamil DASS-21 can be used as a universal measure to map symptoms and screen for depression, anxiety, and stress in any circumstances. Our findings provide roadmap for future research on the Tamil version of DASS-21 with specific focus on its clinical use.

Development and Validation of Sentences in Tamil for Psychoacoustic Evaluation of Voice Using the Consensus Auditory-Perceptual Evaluation of Voice.

The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) is a standardized instrument used in voice assessment to assess voice quality. It has been translated and culturally adapted in several languages. This study aimed at developing and validating a Tamil version of CAPE-V through auditory perceptual evaluation of remotely recorded voice samples. The Tamil version was adapted with permission from the American Speech-Language-Hearing Association to match the rationale in English CAPE-V. The sentences were constructed by the first author and validated for content by two panels of experts. Forty-five participants (15 cases and 30 controls) were included in the study. Data recording was conducted online (Zoom Video Communications, Inc., app) for all samples. Three raters participated in the auditory evaluation and scored all samples using Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale followed by CAPE-V with a week gap in between. Twenty percent of samples were repeated to assess intrarater reliability. The intrarater and interrater reliability measures for Tamil CAPE-V were established using intraclass coefficients (ICCs). To ensure construct validity, group differences were determined between the cases and controls. The concurrent validity was established by correlating Tamil CAPE-V with the GRBAS scale. The intrarater reliability for Tamil CAPE-V ranged from moderate to excellent (ICC: .610-.998). The Tamil CAPE-V obtained moderate to good interrater reliability for all parameters (ICC: .525-.790) except pitch (ICC: .405). The differences between the cases and controls were statistically significant (p < .01). The correlation between CAPE-V and GRBAS was strong for overall severity, breathiness, and strain (r s = .725-.861) and moderate for roughness (r s = .678). The Tamil CAPE-V is a reliable and valid tool for auditory perceptual evaluation in Tamil-speaking populations. https://doi.org/10.23641/asha.21513885.