Application of the Mandarin Chinese Version of the Voice Handicap Index

AbstractObjectives:A wide range of well validated instruments is now available to assess voice quality and voice-related quality of life, but comparative studies of the responsiveness to change of these measures are lacking. The aim of this study was to assess the responsiveness to change of a range of different measures, following voice therapy and surgery.Design:Longitudinal, cohort comparison study.Setting:Two UK voice clinics.Participants:One hundred and forty-four patients referred for treatment of benign voice disorders, 90 undergoing voice therapy and 54 undergoing laryngeal microsurgery.Main outcome measures:Three measures of self-reported voice quality (the vocal performance questionnaire, the voice handicap index and the voice symptom scale), plus the short form 36 (SF 36) general health status measure and the hospital anxiety and depression score. Perceptual, observer-rated analysis of voice quality was performed using the grade–roughness–breathiness–asthenia–strain scale. We compared the effect sizes (i.e. responsiveness to change) of the principal subscales of all measures before and after voice therapy or phonosurgery.Results:All three self-reported voice measures had large effect sizes following either voice therapy or surgery. Outcomes were similar in both treatment groups. The effect sizes for the observer-rated grade–roughness–breathiness–asthenia–strain scale scores were smaller, although still moderate. The roughness subscale in particular showed little change after therapy or surgery. Only small effects were observed in general health and mood measures.Conclusion:The results suggest that the use of a voice-specific questionnaire is essential for assessing the effectiveness of voice interventions. All three self-reported measures tested were capable of detecting change, and scores were highly correlated. On the basis of this evaluation of different measures' sensitivities to change, there is no strong evidence to favour either the vocal performance questionnaire, the voice handicap index or the voice symptom scale.

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Correlation of the Voice Handicap Index-10 (VHI-10) and Voice-Related Quality of Life (V-RQOL) in Patients With Dysphonia

Journal of Voice ◽

10.1016/j.jvoice.2013.07.015 ◽

2014 ◽

Vol 28 (2) ◽

pp. 237-240 ◽

Cited By ~ 23

Author(s):

Jonathan J. Romak ◽

Diana M. Orbelo ◽

Nicolas E. Maragos ◽

Dale C. Ekbom

Keyword(s):

Quality Of Life ◽

Voice Handicap Index ◽

Related Quality ◽

The Voice

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Voice Data on Female Smokers: Coherence between the Voice Handicap Index and Acoustic Voice Parameters

AIMS Medical Science ◽

10.3934/medsci.2017.2.151 ◽

2017 ◽

Vol 4 (2) ◽

pp. 151-163 ◽

Cited By ~ 5

Author(s):

Dionysios Tafiadis ◽

◽

Georgios Tatsis ◽

Nausica Ziavra ◽

Eugenia I. Toki

Keyword(s):

Voice Handicap Index ◽

Voice Data ◽

The Voice

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S179 – Voice Self-evaluation after Treatment for T1 Glottic Cancer

Otolaryngology ◽

10.1016/j.otohns.2008.05.353 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P136-P136

Author(s):

Faustino Nunez ◽

Maria Jesus Caminero ◽

Jose-Luis Llorente-Pendas ◽

Carlos Suarez-Nieto

Keyword(s):

Laser Surgery ◽

Voice Quality ◽

Well Being ◽

Voice Handicap Index ◽

Glottic Cancer ◽

Glottic Carcinoma ◽

Subjective Analysis ◽

Maximum Phonation Time ◽

Self Evaluation ◽

The Voice

Objectives 1) To present the objective and subjective analysis of voice quality following treatment of an early epidermoid glottic carcinoma. 2) Results from the objective evaluation of the voice, along with the self-evaluation of voice quality quantified using the Voice Handicap Index of a group of patients treated with endoscopic laser surgery, are compared with patients treated with radiotherapy. Methods We performed an objective voice evaluation, as well as a physical, emotional, and functional well-being assessment of 19 patients treated with laser surgery and 18 patients treated with radiotherapy. The data obtained was gathered in the statistical database SPSS 12.0. The statistical analysis used was the “Student t test” in order to compare averages and the Chi-squared test for comparing proportions. The statistical differences were considered significant when p was lower than 0.05. Results Voice quality is affected both by surgery and radiotherapy. Voice parameters only show differences in the maximum phonation time between both treatments (p < 0,005). Patients Self-Perception Analysis (Voice Handicap Index) Upon completing the comparison between the two groups, the statistical difference is significant, in favor of the radiotherapy patients in functional and emotional ratings, as well as the global scores (p < 0,005). No significant differences were found in the physical scales. Conclusions There is a reduced impact in patient's perception of voice quality after radiotherapy, despite no significant differences in vocal quality between radiotherapy and laser cordectomy.

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