Comparison of Voice Handicap Index Scores Between Female Students of Speech Therapy and Other Health Professions

Tafiadis, Dionysios; Chronopoulos, Spyridon K.; Siafaka, Vassiliki; Drosos, Konstantinos; Kosma, Evangelia I.; Toki, Eugenia I.; Ziavra, Nafsika

doi:10.1016/j.jvoice.2017.01.013

Cited by 21 publications

(7 citation statements)

References 72 publications

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“…Moreover, significant differences in VHI scores were observed between all VDP groups in comparison to those of the control group. This finding was observed in populations with voice disorders compared to non-dysphonic populations 1,21–36,41–43,46 , as well as in non-symptomatic smokers 18,44,45 and other populations 15,16 . The aforesaid further demonstrates the discriminatory ability of the VHI.In this study, the cutoff point of the VHI-T score was 19.50 (in practice, this score should be at least equal to 19, as the minimum scale increase equals 1), which was within the cutoff value range of 12 to 20 30,40–46 previously proposed 30,40–46 .…”

Section: Discussionmentioning

confidence: 58%

“…After its release, the VHI was administered to populations with different types of voice disorders 21–33 , to patients before and after treatment (surgical and phonotherapy) 34–36 and to populations with a risk of developing voice disorders 16–18 . VHI has been standardized in many languages 21–33 and has been evaluated in comparison to other laboratory measurements 17,36 .…”

Section: Introductionmentioning

confidence: 99%

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Checking for voice disorders without clinical intervention: The Greek and global VHI thresholds for voice disordered patients

Tafiadis

Chronopoulos

Helidoni

et al. 2019

Sci Rep

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Voice disorders often remain undiagnosed. Many self-perceived questionnaires exist for various medical conditions. Here, we used the Greek Voice Handicap Index (VHI) to address the aforementioned problem. Everyone can fill in the VHI questionnaire and rate their symptoms easily. The innovative feature of this research is the global cut-off score calculated for the VHI. Therefore, the VHI is now capable of helping clinicians establish a more customizable treatment plan with the cut-off point identifying patients without normal phonation. For the purpose of finding the global cut-off point, a group of 180 participants was recruited in Greece (90 non-dysphonic participants and 90 with different types of dysphonia). The voice disordered group had higher VHI scores than those of the control group. In contrast to previous studies, we provided and validated for the first time the cut-off points for all VHI domains and, finally, a global cut-off point through ROC and precision-recall analysis in a voice disordered population. In practice, a score higher than the well-estimated global score indicates (without intervention) a possible voice disorder. Nevertheless, if the score is near the threshold, then the patient should definitely follow preventive measures.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Checking for voice disorders without clinical intervention: The Greek and global VHI thresholds for voice disordered patients

Tafiadis

Chronopoulos

Helidoni

et al. 2019

Sci Rep

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“…31,33 Furthermore, certain factors-such as allergies, rhinosinusitis, smoking status and laryngeal overuse-can affect both RSI and VHI-10 scores. 3,12,17,22,24 The relatively short study period as well as the need for a larger sample size may have also affected the results. The latter issue is particularly concerning given the low response rate among teachers, as previous research has indicated that awareness of vocal hygiene is low in this subset and that 79% of teachers in Saudi Arabia have never consulted an otolaryngology service.…”

Section: Discussionmentioning

confidence: 99%

“…11 Furthermore, the VHI-30 can be used to predict the occurrence of voice disorders in nonsymptomatic high-risk populations, such as smokers and professional voice users. 12,13 Other scales to assess voice disorders have been found to correlate with the VHI-30. 14,15 In 2004, a simplified 10-item version of the VHI (VHI-10) was developed; this version was found to be less time-consuming, easier to administer in a clinical setting and statistically more robust than the full scale.…”

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confidence: 99%

Association Between Voice Handicap Index and Reflux Symptom Index: A cross-sectional study of undiagnosed general and teacher cohorts in Saudi Arabia

Alanazi

Alrahim

Bayounos

et al. 2018

Sultan Qaboos Univ Med J

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Objectives: This study aimed to assess potential associations between self-reported symptoms of laryngopharyngeal reflux (LPR) and voice disorders among two undiagnosed cohorts in Saudi Arabia. Methods: This cross-sectional study was conducted from February to April 2017 in Khobar, Saudi Arabia. Validated Arabic versions of the Reflux Symptom Index (RSI) and 10-item Voice Handicap Index (VHI-10) were distributed to 400 teachers at 13 schools and 300 members of the general population attending an ear, nose and throat clinic in Khobar. Scores of >13 and >11 on the RSI and VHI-10 indicated a potential subjective diagnosis of LPR and voice disorders, respectively. Results: A total of 446 individuals took part in the study, including 260 members of the general population (response rate: 86.7%) and 186 teachers (response rate: 46.5%). The mean age was 32.5 years. In total, 62.2% complained of voice and/or reflux problems, with the remaining 37.8% not reporting/unaware of any problems in this regard. Among the teachers, 30.6% and 18.3% had positive RSI and VHI-10 scores, respectively, while 43.1% and 14.6% of the individuals from the general population had positive RSI and VHI-10 scores, respectively. Overall, VHI-10 scores were significantly associated with RSI scores (P <0.001). Conclusion: A significant association between RSI and VHI-10 scores suggests that there may be an association between LPR and voice disorders. These tools would therefore be a valuable method of monitoring patients; however, they cannot be used to confirm a diagnosis. Thus, more detailed studies are needed to confirm this association using a larger sample size.Keywords: Voice Disorders; Laryngopharyngeal Reflux; Hoarseness; Diagnostic Self Evaluation; School Teachers; Saudi Arabia.

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“…Greek language [38] and in turn was used in research level relevant to Greek population [39] [40] [41] [42].…”

Section: Introductionmentioning

confidence: 99%

A Preliminary Receiver Operating Characteristic Analysis on Voice Handicap Index Results of the Greek Voice-Disordered Patients

Tafiadis¹,

Kosma²,

Chronopoulos³

et al. 2018

IJOHNS

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Objective(s): The cutting-edge assessment of voice disorders includes objective and subjective methods in the daily clinical practice. The latter assessment is usually performed through the administration of self-reported questionnaires. Voice Handicap Index (VHI) is one of the most widely used tools both in clinical practice and in research level. This tool-questionnaire was employed in this research along with the Voice Evaluation Template (VEF). In turn, the aim of this study was to analyse and produce the cutoff points of VHI for voice-disordered patients in Greece by using Receiver Operating Characteristic Curves (ROC Curves). Methods: Sixty-three participants (40 non-dysphonic and 23 with different types of dysphonia) were classified by ENT (Ear, Nose, and Throat) doctors and SLPs (Speech-Language Pathologists). The Hellenic VHI along with the translated Greek version of the VEF was administered to the subjects of this research. Results: The voice-disordered subjects exhibited higher overall VHI scores (in total and in its 3 subdomains) compared to the control group. Statistical significant differences were found between dysphonic and non-dysphonic participants for all VHI's construct domains. The cutoff point of VHI total score was estimated at the value of 14.50 (sensitivity: 0.870, 1-specificity: 0.000). Moreover, the cutoff points of the three subdomains were computed as 7.

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Comparison of Voice Handicap Index Scores Between Female Students of Speech Therapy and Other Health Professions

Cited by 21 publications

References 72 publications

Checking for voice disorders without clinical intervention: The Greek and global VHI thresholds for voice disordered patients

Checking for voice disorders without clinical intervention: The Greek and global VHI thresholds for voice disordered patients

Association Between Voice Handicap Index and Reflux Symptom Index: A cross-sectional study of undiagnosed general and teacher cohorts in Saudi Arabia

A Preliminary Receiver Operating Characteristic Analysis on Voice Handicap Index Results of the Greek Voice-Disordered Patients

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