Reliability and validity of the Dutch pediatric Voice Handicap Index

Veder, L.L.; Pullens, Bas; Timmerman, M.K.; Hoeve, Hans; Joosten, Koen; Hakkesteegt, Marieke M.

doi:10.1016/j.ijporl.2017.02.023

Cited by 25 publications

(17 citation statements)

References 13 publications

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“…The only partial score found to differentiate the two groups is vocal behaviour. Our data reinforce the influence of vocal behaviour on the development of dysphonia in children, corroborating the literature ( 5 , 6 , 7 , 8 , 25 ). Features such as speaking with effort, speaking without resting and imitating characters’ voices have previously been related to vocal alteration ( 26 ).…”

Section: Discussionsupporting

confidence: 92%

“…Voice disorders restrict the communicative behaviours of children and their general well-being in addition to affecting their social and academic lives ( 4 , 5 , 6 ); therefore, it is important to develop new tools for the management of this disease in this population as proposed in this study.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of dysphonia in children is higher in boys aged 8 to 14 years ( 3 ). In children aged 4 to 12 years, this range runs from 6 to 23% ( 4 , 5 , 6 ) with behavioural dysphonia being more prevalent due to an excessive and inappropriate use of voice. Phonotrauma is often observed in children and may result in the formation of lesions such as nodules on and edema of the vocal folds ( 5 , 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…The presence of dysphonia can negatively impact the quality of life of children, interfering with their social, affective and emotional well-being. It can create school and functional disadvantages that can extend into adulthood ( 4 , 5 , 6 , 11 ). Impacts of negative judgements of their voices by peers and adults can also affect their emotional well-being ( 4 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Cut-off point for high dysphonia risk in children based on the Child Dysphonia Risk Screening Protocol: preliminary findings

Batista¹,

Simões-Zenari²,

Nemr³

2020

Clinics

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OBJECTIVES: The objective of the study was to establish a cut-off point for high dysphonia risk in children using the Child Dysphonia Risk Screening Protocol (DRSP-C). METHODS: Through a preliminary study, voice recordings of 59 children (4-12 years of age) were collected during an auditory-perceptual analysis using the Consensus Auditory-Perceptual Evaluation of Voice protocol. Thirty of the patients had voice disorders (patient group), and 29 did not (control group). A risk score for dysphonia was then calculated, and data were compared between groups. The relationship between overall degrees of deviation and questionnaire scores was analysed. The questionnaire’s validity was verified from the area under the Receiver Operating Characteristic (ROC) curve, and cut-off points were obtained based on diagnostic criteria for screening procedures. RESULTS: The DRSP-C score was found to be higher for the patient group, as was the partial score for vocal behaviour. No correlation was found between overall degrees of dysphonia and questionnaire scores. The area under the ROC curve was measured as 0.678, denoting limited diagnostic capacity. The cut-off point was set at 16.50. Thus, above this value, dysphonia risk is higher. CONCLUSION: A cut-off point for high dysphonia risk was calculated. The DRSP-C proved to be a promising tool for children’s clinical vocal and health promotion and should be used in conjunction with General Dysphonia Risk Screening.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cut-off point for high dysphonia risk in children based on the Child Dysphonia Risk Screening Protocol: preliminary findings

Batista¹,

Simões-Zenari²,

Nemr³

2020

Clinics

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“…To ensure the reliability of the absence of an ADHD diagnosis amongst control group participants, parents were asked to complete the Vanderbilt ADHD Diagnostic Parent Rating Scale [53] . Parents of all participants were asked to complete the validated and reliable, 23-item paediatric Voice Handicap Index (pVHI); assessing the impact of dysphonia on a paediatric population [38] . A cut-off point of 7 or less was considered asymptomatic.…”

Section: The Perceptual Acoustic and Aerodynamic Voice Assessmentmentioning

confidence: 99%

Vocal Characteristics of School-Aged Children With and Without Attention Deficit Hyperactivity Disorder

et al. 2019

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Prepubertal, school-aged children with or without ADHD may have similar vocal characteristics than previously thought. This is in support of the null hypothesis. The authors of the current study recommend that vocal screening in all school-aged children be carried out as an effective measure to monitor voice disorders in the pediatric population. Future research into larger sample sizes with this population with a special focus on the effect that central nervous system stimulants may have on the voice is recommended.

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Structure and Function of the Vocal Cords after Airway Reconstruction on Magnetic Resonance Imaging

et al. 2021

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Objectives/Hypothesis Dysphonia is a common problem at long‐term follow‐up after airway surgery for laryngotracheal stenosis (LTS) with major impact on quality of life. Dysphonia after LTS can be caused by scar tissue from initial stenosis along with anatomical alterations after surgery. There is need for a modality to noninvasively image structure and function of the reconstructed upper airways including the vocal cords to assess voice outcome and possible treatment after LTS. Our objective was to correlate vocal cord structure and function of patients after airway reconstruction for LTS on static and dynamic magnetic resonance imaging (MRI) to voice outcome. Study Design Prospective cohort study. Methods Voice outcome was assessed by voice questionnaires ((pediatric) Voice Handicap Index (p)VHI)) and the Dysphonia Severity Index (DSI). Postsurgical anatomy, airway lumen, and vocal cord thickness and movement on multiplanar static high‐resolution MRI and dynamic acquisitions during phonation was correlated to voice outcome. Results Forty‐eight patients (age 14.4 (range 7.5–30.7) years) and 11 healthy volunteers (15.9 (8.2–28.8) years) were included. Static MRI demonstrated vocal cord thickening in 80.9% of patients, correlated to a decrease in DSI (expected odds 0.75 [C.I. 0.58–0.96] P = .02). Dynamic MRI showed impaired vocal cord adduction during phonation in 61.7% of patients, associated with a lower DSI score (0.65 [C.I. 0.48–0.88] P = .006). Conclusions In LTS patients, after airway reconstruction MRI can safely provide excellent structural and functional detail of the vocal cords correlating to DSI, with further usefulness expected from technical refinements. We therefore suggest MRI as a tool for extensive imaging during LTS follow‐up. Level of evidence 3 Laryngoscope, 131:E2402–E2408, 2021

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Reliability and validity of the Dutch pediatric Voice Handicap Index

Cited by 25 publications

References 13 publications

Cut-off point for high dysphonia risk in children based on the Child Dysphonia Risk Screening Protocol: preliminary findings

Cut-off point for high dysphonia risk in children based on the Child Dysphonia Risk Screening Protocol: preliminary findings

Vocal Characteristics of School-Aged Children With and Without Attention Deficit Hyperactivity Disorder

Structure and Function of the Vocal Cords after Airway Reconstruction on Magnetic Resonance Imaging

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