Aging Voice Index (AVI): Reliability and Validity of a Voice Quality of Life Scale for Older Adults

Etter, Nicole M.; Hapner, Edie R.; Barkmeier-Kraemer, Julie; Gartner‐Schmidt, Jackie; Dressler, Emily V.; Stemple, Joseph C.

doi:10.1016/j.jvoice.2018.04.006

Cited by 35 publications

(37 citation statements)

References 24 publications

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“…5 6,7) 그 중 VHI (Voice Handicap Index), 8,9) VHI-10, 10,11) V-RQOL(Voice-Related Quality of Life) 9,12) 등이 임상에서 유용하게 사용되고 있다. 그러나 기존의 개발되어 있는 음성과 관련된 삶의 질 평 정척도는 만 65세 이하의 근로연령인구를 기준으로 작성되어 있어 노령인구에는 적합하지 않기 때문에, 6,13) 노인들을 대상 으로 한 음성과 관련 한 삶의 질을 보다 명확하게 평가하기 위 하여 최근 노인음성지수(aging voice index, AVI)가 개발되었 다(Appendix 1). 13 2) 공인타당도…”

Section: 한국어판 노인음성지수unclassified

“…그러나 기존의 개발되어 있는 음성과 관련된 삶의 질 평 정척도는 만 65세 이하의 근로연령인구를 기준으로 작성되어 있어 노령인구에는 적합하지 않기 때문에, 6,13) 노인들을 대상 으로 한 음성과 관련 한 삶의 질을 보다 명확하게 평가하기 위 하여 최근 노인음성지수(aging voice index, AVI)가 개발되었 다(Appendix 1). 13 2) 공인타당도…”

Section: 한국어판 노인음성지수unclassified

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Validity and Reliability of Korean Version of the Aging Voice Index (KAVI)

Bae¹,

Sung²,

Lee³

2019

J Korean Soc Laryngol Phoniatr Logop

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Background and Objectives：Voice disorder is recognized as a major problem because it negatively affects the elderly's social participation and quality of life. The purpose of this study was to examine the validity and reliability of Korean aging voice index (KAVI), which assesses the quality of life related to the voice of the elderly. Materials and Method：This study was conducted on 211 elderly people aged 65 years or older : 111 patients with voice disorder (mean age 69.8, range 65-80 years) and 100 nomorphonic participants (mean age 70.6, range 65-82 years). Aging voice index was translated into Korean and used and Korean voice-related quality of life (KVQOL) was conducted to verify KAVI. The validity (item validity, concurrent validity, and construct validity) and reliability (test-retest reliability and internal consistency reliability) of KAVI. Results：The item validity (ICC=0.895) and construct validity (r=0.765) showed a high correlation, respectively. And concurrent validity (r=0.748), test-retest reliability (0.851), and internal consistency reliability (α=0.832) were statistically significant in voice disorder group. In addition, there was a significant difference between the voice disorder and the nomorphonic group in AVI total score. Con-clusion：KAVI is a validated and reliable quality of life tool that will be useful for assessing the presence and effectiveness of interventions in clinical settings. KEY WORDS：Aging voiceㆍPresbyphoniaㆍKAVIㆍQuality of lifeㆍDyphonia.

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Section: 한국어판 노인음성지수unclassified

Validity and Reliability of Korean Version of the Aging Voice Index (KAVI)

Bae¹,

Sung²,

Lee³

2019

J Korean Soc Laryngol Phoniatr Logop

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“…However, visualization methods such as endoscopy or laryngeal stroboscopy are of key importance in the diagnosis of clinical dysphonia. 24 According to Gugatschka et al, 3 in Presbyphonia, in addition to glottal insufficiency of various degrees, in the stroboscopic examination of the larynx, an abnormal amplitude of vibrations and disturbances in the periodicity of vibrations of vocal folds are observed. In…”

Section: Discussionmentioning

confidence: 99%

Presbyphonia as an Individual Process of Voice Change

2023

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Objective. The aim of the study was to determine the individual variability of the severity of dysphonia in the population of older women and men using the initial perceptual voice assessment (GRBAS) and objective diagnosis of the clinical form of Presbyphonia with laryngeal visualization technique (High-Speed Digital Imaging [HSDI]) and acoustic voice analysis (Diagnoscope Specjalista). Methods. The study included 302 elderly women and men. Application of perceptual GRBAS scale allowed to extract 230 subjects with voice disorders (Group I). Remaining 72 elderly subjects without the symptoms of dysphonia consisted Group II. Group III included 50 subjects with euphonic voice. In the assessment of dysphonia, visualization technique (HSDI) as well as acoustic method (Diagnoscope Specjalista). The observation of real vibration of vocal folds using HSDI technique and HS camera allowed to examine symmetricity (Shaw-Deliyski scale), periodicity and amplitude of vibration, Mucosal Wave (MW) morphology, Glottal Closure Type, and value of Open Quotient (OQ). Acoustic analysis allowed to assess value of Fundamental Frequency (F0), Maximum Phonation Time (MPT) as well as Jitter, Shimmer, Noise-to-Harmonics Ratio (NHR) parameters. Narrowband Spectrography was performed. Results. HSDI technique allowed to register in elderly women with voice disorders a mild asymmetry and aperiodicity of vibrations, MW reduction, amplitude increase and glottal insufficiency in the posterior segment of glottis which indicated edematous changes in the larynx. In 90% of men in this group, moderate asymmetry and aperiodicity were observed as well as amplitude decrease, significant limitation of MW and glottal insufficiency in the middle segment of the glottis which indicated atrophic changes in the larynx. In remaining 10% of men, amplitude of vibration was increased which indicated the existence of hypofunctional dysphonia. Objective confirmation of glottal insufficiency in women with edematous changes was high value of OQ in posterior segment of the glottis registered with HSDI technique. In men with larynx atrophy, the value of OQ was the highest in the middle segment of the glottis. Glottal insufficiency, especially in the middle segment, coexisted with the increase of NHR parameter observed in acoustic examination and with numerous nonharmonic components in the scope of high frequencies revealed in narrowband spectrography, especially in men with larynx atrophy. What is more, in men, the increase of F0 and reduction of MPT was registered. In women with edematous changes of the larynx, acoustic analysis revealed decrease of F0 value, increase of Jitter, Shimmer, NHR as well as reduction of MPT. Narrowband sopectrography revealed not only harmonic components but also nonharmonics in the range of low, medium, and high frequencies. Conclusions. The course of Presbyphonia varies individually in the elderly. In many subjects, the process of aging does not influence the quality of voice. Crucial importance in the diagnosis of Presbyphonia is assigne...

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“…Thus, it was not possible to change the V-RQOL protocol in full and for this reason, the issue related to work was kept in the analysis. It is emphasized that a scale of quality of life in voice, called Aging Voice Index (AVI), for elderly people, was developed, 33 but was not validated for Brazilian Portuguese, which may be considered a limitation of this study. In this way the V-RQOL protocol was used because it is easy to apply to this population.…”

Section: Discussionmentioning

confidence: 99%

Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults

et al. 2020

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Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults The pursuit for quality of life urged a better understanding of aspects involved in ageing to minimize its consequences. Although many studies investigated older adults' voice, aspects affecting this population voice-related quality of life have not yet been explored. Objective: To investigate how aerodynamics and vocal aspects are associated with voice-related quality of life in older adults. Methodology: fifty-six older adults aged 60 years or above-39 women and 17 men-were evaluated. The following procedures were performed: application of the Voice-Related Quality of Life (V-RQOL) protocol; vocal assessment, including auditory-perceptual and acoustic analysis, from which we obtained fundamental frequency (F 0), standard deviation of fundamental frequency (SDF 0), shimmer, amplitude perturbation quotient (APQ), jitter, pitch period perturbation quotient (PPQ), and harmonics to noise ratio (HNR); aerodynamic assessment using a spirometer; and maximum phonation time (MPT) for /a/, /s/, /z/ and number counting. Results: older adults tend to present high V-RQOL scores. Among women, roughness, APQ, and HNR parameters were negatively correlated with V-RQOL, whereas F 0 was positively. We found no correlation between spirometry measurements and V-RQOL. MPT for /a/, /z/, and number counting was positively correlated with V-RQOL solely among men. Conclusion: Vocal roughness and acoustic parameters have a negative impact on the quality of life of older women. Respiratory aspects related to the available air support for speaking affected the most the voice-related quality of life of older men.

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Aging Voice Index (AVI): Reliability and Validity of a Voice Quality of Life Scale for Older Adults

Cited by 35 publications

References 24 publications

Validity and Reliability of Korean Version of the Aging Voice Index (KAVI)

Validity and Reliability of Korean Version of the Aging Voice Index (KAVI)

Presbyphonia as an Individual Process of Voice Change

Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults

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