Pediatric Voice Handicap Index (pVHI): A new tool for evaluating pediatric dysphonia

Zur, Karen B.; Cotton, Sian; Kelchner, Lisa; Baker, Shirley M.; Weinrich, Barbara; Lee, Linda

doi:10.1016/j.ijporl.2006.09.004

Cited by 258 publications

(131 citation statements)

References 7 publications

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“…In fact, the Pearson correlation scores in both the patient and control groups were always higher than 0.88, a value considered optimal for both group comparison and individual measurements over time [35] . Similar findings were reported in the original study on the pVHI [33] , where test-retest reliability was also assessed through Pearson's test and values ranged between 0.79 for the emotional subscale and 0.95 for the functional subscale. Furthermore, in the original study of VHI for adults, internal consistency and reliability measures showed similar values [9] .…”

Section: Discussionsupporting

confidence: 84%

“…Previous application of the VHI to a pediatric population showed that an adaptation for children was necessary [32] . More recently a Pediatric Voice Handicap Index (pVHI) was published [33] ; it has been validated in 33 parents of dysphonic children and 45 parents of children with no present or past voice disorder. The pVHI is in the form of parental proxy and consists of 23 questions divided into functional (7 questions), emotional (7 questions) and physical domains (9 questions) to which the children's parents are asked to answer, using a 5-point scale ranging from 0 (never) to 4 (always).…”

Section: Introductionmentioning

confidence: 99%

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Adaptation and Validation of the Italian Pediatric Voice Handicap Index

Schindler

Tiddia

Ghidelli

et al. 2010

Folia Phoniatr Logop

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Objective: To evaluate the internal consistency, reliability and clinical validity of the Italian version of the Pediatric Voice Handicap Index (pVHI). Patients and Methods: The parents of 30 children with dysphonia and 43 asymptomatic children were included in the study. Each parent was asked to complete the Italian pVHI autonomously. The voice of each child was assessed perceptually through the GRB parameters of the GRBAS scale. Internal consistency was analyzed through Cronbach’s α coefficient. For test-retest reliability analysis, the Italian pVHI was filled twice, with a 2-week interval, and the scores obtained were compared through the Pearson correlation test. Clinical validity was assessed comparing the scores obtained in the pathological and the control group using the Mann-Whitney test. Finally, the correlation between pVHI and the perceptual parameters was assessed. Results: All of the parents filled in the entire questionnaire autonomously. An optimal internal consistency was found (α = 0.95); the test-retest reliability in the parents of both groups of children was high (r > 0.88). The control group scored significantly lower than the pathological group (p = 0.0001). The pVHI scores positively correlated with perceptual assessment of voice disorders. Conclusion: The Italian pVHI is easily administered, highly reproducible, and exhibits excellent clinical validity.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Adaptation and Validation of the Italian Pediatric Voice Handicap Index

Schindler

Tiddia

Ghidelli

et al. 2010

Folia Phoniatr Logop

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“…The Pediatric Voice Handicap Index (pVHI) is a quality-of-life questionnaire completed by parents and measures the impact of a voice disorder. 31 The pVHI is scored on a 5-point Likert scale presented in 3 subscales each of 7 to 9 questions: (1) functional (eg, "At home we have difficulty hearing my child…. "), (2) physical (eg, "My child uses a great deal of effort to speak….…”

Section: Voice Assessmentsmentioning

confidence: 99%

Voice Abnormalities at School Age in Children Born Extremely Preterm

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Isolated case reports of abnormal voice after extremely preterm birth are well described; however, there are no systematic studies of long-term voice outcomes in children born preterm.WHAT THIS STUDY ADDS: Significant voice abnormalities were found in more than half of tested children born before 25 weeks' gestation. Multivariable analyses showed that the number of intubations, not the duration of intubation, and female gender were strongly associated with this adverse outcome. abstract BACKGROUND AND OBJECTIVES: Voice abnormality is a frequent finding in school age children born at ,25 weeks' gestation in Western Australia. The objective of this study was to determine the frequency of voice abnormality, voice-related quality of life, and demographic and intubation factors in this population. METHODS:Survivors ,25 weeks' gestational age in Western Australia born from 1996 to 2004 were included. Voice assessments (auditory perceptual assessment scale and Pediatric Voice Handicap Index) were carried out by speech pathologists. Intubation history was obtained by retrospective chart review. RESULTS:Of 251 NICU admissions, 154 (61%) survived. Exclusions were based on severe disability (11) or distant residence (13). Of 70 assessed, 67 completed assessments, 4 (6%) were in the normal range and 39 (58%) showed moderate-severe hoarseness. Simultaneous modeling of demographic and intubation characteristics showed an increased odds of moderate-severe voice disorder for children who had more than 5 intubations (odds ratio 6.96, 95% confidence interval 2.07-23.40, P = .002) and for girls relative to boys (odds ratio 3.46, 95% confidence interval 1.12-10.62, P = .030). Tube size and duration of intubation were not significant in the multivariable model. Median scores of parent-reported voice quality of life on the Pediatric Voice Handicap Index were markedly different for preterm (22) and term (3) groups, P , .001. CONCLUSIONS:Voice disorders in this population were much more frequent than expected. Further studies are required to assess voice across a broader range of gestational ages, and to investigate voiceprotective strategies in infants requiring multiple episodes of intubation. Pediatrics 2013;131:e733-e739 AUTHORS:

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“…The literature concerning paediatric voice specific questionnaires was dominated by three frequently used tools, adapted from previously validated adult forms: the Pediatric Voice-Related Quality-of-Life ('PVRQOL') survey, 31,32 the Paediatric Vocal Handicap Index ('pVHI') 65 and the Pediatric Voice Outcomes Survey ('PVOS'). 31,66,67 Paediatric throat health related QoL was almost entirely reported on using the Paediatric Throat Disorders Outcome Test ('T-14').…”

Section: Discussionmentioning

confidence: 99%

A systematic review of patient-reported outcome measures in paediatric otolaryngology

Powell

Robson

2017

J. Laryngol. Otol.

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Background:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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Pediatric Voice Handicap Index (pVHI): A new tool for evaluating pediatric dysphonia

Cited by 258 publications

References 7 publications

Adaptation and Validation of the Italian Pediatric Voice Handicap Index

Adaptation and Validation of the Italian Pediatric Voice Handicap Index

Voice Abnormalities at School Age in Children Born Extremely Preterm

A systematic review of patient-reported outcome measures in paediatric otolaryngology

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