Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers

Adrián Castillo-Allendes; Juliana Codino; Lady Catherine Cantor-Cutiva; Charles J Nudelman; Adam D Rubin; Ben Barsties V Latoszek; Eric J Hunter

doi:10.3390/jcm12247679

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Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers

Journal article

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Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers

Adrián Castillo-Allendes, Juliana Codino, Lady Catherine Cantor-Cutiva, Charles J Nudelman, Adam D Rubin, Ben Barsties V Latoszek and Eric J Hunter

Journal of clinical medicine, Vol.12(24), 7679

12/14/2023

DOI: 10.3390/jcm12247679

PMCID: PMC10743486

PMID: 38137748

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Abstract

While several acoustic voice metrics are available for clinical voice assessment, there remains a significant need for reliable and ecologically valid tools. The Acoustic Voice Quality Index version 03.01 (AVQI-3) and Acoustic Breathiness Index (ABI) hold potential due to their comprehensive assessment approach, incorporating diverse voice aspects. However, these tools still need to be validated in English-speaking populations. This study assessed the discriminatory accuracy and validity of AVQI-3 and ABI in 197 participants, including 148 with voice disorders. Voice samples were collected, followed by AVQI-3 and ABI calculations. Additionally, auditory-perceptual assessments were conducted by a panel of speech-language pathologists. AVQI-3 and ABI effectively identified disordered voice quality, evidenced by high accuracy (AUCs: 0.84, 0.89), sensitivity, and specificity (thresholds: AVQI-3 = 1.17, ABI = 2.35). Strong positive correlations were observed with subjective voice quality assessments (rs = 0.72, rs = 0.77, < 0.001). The study highlights AVQI-3 and ABI as promising instruments for clinically assessing voice disorders in U.S. English speakers, underscoring their utility in clinical practice and voice research.

voice assessment

AVQI

voice quality

acoustic voice

auditory-perceptual assessment

breathiness

voice disorders

dysphonia

Details

Title: Subtitle: Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
Creators: Adrián Castillo-Allendes - University of Iowa
Juliana Codino - Lakeshore Professional Voice Center, Lakeshore Ear, Nose & Throat Center, St. Clair Shores, MI 48081, USA
Lady Catherine Cantor-Cutiva - Department of Communication Sciences and Disorders, University of Iowa, Iowa City, IA 52242, USA
Charles J Nudelman - University of Illinois Urbana-Champaign
Adam D Rubin - Lakeshore Professional Voice Center, Lakeshore Ear, Nose & Throat Center, St. Clair Shores, MI 48081, USA
Ben Barsties V Latoszek - Speech-Language Pathology, SRH University of Applied Health Sciences, 40210 Düsseldorf, Germany
Eric J Hunter - University of Iowa
Resource Type: Journal article
Publication Details: Journal of clinical medicine, Vol.12(24), 7679
DOI: 10.3390/jcm12247679
PMID: 38137748
PMCID: PMC10743486
NLM abbreviation: J Clin Med
ISSN: 2077-0383
eISSN: 2077-0383
Grant note: R01DC012315 / NIDCD NIH HHS
Language: English
Date published: 12/14/2023
Academic Unit: Communication Sciences and Disorders; Otolaryngology
Record Identifier: 9984532172302771

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