Journal article
Reliability of Clinician-Based (GRBAS and CAPE-V) and Patient-Based (V-RQOL and IPVI) Documentation of Voice Disorders
Journal of voice, Vol.21(5), pp.576-590
2007
DOI: 10.1016/j.jvoice.2006.05.001
PMID: 16822648
Abstract
This study examined the reliability of two methods for documenting voice quality by clinicians and compared the methods for documenting patients' perceptions of voice quality. It involved a prospective reliability study and a retrospective chart review. Reliability of two clinician-based voice assessment protocols—Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) and Consensus Auditory Perceptual Evaluation–Voice (CAPE-V)—was evaluated. These two protocols were then compared after use in voice assessments of 42 males and 61 females performed by a certified speech-language pathologist specializing in the assessment of voice disorders. In addition, two patient-based scales (Voice Related Quality of Life, or V-RQOL, and Iowa Patient's Voice Index, or IPVI) obtained from the same patients were compared with each other and with the clinician-based scales. Reliability of clinicians' ratings of overall severity of dysphonia using GRBAS and CAPE-V scales was very good (
r
>
0.80). Agreement between V-RQOL Total scores and IPVI ratings of the patient's perceptions of impact of dysphonia was less strong (Spearman's
r
=
−0.76). There was relatively weak agreement between patient-based and clinician-based scales. Clinician's perceptions of dysphonia appeared to be reliable and unaffected by rating tool, as indicated by the high level of agreement between the two rating systems when they were used together. The CAPE-V system appeared to be more sensitive to small differences within and among patients than the GRBAS system. The V-RQOL and IPVI approaches to documenting patient's perceptions of dysphonia agreed less well possibly due to differences in patient dependence on voice and on interpretation of the rating tool items. The differences between clinician-based and patient-based data support the conclusion that clinicians and patients experience and consider dysphonia very differently.
Details
- Title: Subtitle
- Reliability of Clinician-Based (GRBAS and CAPE-V) and Patient-Based (V-RQOL and IPVI) Documentation of Voice Disorders
- Creators
- Michael P Karnell - From the Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IowaSarah D Melton - Department of Speech Pathology and Audiology, University of Iowa, Iowa City, IowaJana M Childes - From the Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IowaTodd C Coleman - From the Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IowaScott A Dailey - From the Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IowaHenry T Hoffman - From the Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of voice, Vol.21(5), pp.576-590
- DOI
- 10.1016/j.jvoice.2006.05.001
- PMID
- 16822648
- NLM abbreviation
- J Voice
- ISSN
- 0892-1997
- eISSN
- 1873-4588
- Publisher
- Mosby, Inc
- Language
- English
- Date published
- 2007
- Academic Unit
- Communication Sciences and Disorders; Radiation Oncology; Craniofacial Anomalies Research Center; Otolaryngology
- Record Identifier
- 9984006422102771
Metrics
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