Speech and Language Therapy, Sunderland Royal Hospital, Sunderland, UK.
Institute of Health and Society, Speech and Language Sciences, Newcastle University, Newcastle upon Tyne, UK.
J Voice. 2019 Jul;33(4):465-472. doi: 10.1016/j.jvoice.2017.12.006. Epub 2018 Jul 30.
Perceptual assessment of tracheoesophageal voice quality following total laryngectomy with surgical voice restoration is essential to investigate functional outcomes in relation to surgical procedure and rehabilitation regimes. There is no current tool with established reliability and validity to fulfill this purpose. This study describes the development of a set of new perceptual scales, in relation to core validity and reliability issues. These were investigated using voice stimuli from 55 voice prosthesis speakers and evaluated by 22 judges-12 speech and language therapists (SLTs), 10 Ear, Nose, and Throat surgeons-classified into experienced or not at assessing voice. SLT judges rated more parameters reliably than Ear, Nose, and Throat raters, and SLTs with specialist experience in laryngectomy and laryngeal voice attained the most parameters at an acceptable level of agreement. These scales are ready for clinical use, with the most optimal assessors being expert SLTs. Future studies are needed to ascertain precisely how reliability may relate to training, experience, voice stimuli type, and scale format.
全喉切除术后通过手术嗓音恢复进行气管食管嗓音质量的感知评估，对于研究手术过程和康复方案相关的功能结果至关重要。目前尚无具有既定可靠性和有效性的工具来满足这一目的。本研究描述了一套新的感知量表的开发，涉及核心有效性和可靠性问题。这些量表使用 55 位人工发声管患者的语音刺激进行研究，并由 22 位评估者（12 位言语和语言治疗师[SLTs]，10 位耳鼻喉科医生）进行评估，评估者分为评估嗓音有经验和无经验两类。SLT 评估者比耳鼻喉科评估者更可靠地评估了更多的参数，在喉切除术和喉嗓音方面具有专业经验的 SLTs 在可接受的一致性水平上达到了最多的参数。这些量表已准备好临床使用，最佳评估者是专家 SLTs。需要进一步的研究来确定可靠性与培训、经验、语音刺激类型和量表格式之间的关系。
