《嗓音障碍指数（第 03.01 版）》，法语版和《嗓音障碍指数》。

The Acoustic Voice Quality Index, Version 03.01, in French and the Voice Handicap Index.

机构信息

University of Liège, Faculté de Psychologie, Logopédie et Sciences de l'Education, Unité de Logopédie des Troubles de la Voix, Liège, Belgium.

Faculty of Medicine and Health Sciences, University of Antwerp; Antwerp, Belgium; European Institute for ORL, Sint-Augustinus Hospital, Antwerp, Belgium; Department of Speech, Language and Hearing Sciences, Ghent University; Ghent, Belgium; Faculty of Education, Health and Social Work, University College Ghent, Liège, Belgium.

出版信息

J Voice. 2020 Jul;34(4):646.e1-646.e10. doi: 10.1016/j.jvoice.2018.11.017. Epub 2018 Dec 22.

DOI:10.1016/j.jvoice.2018.11.017

PMID:30583889

Abstract

OBJECTIVES

The Acoustic Voice Quality Index (AVQI), version 03.01, is a tool for quantitative assessment of the overall severity of dysphonia. Its computation includes six acoustic parameters, which are all analyzed with Praat freeware. It is based on recordings of a sustained vowel and part of a text read aloud. The psychometric qualities of this tool in various languages, including French, have been confirmed by numerous publications. However, studies investigating the correlation between tools for objective vocal assessment and voice-related quality of life show inconsistent results. Hence, the aim of this study was to contribute to the debate on measuring the correlations between the AVQI 03.01 score computed on French samples and the Voice Handicap Index (VHI).

METHODS

Data from 78 patients were used; they were collected during initial vocal assessment and stored in the ear, nose, and throat caseload database of the University Hospital of Liège. The Spearman rank-order correlations (r) between the VHI total score and subscores and the AVQI 03.01 scores for French samples were measured. The correlation between the diagnostic decisions ("normophonia" versus "dysphonia") of both tools was assessed using Cramer's phi.

RESULTS

The Spearman correlation between AVQI 03.01 score and total VHI score, controlling for age, was moderate (r = 0.62, P < 0.0001). The correlations between the AVQI 03.01 score and the functional, emotional, and physical subscores of the VHI were also moderate (r = 0.643, 0.543, and 0.514, respectively, P < 0.0001). The correlation between the two instruments' diagnostic decisions ("normophonia" versus "dysphonia") was also moderate (φ = 0.52, P = 0.000).

CONCLUSIONS

Although AVQI 03.01 scores were moderately correlated with the VHI total score and subscores, they measure two different things. The AVQI 03.01 assesses overall voice quality in terms of acoustic parameters, whereas the VHI assesses the multidetermined impact on the patient's everyday life. Both results should thus be taken into account, as part of a comprehensive vocal assessment.

摘要

目的

声门导抗测试（AVQI）版本 03.01 是一种用于全面评估嗓音障碍严重程度的工具。它的计算包括六个声学参数，这些参数均使用 Praat 免费软件进行分析。它基于对持续元音和部分朗读文本的记录。该工具在包括法语在内的各种语言中的心理测量学质量已被大量出版物证实。然而，研究客观声音评估工具与与声音相关的生活质量之间的相关性的研究结果不一致。因此，本研究的目的是为评估法语样本的 AVQI 03.01 评分与嗓音障碍指数（VHI）之间的相关性提供参考。

方法

本研究使用了 78 名患者的数据，这些数据是在初始嗓音评估期间收集的，并存储在列日大学医院的耳鼻喉科病例数据库中。测量了 VHI 总分和子评分与法语样本的 AVQI 03.01 评分之间的 Spearman 秩相关系数（r）。使用 Cramer's phi 评估两种工具的诊断决策（“正常嗓音”与“嗓音障碍”）之间的相关性。

结果

在控制年龄后，AVQI 03.01 评分与 VHI 总分之间的 Spearman 相关性适中（r=0.62，P<0.0001）。AVQI 03.01 评分与 VHI 的功能、情感和生理子评分之间的相关性也适中（r=0.643、0.543 和 0.514，P<0.0001）。两种仪器的诊断决策（“正常嗓音”与“嗓音障碍”）之间的相关性也适中（φ=0.52，P=0.000）。