Kondo Kanako, Mizuta Masanobu, Kawai Yoshitaka, Sogami Tohru, Fujimura Shintaro, Kojima Tsuyoshi, Abe Chika, Tanaka Ryo, Shiromoto Osamu, Uozumi Ryuji, Kishimoto Yo, Tateya Ichiro, Omori Koichi, Haji Tomoyuki
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan.
Department of Otolaryngology/Head and Neck Surgery, Kurashiki Central Hospital, Japan.
J Speech Lang Hear Res. 2021 Dec 13;64(12):4754-4761. doi: 10.1044/2021_JSLHR-21-00269. Epub 2021 Nov 9.
Auditory-perceptual evaluation is essential for the assessment of voice quality. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) provides a standardized protocol and assessment form for clinicians to analyze the voice quality and has been adapted into several different languages. The aims of this study were to develop the Japanese version of the CAPE-V and to investigate its reliability and validity.
The Japanese CAPE-V consisted of the same three speech contexts (vowels, sentences, and conversation) as developed in the original English version. The sentences were designed according to the concepts of the original version and reviewed by Japanese phoneticians. To validate the usefulness of the Japanese CAPE-V, voices of 173 Japanese-speaking subjects (76 subjects with dysphonia and 97 without voice complaints) were evaluated by five experienced judges, according to the Japanese CAPE-V as well as the GRBAS (Grade, Roughness, Breathiness, Asthenia, Strain) scale.
The Japanese CAPE-V provided a high interrater reliability (intraclass correlation coefficients [ICCs] > .85 for all the parameters) as well as a high intrarater reliability (ICCs > .85 for all the parameters). In addition, overall severity, roughness, and breathiness in the Japanese CAPE-V were highly correlated with the corresponding dimensions in the GRBAS scale, having Spearman correlation coefficients greater than .8.
This study demonstrated the reliability and validity of the newly developed Japanese CAPE-V as an auditory-perceptual evaluation instrument.
听觉感知评估对于嗓音质量评估至关重要。嗓音的共识听觉感知评估（CAPE-V）为临床医生分析嗓音质量提供了标准化方案和评估表格，并且已被改编成几种不同语言。本研究的目的是开发CAPE-V的日语版本，并调查其信度和效度。
日语版CAPE-V由与原始英文版相同的三种言语情境（元音、句子和对话）组成。句子是根据原始版本的概念设计的，并由日本语音学家进行了审核。为了验证日语版CAPE-V的实用性，由五位经验丰富的评判员根据日语版CAPE-V以及GRBAS（分级、粗糙度、气息声、无力感、紧张度）量表，对173名讲日语的受试者（76名嗓音障碍患者和97名无嗓音问题者）的嗓音进行了评估。
日语版CAPE-V具有较高的评判员间信度（所有参数的组内相关系数[ICC]>.85）以及较高的评判员内信度（所有参数的ICC>.85）。此外，日语版CAPE-V中的总体严重程度、粗糙度和气息声与GRBAS量表中的相应维度高度相关，斯皮尔曼相关系数大于.8。
本研究证明了新开发的日语版CAPE-V作为一种听觉感知评估工具的信度和效度。
