Yeşilli-Puzella Gamze, Maryn Youri, Tunçer Aylin Müge, Akbulut Sevtap, Ünsal Elif Meryem, Tadıhan Özkan Elçin
Speech and Language Therapy Department, School of Health Sciences, Cappadocia University, Ürgüp, Nevşehir, Turkey; Otolaryngology Division, Azienda Ospedaliera Universitaria, Sassari, Italy.
Department of Otorhinolaryngology and Head & Neck Surgery, European Institute for ORL-HNS, GZA Sint-Augustinus, Wilrijk, Belgium; Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Health, University College Ghent, Ghent, Belgium; Phonanium, Lokeren, Belgium.
J Voice. 2024 Oct 10. doi: 10.1016/j.jvoice.2024.08.030.
The aim of this study was to validate the Acoustic Voice Quality Index (AVQI) version 3.01 in the Turkish-speaking population.
Concatenated voice samples of the sustained vowel [a:] and continuous speech were collected from 127 dysphonic and 128 normophonic participants. The auditory-perceptual evaluation was performed by five experienced raters using the Grade parameter of the Grade, Roughness, Breathiness, Asthenia, Strain scale. Rater reliability, concurrent validity, diagnostic accuracy, and differences between normophonic and dysphonic groups were analyzed for the AVQI version 3.01.
The number of syllables for the standardized reading text with the concatenation of the voiced parts lasting around 3 seconds (mean = 3.84 seconds) was 36. The intraclass correlation coefficient (ICC) values of intra-rater reliability of G scores of five raters were excellent (mean ICC = 0.934), and of inter-rater reliability, they varied between moderate and excellent (mean ICC = 0.786). AVQIv3 demonstrated a high diagnostic accuracy with area under receiver-operating characteristic curve = 0.906 in identifying disrupted versus normal voice quality. With sensitivity of 80% and specificity of 94%, AVQIv3 = 2.345 was the cutoff point that differentiated most accurately between normophonic and dysphonic voices in Turkish.
AVQIv3 is an ecologically valid tool for objective differentiation between dysphonic and normal voices in the Turkish language.
本研究旨在验证3.01版声学嗓音质量指数（AVQI）在说土耳其语人群中的有效性。
从127名嗓音障碍患者和128名嗓音正常参与者中收集了持续元音[a:]和连续语音的拼接语音样本。由五名经验丰富的评估者使用等级、粗糙度、气息声、无力、紧张量表的等级参数进行听觉感知评估。分析了AVQI 3.01版的评估者信度、同时效度、诊断准确性以及嗓音正常组和嗓音障碍组之间的差异。
拼接了持续约3秒（平均 = 3.84秒）的浊音部分的标准化阅读文本的音节数为36个。五名评估者G评分的评分者内信度的组内相关系数（ICC）值极佳（平均ICC = 0.934），评分者间信度的ICC值在中等至极佳之间变化（平均ICC = 0.786）。AVQIv3在识别嗓音质量受损与正常方面具有较高的诊断准确性，受试者工作特征曲线下面积 = 0.906。AVQIv3 = 2.345是土耳其语中区分嗓音正常和嗓音障碍最准确的临界点，其敏感性为80%，特异性为94%。
AVQIv3是一种在土耳其语中客观区分嗓音障碍和正常嗓音的生态有效工具。
