The Norwegian Voice Handicap Index (VHI-N) patient scores are dependent on voice-related disease group

Abstract

The aim of this study is to determine to what extent the Voice Handicap Index-Norwegian (VHI-N) is scored depending on specific laryngological disease. In a multi-center study, 126 healthy subjects and 355 patients with different voice-related diseases answered the VHI-N. The VHI-N scores showed high Cronbach’s alpha. Analyses of variance were performed with VHI-N dependent and specific voice-related disease as independent variable, and showed highly significant dependence by group allocation (F 7,461 = 28.0; p < 0.001). When studying post hoc analyses secondary to this ANOVA analysis, we have shown that the control group scored lower than the entire patient groups (all p < 0.001) except the dysplasia group. Aphonic patients scored higher than all the other groups (all p < 0.001) except those with spasmodic dysphonia. The cancer patient group furthermore scored lower than patient groups with recurrent palsy, dysfunctional disease or spasmodic dysphonia (all p < 0.001). In addition, patients with recurrent palsy scored higher than patients with degenerative/inflammatory disease (p < 0.001). No influences of patient age, gender, or smoking were observed in the VHI-N scores. The VHI-N is a psychometrically well-functioning instrument, also at disease-specific levels and discriminates well between health and voice diseases, as well as between different voice-related diseases. The VHI-N may be recommended to be used when monitoring voice-related disease treatment.

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References

  1. 1.

    Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, Van De Heyning P, Remacle M, Woisard V (2001) A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch Oto-Rhino-Laryngol 258(2):77–82

    Article  CAS  Google Scholar 

  2. 2.

    Franic DM, Bramlett RE, Bothe AC (2005) Psychometric evaluation of disease specific quality of life instruments in voice disorders. J Voice 19(2):300–315

    Article  PubMed  Google Scholar 

  3. 3.

    Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, Newman CW (1997) The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 6(3):66–70

    Article  Google Scholar 

  4. 4.

    Hogikyan ND, Sethuraman G (1999) Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice 13(4):557–569

    Article  CAS  PubMed  Google Scholar 

  5. 5.

    Gliklich RE, Glovsky RM, Montgomery WW (1999) Validation of a voice outcome survey for unilateral vocal cord paralysis. Otolaryngol Head Neck Surg 120(2):153–158

    Article  CAS  PubMed  Google Scholar 

  6. 6.

    Deary IJ, Wilson JA, Carding PN, MacKenzie K (2003) VoiSS: a patient-derived voice symptom scale. J Psychosom Res 54(5):483–489

    Article  PubMed  Google Scholar 

  7. 7.

    Ma EP, Yiu EM (2001) Voice activity and participation profile: assessing the impact of voice disorders on daily activities. J Speech Lang Hear Res JSLHR 44(3):511–524

    Article  CAS  PubMed  Google Scholar 

  8. 8.

    Biddle A, Watson L, Hooper C et al (2002) Criteria for Determining Disability in Speech-Language Disorders. Evidence Report/Technology Assessment, vol 52. Agency for Healthcare Research and Quality (AHRQ), Rockville

  9. 9.

    Taguchi A, Mise K, Nishikubo K, Hyodo M, Shiromoto O (2012) Japanese version of voice handicap index for subjective evaluation of voice disorder. J Voice 26(5):668.e15–668.e19. doi:10.1016/j.jvoice.2011.11.005

    Article  Google Scholar 

  10. 10.

    Bonetti A, Bonetti L (2013) Cross-cultural adaptation and validation of the Voice Handicap Index into Croatian. J Voice 27(1):130.e7–130.e14. doi:10.1016/j.jvoice.2012.07.006

    Article  Google Scholar 

  11. 11.

    Moradi N, Pourshahbaz A, Soltani M, Javadipour S, Hashemi H, Soltaninejad N (2013) Cross-cultural equivalence and evaluation of psychometric properties of voice handicap index into persian. J Voice 27(2):258.e15–258.e22. doi:10.1016/j.jvoice.2012.09.006

    Article  Google Scholar 

  12. 12.

    Trinite B, Sokolovs J (2014) Adaptation and validation of the Voice Handicap Index in Latvian. J Voice 28(4):452–457. doi:10.1016/j.jvoice.2014.01.008

    Article  PubMed  Google Scholar 

  13. 13.

    Verdonck-de Leeuw IM, Kuik DJ, De Bodt M, Guimaraes I, Holmberg EB, Nawka T, Rosen CA, Schindler A, Whurr R, Woisard V (2008) Validation of the voice handicap index by assessing equivalence of European translations. Folia Phoniatr et Logop 60(4):173–178

    Article  CAS  Google Scholar 

  14. 14.

    Karlsen T, Grieg ARH, Heimdal JH, Aarstad HJ (2012) Cross-cultural adaption and translation of the voice handicap index into Norwegian. Folia Phoniatr et Logop 64(5):234–240

    Article  Google Scholar 

  15. 15.

    Hakkesteegt MM, Brocaar MP, Wieringa MH (2010) The applicability of the dysphonia severity index and the voice handicap index in evaluating effects of voice therapy and phonosurgery. J Voice 24(2):199–205. doi:10.1016/j.jvoice.2008.06.007

    Article  PubMed  Google Scholar 

  16. 16.

    Karasu MF, Gundogdu R, Cagli S, Aydin M, Arli T, Aydemir S, Yuce I (2014) Comparison of effects on voice of Diode Laser and Cold Knife microlaryngology techniques for vocal fold polyps. J Voice. doi:10.1016/j.jvoice.2013.10.017

    PubMed  Google Scholar 

  17. 17.

    Stuut M, Tjon Pian Gi RE, Dikkers FG (2013) Change of Voice Handicap Index after treatment of benign laryngeal disorders. European archives of oto-rhino-laryngology. doi:10.1007/s00405-013-2773-9

    PubMed  Google Scholar 

  18. 18.

    Helidoni ME, Murry T, Moschandreas J, Lionis C, Printza A, Velegrakis GA (2010) Cross-cultural adaptation and validation of the voice handicap index Into Greek. J Voice 24(2):221–227

    Article  PubMed  Google Scholar 

  19. 19.

    Nawka T, Verdonck-de Leeuw IM, De Bodt M, Guimaraes I, Holmberg EB, Rosen CA, Schindler A, Woisard V, Whurr R, Konerding U (2009) Item reduction of the voice handicap index based on the original version and on European translations. Folia Phoniatr Logop 61:37–48

    Article  CAS  PubMed  Google Scholar 

  20. 20.

    Schindler A, Ottaviani F, Mozzanica F, Bachmann C, Favero E, Schettino I, Ruoppolo G (2010) Cross-cultural adaptation and validation of the voice handicap index into Italian. J Voice 24(6):708–714

    Article  PubMed  Google Scholar 

  21. 21.

    Xu W, Han D, Li H, Hu R, Zhang L (2010) Application of the Mandarin Chinese version of the voice handicap index. J Voice 24(6):702–707. doi:10.1016/j.jvoice.2009.05.007

    Article  PubMed  Google Scholar 

  22. 22.

    Holm K, Christman NJ (1985) Post hoc tests following analysis of variance. Res Nurs Health 8(2):207–210

    Article  CAS  PubMed  Google Scholar 

  23. 23.

    Rosen CA, Murry T, Zinn A, Zullo T, Sonbolian M (2000) Voice handicap index change following treatment of voice disorders. J Voice 14(4):619–623

    Article  CAS  PubMed  Google Scholar 

  24. 24.

    Lam PKY, Chan KM, Ho WK, Kwong E, Yiu EM, Wei WI (2006) Cross-cultural adaptation and validation of the Chinese voice handicap index-10. Laryngoscope 116(7):1192–1198. doi:10.1097/01.mlg.0000224539.41003.93

    Article  PubMed  Google Scholar 

  25. 25.

    Rinkel RN, Verdonck-de Leeuw IM, van den Brakel N, de Bree R, Eerenstein SE, Aaronson N, Leemans CR (2014) Patient-reported symptom questionnaires in laryngeal cancer: voice, speech and swallowing. Oral Oncol 50(8):759–764. doi:10.1016/j.oraloncology.2014.05.009

    Article  CAS  PubMed  Google Scholar 

  26. 26.

    Verdonck-de Leeuw IM, van Nieuwenhuizen A, Leemans CR (2012) The value of quality-of-life questionnaires in head and neck cancer. Curr Opin otolaryngol Head Neck Surg 20(2):142–147. doi:10.1097/MOO.0b013e32834f5fd7

    Article  PubMed  Google Scholar 

  27. 27.

    Aarstad AK, Beisland E, Osthus AA, Aarstad HJ (2011) Distress, quality of life, neuroticism and psychological coping are related in head and neck cancer patients during follow-up. Acta Oncologica (Stockholm, Sweden) 50(3):390–398. doi:10.3109/0284186x.2010.504227

    Article  Google Scholar 

  28. 28.

    Beisland E, Aarstad AK, Osthus AA, Aarstad HJ (2013) Stability of distress and health-related quality of life as well as relation to neuroticism, coping and TNM stage in head and neck cancer patients during follow-up. Acta Otolaryngol 133(2):209–217. doi:10.3109/00016489.2012.720032

    Article  PubMed  Google Scholar 

  29. 29.

    Osthus AA, Aarstad AK, Olofsson J, Aarstad HJ (2013) Prediction of survival by pretreatment health-related quality-of-life scores in a prospective cohort of patients with head and neck squamous cell carcinoma. JAMA Otolaryngol Head Neck Surg 139(1):14–20. doi:10.1001/jamaoto.2013.1056

    Article  PubMed  Google Scholar 

  30. 30.

    Osthus AA, Aarstad AK, Olofsson J, Aarstad HJ (2011) Head and neck specific health related quality of life scores predict subsequent survival in successfully treated head and neck cancer patients: a prospective cohort study. Oral Oncol 47(10):974–979. doi:10.1016/j.oraloncology.2011.07.010

    Article  PubMed  Google Scholar 

  31. 31.

    Kolbrunner J, Menet AD, Seifert E (2010) Psychogenic aphonia: no fixation even after a lengthy period of aphonia. Swiss Med Wkly 140(1–2):12–17

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Correspondence to Tom Karlsen.

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Karlsen, T., Heimdal, JH., Grieg, A.R.H. et al. The Norwegian Voice Handicap Index (VHI-N) patient scores are dependent on voice-related disease group. Eur Arch Otorhinolaryngol 272, 2897–2905 (2015). https://doi.org/10.1007/s00405-015-3659-9

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Keywords

  • Voice Handicap Index (VHI)
  • Norwegian
  • Voice disorders
  • Diagnosis groups