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Protocol - Voice Impairments

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

The Voice Handicap Index (VHI) is a 30-item self-administered questionnaire that asks individuals to describe their voice and the effects of their voice on their life. Three subscales cover the areas of functional, emotional, and physical aspects of voice disorders. Points from the questions can be combined to assign a total score, or they can be combined by subscale.

Protocol:

Voice Handicap Index

Instructions: These are statements that many people have used to describe their voices and the effects of their voices on their lives. Check the response that indicates how frequently you have the same experience.

1. My voice makes it difficult for people to hear me.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

2. I run out of air when I talk.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

3. People have difficulty understanding me in a noisy room.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

4. The sound of my voice varies throughout the day.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

5. My family has difficulty hearing me when I call them throughout the house.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

6. I use the phone less often than I would like.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

7. I'm tense when talking with others because of my voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

8. I tend to avoid groups of people because of my voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

9. People seem irritated with my voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

10. People ask, "What's wrong with your voice?"

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

11. I speak with friends, neighbors, or relatives less often because of my voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

12. People ask me to repeat myself when speaking face-to-face.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

13. My voice sounds creaky and dry.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

14. I feel as though I have to strain to produce voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

15. I find other people don't understand my voice problem.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

16. My voice difficulties restrict my personal and social life.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

17. The clarity of my voice is unpredictable.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

18. I try to change my voice to sound different.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

19. I feel left out of conversations because of my voice.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

20. I use a great deal of effort to speak.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

21. My voice is worse in the evening.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

22. My voice problem causes me to lose income.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

23. My voice problem upsets me.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

24. I am less outgoing because of my voice problem.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

25. My voice makes me feel handicapped.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

26. My voice "gives out" on me in the middle of speaking.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

27. I feel annoyed when people ask me to repeat.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

28. I feel embarrassed when people ask me to repeat.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

29. My voice makes me feel incompetent.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

30. I'm ashamed of my voice problem.

[ ] 0 Never

[ ] 1 Almost Never

[ ] 2 Sometimes

[ ] 3 Almost Always

[ ] 4 Always

Scoring Instructions

The score is the sum of the numerals in the multiple-choice responses.

Physical Subscale: questions 2, 4, 10, 13, 14, 17, 18, 20, 21, 26
Emotional Subscale: questions 7, 9, 15, 23, 24, 25, 27, 28, 29, 30
Functional Subscale: questions 1, 3, 5, 6, 8, 11, 12, 16, 19, 22



Scale

Mild

Moderate

Severe

Functional

>10

>12

>18

Physical

>15

>18

>22

Emotional

>8

>13

>20

Total

>33

>44

>61

Personnel and Training Required

None

Equipment Needs

The respondent will need a copy of the questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None
Research Domain Information

Release Date:

October 8, 2010

Definition

This measure is a questionnaire to assess the functional, emotional, and psychosocial consequences of voice disorders.

Purpose

This measure can be used to assess the functional, emotional, and psychosocial consequences of voice disorders and the impact of an individual's voice disorder upon daily activities.

Selection Rationale

The Voice Handicap Index (VHI) was selected because it is validated, reliable, requires little time to administer, and is easy to score and interpret.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Speech Voice Impairment Voice Handicap Index Assessment Score3144942CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Voice impairments proto63004-6LOINC

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobson, G., Benninger, M. S., & Newman, C. W. (1997). The Voice Handicap Index (VHI): Development and validation. American Journal of Speech Language Pathology, 6, 66–70.

Copyright 1997 by American Speech-Language-Hearing Association. All rights reserved.

General References

None

Protocol ID:

201301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX201301_Difficult_For_People_Hear_MePX201301010000My voice makes it difficult for people to hear me.4N/A
PX201301_Run_Out_Of_AirPX201301020000I run out of air when I talk.4N/A
PX201301_Difficulty_Understanding_Me_Noisy_RoomPX201301030000People have difficulty understanding me in a noisy room.4N/A
PX201301_Sound_Of_Voice_VariesPX201301040000The sound of my voice varies throughout the day.4N/A
PX201301_Family_Difficulty_Hearing_MePX201301050000My family has difficulty hearing me when I call them throughout the house.4N/A
PX201301_Use_Phone_Less_OftenPX201301060000I use the phone less often than I would like.4N/A
PX201301_Tense_When_TalkingPX201301070000I'm tense when talking with others because of my voice.4N/A
PX201301_Avoid_Groups_Due_To_VoicePX201301080000I tend to avoid groups of people because of my voice.4N/A
PX201301_People_Irritated_With_My_VoicePX201301090000People seem irritated with my voice.4N/A
PX201301_People_Ask_About_VoicePX201301100000People ask, "What's wrong with your voice?"4N/A
PX201301_Speak_Less_Often_To_FriendsPX201301110000I speak with friends, neighbors, or relatives less often because of my voice.4N/A
PX201301_People_Ask_Me_To_RepeatPX201301120000People ask me to repeat myself when speaking face-to-face.4N/A
PX201301_Voice_Creaky_DryPX201301130000My voice sounds creaky and dry.4N/A
PX201301_Strain_To_Produce_VoicePX201301140000I feel as though I have to strain to produce voice.4N/A
PX201301_People_DoNot_Understand_ProblemPX201301150000I find other people don't understand my voice problem.4N/A
PX201301_Voice_Restricts_Personal_Social_LifePX201301160000My voice difficulties restrict my personal and social life.4N/A
PX201301_Voice_Clarity_UnpredictablePX201301170000The clarity of my voice is unpredictable.4N/A
PX201301_Change_Voice_To_Sound_DifferentPX201301180000I try to change my voice to sound different.4N/A
PX201301_Feel_Left_Out_Of_ConversationsPX201301190000I feel left out of conversations because of my voice.4N/A
PX201301_Great_Deal_Of_Effort_SpeakPX201301200000I use a great deal of effort to speak.4N/A
PX201301_Voice_Worse_EveningPX201301210000My voice is worse in the evening.4N/A
PX201301_Voice_Causes_Lost_IncomePX201301220000My voice problem causes me to lose income.4N/A
PX201301_Voice_Upsets_MePX201301230000My voice problem upsets me.4N/A
PX201301_Less_Outgoing_DueTo_VoicePX201301240000I am less outgoing because of my voice problem.4N/A
PX201301_Voice_Makes_Me_Feel_HandicappedPX201301250000My voice makes me feel handicapped.4N/A
PX201301_Voice_Gives_OutPX201301260000My voice "gives out" on me in the middle of speaking.4N/A
PX201301_Annoyed_When_Asked_To_RepeatPX201301270000I feel annoyed when people ask me to repeat.4N/A
PX201301_Feel_Embarrassed_When_Repeat_SelfPX201301280000I feel embarrassed when people ask me to repeat.4N/A
PX201301_Voice_Makes_Me_Feel_IncompetentPX201301290000My voice makes me feel incompetent.4N/A
PX201301_Ashamed_Of_Voice_ProblemPX201301300000I'm ashamed of my voice problem.4N/A