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Protocol - Voice Impairments

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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

Protocol Name from Source:

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

Availability:

Publicly available

Personnel and Training Required
None
Equipment Needs
The respondent will need a copy of the questionnaire.
Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Adults ages 18 and older

Specific Instructions:
None
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 Score 3144942 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Voice impairments proto 63004-6 LOINC
Derived Variables

None

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_Annoyed_When_Asked_To_Repeat PX201301270000 I feel annoyed when people ask me to repeat. 4 N/A
PX201301_Ashamed_Of_Voice_Problem PX201301300000 I'm ashamed of my voice problem. 4 N/A
PX201301_Avoid_Groups_Due_To_Voice PX201301080000 I tend to avoid groups of people because of my voice. 4 N/A
PX201301_Change_Voice_To_Sound_Different PX201301180000 I try to change my voice to sound different. 4 N/A
PX201301_Difficulty_Understanding_Me_Noisy_Room PX201301030000 People have difficulty understanding me in a noisy room. 4 N/A
PX201301_Difficult_For_People_Hear_Me PX201301010000 My voice makes it difficult for people to hear me. 4 N/A
PX201301_Family_Difficulty_Hearing_Me PX201301050000 My family has difficulty hearing me when I call them throughout the house. 4 N/A
PX201301_Feel_Embarrassed_When_Repeat_Self PX201301280000 I feel embarrassed when people ask me to repeat. 4 N/A
PX201301_Feel_Left_Out_Of_Conversations PX201301190000 I feel left out of conversations because of my voice. 4 N/A
PX201301_Great_Deal_Of_Effort_Speak PX201301200000 I use a great deal of effort to speak. 4 N/A
PX201301_Less_Outgoing_DueTo_Voice PX201301240000 I am less outgoing because of my voice problem. 4 N/A
PX201301_People_Ask_About_Voice PX201301100000 People ask, "What's wrong with your voice?" 4 N/A
PX201301_People_Ask_Me_To_Repeat PX201301120000 People ask me to repeat myself when speaking face-to-face. 4 N/A
PX201301_People_DoNot_Understand_Problem PX201301150000 I find other people don't understand my voice problem. 4 N/A
PX201301_People_Irritated_With_My_Voice PX201301090000 People seem irritated with my voice. 4 N/A
PX201301_Run_Out_Of_Air PX201301020000 I run out of air when I talk. 4 N/A
PX201301_Sound_Of_Voice_Varies PX201301040000 The sound of my voice varies throughout the day. 4 N/A
PX201301_Speak_Less_Often_To_Friends PX201301110000 I speak with friends, neighbors, or relatives less often because of my voice. 4 N/A
PX201301_Strain_To_Produce_Voice PX201301140000 I feel as though I have to strain to produce voice. 4 N/A
PX201301_Tense_When_Talking PX201301070000 I'm tense when talking with others because of my voice. 4 N/A
PX201301_Use_Phone_Less_Often PX201301060000 I use the phone less often than I would like. 4 N/A
PX201301_Voice_Causes_Lost_Income PX201301220000 My voice problem causes me to lose income. 4 N/A
PX201301_Voice_Clarity_Unpredictable PX201301170000 The clarity of my voice is unpredictable. 4 N/A
PX201301_Voice_Creaky_Dry PX201301130000 My voice sounds creaky and dry. 4 N/A
PX201301_Voice_Gives_Out PX201301260000 My voice "gives out" on me in the middle of speaking. 4 N/A
PX201301_Voice_Makes_Me_Feel_Handicapped PX201301250000 My voice makes me feel handicapped. 4 N/A
PX201301_Voice_Makes_Me_Feel_Incompetent PX201301290000 My voice makes me feel incompetent. 4 N/A
PX201301_Voice_Restricts_Personal_Social_Life PX201301160000 My voice difficulties restrict my personal and social life. 4 N/A
PX201301_Voice_Upsets_Me PX201301230000 My voice problem upsets me. 4 N/A
PX201301_Voice_Worse_Evening PX201301210000 My voice is worse in the evening. 4 N/A
Research Domain Information
Measure Name:

Voice Impairments

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.

Keywords

Voice, Voice function, Voice disorders, Voice difficulties, Voice Handicap Index, VHI, Emotional, Psychological, Speech and Hearing