Protocol - Voice Impairments - Older Adults

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The Aging Voice Index (AVI) is a 23-item, self-administered questionnaire that asks individuals about the effects of their voice on their lives. The AVI asks the subject to indicate how often each situation occurs in his or her daily life from the following scale: never, rarely, sometimes, usually, or always. Each item is based on a scale of 0 to 4, and the sum of all items is the total score. The AVI’s maximum score is 92. A higher total score indicates the subject’s voice impairment has a greater impact on the quality of life.

Specific Instructions:



See the “Source” for the protocol.

Protocol Name from Source:

Aging Voice Index (AVI)


Publicly available

Personnel and Training Required


Equipment Needs


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:



Adults ages 60 and older

Selection Rationale

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



Common Data Elements (CDE) Speech Voice Impairment Aging Voice Index Assessment Score Ê 6773734 CDE Browser
Derived Variables


Process and Review

The Expert Review Panel #7 (ERP 7) reviewed the measures in the Speech and Hearing domain.

Guidance from ERP 7 includes the following:

  • Added a new measure
  • Created a new Data Dictionary


Etter, N. M., Hapner, E. R., Barkmeier-Kraemer, J., Gartner-Schmidt, J. L., Dressler, E. V., & Stemple, J. C. (2018). Aging Voice Index (AVI): Reliability and validity of a voice quality of life scale for older adults. Journal of Voice, pii: S0892-1997(18)30046-8. [Epub ahead of print]

Copyright 2018 by The Voice Foundation. Published by Elsevier Inc. All rights reserved.

General References


Protocol ID:


Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX201302_Voice_Impairments_Activities PX201302130000 I had to stop taking part in an activity more
that is important to me because of my voice problem (singing, volunteer, work, etc). show less
PX201302_Voice_Impairments_Air PX201302040000 My voice problem causes me to run out of air more
when I talk. show less
PX201302_Voice_Impairments_Annoy PX201302090000 It annoys me when my voice doesn't work well. N/A
PX201302_Voice_Impairments_Ask PX201302010000 People ask, "What's wrong with your voice?" N/A
PX201302_Voice_Impairments_As_Good PX201302230000 Even though I have a voice disorder, my more
voice is as good as I want it to be. show less
PX201302_Voice_Impairments_Effort PX201302080000 It takes effort for me to speak. N/A
PX201302_Voice_Impairments_Frustrated PX201302030000 My voice problem frustrates me. N/A
PX201302_Voice_Impairments_Frustrated_Changes PX201302050000 I am frustrated by the changes in my voice. N/A
PX201302_Voice_Impairments_Hindered PX201302180000 I feel hindered (held back) because of my more
voice problem. show less
PX201302_Voice_Impairments_Judgement PX201302110000 People make negative judgments about me more
based on my voice. show less
PX201302_Voice_Impairments_Like_Sound PX201302200000 Even though I have a voice disorder, I like more
the way my voice sounds. show less
PX201302_Voice_Impairments_Lose_Voice PX201302170000 I completely lose my voice. N/A
PX201302_Voice_Impairments_Others_Talk PX201302140000 Because of my voice problem, other people more
talk for me. show less
PX201302_Voice_Impairments_Sad PX201302160000 My voice problem makes me sad. N/A
PX201302_Voice_Impairments_Sick PX201302060000 People think I'm sick because of my voice problem. N/A
PX201302_Voice_Impairments_Sound PX201302150000 I don't like the way my voice sounds. N/A
PX201302_Voice_Impairments_Speak_Less PX201302070000 Because of my voice problem, I speak less. N/A
PX201302_Voice_Impairments_Talk_Long PX201302210000 Even though I have a voice disorder, I can more
talk as much or long as I want. show less
PX201302_Voice_Impairments_Telephone PX201302190000 Even though I have a voice disorder, I talk more
on the telephone as much as I want. show less
PX201302_Voice_Impairments_Understand PX201302220000 Even though I have a voice disorder, my more
family and close friends understand me when I talk. show less
PX201302_Voice_Impairments_Wants PX201302100000 My voice problem affects what I want to do. N/A
PX201302_Voice_Impairments_Worry PX201302120000 I worry about my voice. N/A
PX201302_Voice_Impariments_Cannot_Hear PX201302020000 Because of my voice problem, people can't hear me. N/A
Speech, Language and Hearing
Measure Name:

Voice Impairments

Release Date:

June 4, 2019


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


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 on daily activities.


Voice, voice function, voice disorders, voice difficulties, Voice Handicap Index, VHI, emotional, psychological, speech and hearing, Aging Voice Index, AVI