Protocol - Voice Impairments - Older Adults
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.
The Aging Voice Index (AVI) is a self-administered scale used to determine how age-related voice disorders affect daily life. Participants in the study were adults aged 60 years and older, with and without voice disorders. A low score from the AVI scale can be associated with no voice effect on quality of life while higher scores indicate anywhere from mild to severe effects. Since the AVI is a proprietary protocol, you must contact the lead author to obtain permission to use it.
Personnel and Training Required
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
60 years of age and older
The Aging Voice Index (AVI) was selected because it is validated, reliable, requires little time to administer, and is easy to score and interpret.
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
Protocol Name from Source
The Aging Voice Index (AVI)
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.
Copyright 2018 by The Voice Foundation. Published by Elsevier Inc. All rights reserved.
The Aging Voice Index (AVI) is a proprietary protocol. Dr. Nicole Etter can be reached via email at firstname.lastname@example.org. Written correspondence can be sent to Pennsylvania State University, Attn: Dr. Nicole Etter, 404C Ford Building, University Park, PA 16802.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX201302130000||I had to stop taking part in an activity more||N/A|
|PX201302040000||My voice problem causes me to run out of air more||N/A|
|PX201302090000||It annoys me when my voice doesn't work well.||N/A|
|PX201302010000||People ask, What's wrong with your voice?||N/A|
|PX201302230000||Even though I have a voice disorder, my more||N/A|
|PX201302080000||It takes effort for me to speak.||N/A|
|PX201302030000||My voice problem frustrates me.||N/A|
|PX201302050000||I am frustrated by the changes in my voice.||N/A|
|PX201302180000||I feel hindered (held back) because of my more||N/A|
|PX201302110000||People make negative judgments about me more||N/A|
|PX201302200000||Even though I have a voice disorder, I like more||N/A|
|PX201302170000||I completely lose my voice.||N/A|
|PX201302140000||Because of my voice problem, other people more||N/A|
|PX201302160000||My voice problem makes me sad.||N/A|
|PX201302060000||People think I'm sick because of my voice problem.||N/A|
|PX201302150000||I don't like the way my voice sounds.||N/A|
|PX201302070000||Because of my voice problem, I speak less.||N/A|
|PX201302210000||Even though I have a voice disorder, I can more||N/A|
|PX201302190000||Even though I have a voice disorder, I talk more||N/A|
|PX201302220000||Even though I have a voice disorder, my more||N/A|
|PX201302100000||My voice problem affects what I want to do.||N/A|
|PX201302120000||I worry about my voice.||N/A|
|PX201302020000||Because of my voice problem, people can't hear me.||N/A|
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 impairments - older adults, Voice, voice function, voice disorders, voice difficulties, Voice Handicap Index, VHI, emotional, psychological, speech and hearing, Aging Voice Index, AVI
|Protocol ID||Protocol Name|
|201301||Voice Impairments - Adults|
|201302||Voice Impairments - Older Adults|
There are no publications listed for this protocol.