Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures

Journal article

Steen, I. N., MacKenzie, K., Carding, Paul Nicholas, Webb, A., Deary, Ian J. and Wilson, Janet A.. (2008). Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures. Journal of Laryngology and Otology. 122(1), pp. 46 - 51. https://doi.org/10.1017/S0022215107007839

Authors	Steen, I. N., MacKenzie, K., Carding, Paul Nicholas, Webb, A., Deary, Ian J. and Wilson, Janet A.
Abstract	A wide range of well validated instruments is now available to assess voice quality and voice-related quality of life, but comparative studies of the responsiveness to change of these measures are lacking. The aim of this study was to assess the responsiveness to change of a range of different measures, following voice therapy and surgery. Longitudinal, cohort comparison study. Two UK voice clinics. One hundred and forty-four patients referred for treatment of benign voice disorders, 90 undergoing voice therapy and 54 undergoing laryngeal microsurgery. Three measures of self-reported voice quality (the vocal performance questionnaire, the voice handicap index and the voice symptom scale), plus the short form 36 (SF 36) general health status measure and the hospital anxiety and depression score. Perceptual, observer-rated analysis of voice quality was performed using the grade–roughness–breathiness–asthenia–strain scale. We compared the effect sizes (i.e. responsiveness to change) of the principal subscales of all measures before and after voice therapy or phonosurgery. All three self-reported voice measures had large effect sizes following either voice therapy or surgery. Outcomes were similar in both treatment groups. The effect sizes for the observer-rated grade–roughness–breathiness–asthenia–strain scale scores were smaller, although still moderate. The roughness subscale in particular showed little change after therapy or surgery. Only small effects were observed in general health and mood measures. The results suggest that the use of a voice-specific questionnaire is essential for assessing the effectiveness of voice interventions. All three self-reported measures tested were capable of detecting change, and scores were highly correlated. On the basis of this evaluation of different measures' sensitivities to change, there is no strong evidence to favour either the vocal performance questionnaire, the voice handicap index or the voice symptom scale.
Keywords	voice; voice quality; quality of life; outcome assessment (healthcare); outcome measures
Year	2008
Journal	Journal of Laryngology and Otology
Journal citation	122 (1), pp. 46 - 51
Publisher	Royal Society of Medicine
ISSN	0022-2151
Digital Object Identifier (DOI)	https://doi.org/10.1017/S0022215107007839
Page range	46 - 51
Research Group	School of Allied Health
Place of publication	United Kingdom

Permalink -

https://acuresearchbank.acu.edu.au/item/87402/optimising-outcome-assessment-of-voice-interventions-ii-sensitivity-to-change-of-self-reported-and-observer-rated-measures

122
total views
0
total downloads
4
views this month
0
downloads this month

These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Edwards, Ann, Holm, Alison, Carding, Paul, Steele, Michael, Froude, Elspeth, Burns, Clare and Cardell, Elizabeth. (2023). Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies. International Journal of Language and Communication Disorders. 58(5), pp. 1645-1656. https://doi.org/10.1111/1460-6984.12892

Factors that influence success when training videofluoroscopic swallowing study analysts

Edwards, Ann, Froude, Elspeth, Dark, Leigha and Carding, Paul. (2023). Factors that influence success when training videofluoroscopic swallowing study analysts. Speech, Language and Hearing. 26(3), pp. 223-234. https://doi.org/10.1080/2050571X.2023.2171952

Evaluation of an intensive voice treatment to reduce anterior drooling in children with cerebral palsy : Protocol for a concurrent multiple-baseline, single case experimental design study

McInerney, Michelle, Imms, Christine, Carding, Paul Nicholas and Reddihough, Dinah. (2021). Evaluation of an intensive voice treatment to reduce anterior drooling in children with cerebral palsy : Protocol for a concurrent multiple-baseline, single case experimental design study. Contemporary Clinical Trials Communications. 24, pp. 1-5. https://doi.org/10.1016/j.conctc.2021.100872

Communication changes with laryngectomy and impact on quality of life: A review

Sharpe, Gabriella, Costa, Vera Camoes, Doubé, Wendy, Sita, Jodi, McCarthy, Christopher and Carding, Paul. (2019). Communication changes with laryngectomy and impact on quality of life: A review. Quality of Life Research. 28, pp. 863 - 877. https://doi.org/10.1007/s11136-018-2033-y

Voice outcome measures for adult patients with Unilateral Vocal Fold Paralysis: A Systematic Review

Walton, Chloe, Carding, Paul, Conway, Erin, Flanagan, Kieran and Blackshaw, Helen. (2019). Voice outcome measures for adult patients with Unilateral Vocal Fold Paralysis: A Systematic Review. The Laryngoscope. 129, pp. 187 - 197. https://doi.org/10.1002/lary.27434

Comparing feedback types in multimedia learning of speech by young children with common speech sound disorders : Research protocol for a pretest posttest independent measures control trial

Doubé, Wendy, Carding, Paul, Flanagan, Kieran, Kaufman, Jordy and Armitage, Hannah. (2018). Comparing feedback types in multimedia learning of speech by young children with common speech sound disorders : Research protocol for a pretest posttest independent measures control trial. Frontiers in Psychology. 9, p. Article: 444. https://doi.org/10.3389/fpsyg.2018.00444

Voice Tremor in Parkinson's Disease: An Acoustic Study

Patricia Gillivan-Murphy, Nick Miller and Paul Carding. (2018). Voice Tremor in Parkinson's Disease: An Acoustic Study. Journal of Voice. 33(4), pp. 526-535. https://doi.org/10.1016/j.jvoice.2017.12.010

Perceptual Assessment of Tracheoesophageal Voice Quality With the SToPS: The Development of a Reliable and Valid Tool

Anne Hurren, Nick Miller and Paul Carding. (2018). Perceptual Assessment of Tracheoesophageal Voice Quality With the SToPS: The Development of a Reliable and Valid Tool. Journal of Voice. 33(4), pp. 465-472. https://doi.org/10.1016/j.jvoice.2017.12.006

Behavioural interventions to treat drooling in children with neurodisability: A systematic review

McInerney, Michelle, Reddihough, Dinah, Carding, Paul, Swanton, Ruth, Walton, Chloe and Imms, Christine. (2018). Behavioural interventions to treat drooling in children with neurodisability: A systematic review. Developmental Medicine and Child Neurology. 61(1), pp. 39 - 48. https://doi.org/10.1111/dmcn.14048

A psychosocial intervention for the management of functional dysphonia: Complex intervention development and pilot randomised trial

Deary, Vincent, McColl, Elaine, Carding, Paul, Miller, Tracy and Wilson, Janet. (2018). A psychosocial intervention for the management of functional dysphonia: Complex intervention development and pilot randomised trial. Pilot and Feasibility Studies. 4(1), pp. 1 - 12. https://doi.org/10.1186/s40814-018-0240-5

Perspectives on voice treatment for unilateral vocal fold paralysis

Walton, Chloe, Carding, Paul and Flanagan, Kieran. (2018). Perspectives on voice treatment for unilateral vocal fold paralysis. Current Opinion in Otolaryngology and Head and Neck Surgery. 26(3), pp. 157 - 161. https://doi.org/10.1097/MOO.0000000000000450

Unilateral vocal fold paralysis: A systematic review of speech-language pathology management

Chloe, Walton, Conway, Erin, Blackshaw, Helen and Carding, Paul. (2017). Unilateral vocal fold paralysis: A systematic review of speech-language pathology management. Journal of Voice. 31(4), pp. 7 - 22. https://doi.org/10.1016/j.jvoice.2016.11.002

Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders

Carding, Paul, Bos-Clark, M., Fu, S., Gillivan-Murphy, Patricia, Jones, S. M. and Walton, Chloe. (2017). Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders. Clinical Otolaryngology. 42(2), pp. 201 - 217. https://doi.org/10.1111/coa.12765

Vocal tract characteristics in Parkinson's disease

Gillivan-Murphy, Patricia, Carding, Paul Nicholas and Miller, Nick. (2016). Vocal tract characteristics in Parkinson's disease. Current Opinion in Otolaryngology and Head and Neck Surgery. https://doi.org/10.1097/MOO.0000000000000252

Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer

Carding, Paul Nicholas, Roe, Justin W., Drinnan, Michael J., Harrington, Kevin J. and Nutting, Christopher M.. (2016). Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer. Head and Neck. 38, pp. 1 - 9. https://doi.org/10.1002/hed.24255

Swallowing outcome measures in head and neck cancer - How do they compare?

Carding, Paul Nicholas, Pederson, A., Wilson, Janet, McColl, Elaine and Patterson, Jo M.. (2016). Swallowing outcome measures in head and neck cancer - How do they compare? Oral Oncology. 52, pp. 104 - 108. https://doi.org/10.1016/j.oraloncology.2015.10.015

TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial

Watson, Gillian, O'Hara, James, Carding, Paul Nicholas, Lecouturier, Jan, Stocken, Deborah, Fouweather, Tony and Wilson, Janet. (2016). TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial. Trials. https://doi.org/10.1186/s13063-016-1267-7

Contemporary management of voice and swallowing disorders in patients with advanced lung cancer

Carding, Paul, Brady, Grainne C., Bhosle, Jaishree and Roe, J. W.. (2015). Contemporary management of voice and swallowing disorders in patients with advanced lung cancer. Current Opinion in Otolaryngology and Head and Neck Surgery. 23(3), pp. 191 - 196. https://doi.org/10.1097/MOO.0000000000000155

Head and neck cancer patients perceptions of swallowing following chemoradiotherapy

Patterson, Joanne M., McColl, Elaine, Wilson, Janet, Carding, Paul Nicholas and Rapley, Tim. (2015). Head and neck cancer patients perceptions of swallowing following chemoradiotherapy. Supportive Care in Cancer. 23(12), pp. 3531 - 3538. https://doi.org/10.1007/s00520-015-2715-8

Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients

Powell, Jason, Carding, Paul Nicholas, Birdi, R. and Wilson, Janet. (2014). Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients. Clinical Otolaryngology. 39(4), pp. 224 - 227. https://doi.org/10.1111/coa.12274

Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia?

Roe, Justin W. G., Drinnan, Michael J., Carding, Paul N., Harrington, Kevin J. and Nutting, Christopher M.. (2014). Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia? Oral Oncology. 50(12), pp. 1182 - 1187. https://doi.org/10.1016/j.oraloncology.2014.09.009

Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes

Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2014). Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. 36(3), pp. 352 - 358. https://doi.org/10.1002/hed.23306

Head and neck cancer and dysphagia : Caring for carers

Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013). Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226

Current issues in voice assessment and intervention in the United Kingdom

Carding, Paul. (2013). Current issues in voice assessment and intervention in the United Kingdom. In In E. M-L. Yiu (Ed.). International perspectives on voice disorders pp. 83 - 89 Multilingual Matters.

Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes

Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2013). Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. https://doi.org/10.1002/hed.23306

Head and neck cancer and dysphagia : Caring for carers

Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study

Paleri, V, Carding, Paul, Chatterjee, S, Kelly, Charles, Wilson, Janet, Welch, Andrew and Drinnan, M. (2012). Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study. Head and Neck: journal for the sciences and specialities of the head and neck. 34(12), pp. 1747 - 1752. https://doi.org/10.1002/hed.22003

A new voice rating tool for clinical practice

Gould, James, Waugh, J, Carding, Paul and Drinnan, M. (2012). A new voice rating tool for clinical practice. Journal of Voice. 26(4), pp. 163 - 170. https://doi.org/10.1016/j.jvoice.2011.07.011

Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey

Roe, J, Carding, Paul, Rhys-Evans, P, Newbold, K, Harrington, K and Nutting, C. (2012). Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey. Oral Oncology. 48(4), pp. 343 - 348. https://doi.org/10.1016/j.oraloncology.2011.11.003

What other journals tell us. Laryngeal transplantation: Working party final report, June 2011

Narula, Tony, Bradley, Patrick, Carding, Paul Nicholas, Hakim, Nadey, Rumsey, Nichola, Sokol, Daniel and Edwards, Simon. (2012). What other journals tell us. Laryngeal transplantation: Working party final report, June 2011. Clinical Otolaryngology. 37(1), pp. 53 - 55. https://doi.org/10.1111/j.1749-4486.2012.02439.x

Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives

Wilson, Janet, Carding, Paul and Patterson, J. (2011). Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives. Otolaryngology. 145(5), pp. 767 - 771. https://doi.org/10.1177/0194599811414506

Effectiveness of voice therapy in functional dysphonia :Where are we now?

Bos-Clark, M and Carding, Paul. (2011). Effectiveness of voice therapy in functional dysphonia :Where are we now? Current Opinion in Otolaryngology and Head and Neck Surgery. 19(3), pp. 160 - 164. https://doi.org/10.1097/MOO.0b013e3283448f85

Relationship between fatigue, perfectionism, and functional dysphonia

O'Hara, J, Miller, T, Carding, Paul, Wilson, Janet and Deary, V. (2011). Relationship between fatigue, perfectionism, and functional dysphonia. Otolaryngology. 144(6), pp. 921 - 926. https://doi.org/10.1177/0194599811401236

The clinical application of the 100 mL water swallow test in head and neck cancer

Patterson, J, Hildreth, A, McColl, E, Carding, Paul, Hamilton, D and Wilson, Janet. (2011). The clinical application of the 100 mL water swallow test in head and neck cancer. Oral Oncology. 47(3), pp. 180 - 184. https://doi.org/10.1016/j.oraloncology.2010.11.020

Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task

Brockmann, M, Drinnan, M, Storck, C and Carding, Paul. (2011). Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. Journal of Voice. 25(1), pp. 44 - 53. https://doi.org/10.1016/j.jvoice.2009.07.002

From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire

Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010). From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008

Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review

Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010). Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012

From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire

Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review

Swallowing performance in patients with head and neck cancer: A simple clinical test

Patterson, Joanne M., McColl, Elaine, Carding, Paul Nicholas, Kelly, Charles G. and Wilson, Janet A.. (2009). Swallowing performance in patients with head and neck cancer: A simple clinical test. Oral Oncology. 45(10), pp. 904 - 907. https://doi.org/10.1016/j.oraloncology.2009.03.012

The voice handicap index with post-laryngectomy male voices research report

Evans, Eryl, Carding, Paul Nicholas and Drinnan, Michael. (2009). The voice handicap index with post-laryngectomy male voices research report. International Journal of Language and Communication Disorders. 44(5), pp. 575 - 586. https://doi.org/10.1080/13682820902928729

Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia

Haselden, Karen, Powell, Theresa, Drinnan, Mike and Carding, Paul Nicholas. (2009). Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia. Journal of Voice. 23(6), pp. 699 - 706. https://doi.org/10.1016/j.jvoice.2008.03.011

Measuring voice outcomes: State of the science review

Carding, Paul Nicholas, Wilson, Janet A., MacKenzie, K. and Deary, Ian J.. (2009). Measuring voice outcomes: State of the science review. Journal of Laryngology and Otology. 123(8), pp. 823 - 829. https://doi.org/10.1017/S0022215109005398

Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale

Hurren, A., Hildreth, A. J. and Carding, Paul Nicholas. (2009). Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale. Clinical Otolaryngology. 34(6), pp. 533 - 538. https://doi.org/10.1111/j.1749-4486.2009.02034.x

Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain

Thomas, Lois H., Jones, Tony M., Tandon, S., Carding, Paul Nicholas, Lowe, Derek G. and Rogers, Sarah. (2009). Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain. Clinical Otolaryngology. 34(1), pp. 34 - 42. https://doi.org/10.1111/j.1749-4486.2008.01830.x

The nature and severity of voice disorders in lung cancer patients

Lee, Clare F., Carding, Paul Nicholas and Fletcher, Mike. (2008). The nature and severity of voice disorders in lung cancer patients. Logopedics Phoniatrics Vocology. 33(2), pp. 93 - 103. https://doi.org/10.1080/14015430701745997

Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it

Karagama, Y., Hurren, A., Carding, Paul Nicholas and Lindsey, L.. (2008). Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it. Clinical Otolaryngology. 33(4), pp. 362 - 366. https://doi.org/10.1111/j.1749-4486.2008.01690.x

Voice change following thyroid and parathyroid surgery

Meek, Pauline, Carding, Paul Nicholas, Howard, D. H. and Lennard, T. W.J.. (2008). Voice change following thyroid and parathyroid surgery. Journal of Voice. 22(6), pp. 765 - 772. https://doi.org/10.1016/j.jvoice.2007.02.002

Voice loudness and gender effects on jitter and shimmer in healthy adults

Brockmann, Meike, Storck, Claudio, Carding, Paul Nicholas and Drinnan, Michael J.. (2008). Voice loudness and gender effects on jitter and shimmer in healthy adults. Journal of Speech, Language, and Hearing Research. 51(5), pp. 1152 - 1160. https://doi.org/10.1044/1092-4388(2008/06-0208)