Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers

Background: While several acoustic voice metrics are available for clinical voice assessment, there remains a significant need for reliable and ecologically valid tools. The Acoustic Voice Quality Index version 03.01 (AVQI-3) and Acoustic Breathiness Index (ABI) hold potential due to their comprehen...

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Main Authors: Adrián Castillo-Allendes, Juliana Codino, Lady Catherine Cantor-Cutiva, Charles J. Nudelman, Adam D. Rubin, Ben Barsties v. Latoszek, Eric J. Hunter
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/24/7679
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author Adrián Castillo-Allendes
Juliana Codino
Lady Catherine Cantor-Cutiva
Charles J. Nudelman
Adam D. Rubin
Ben Barsties v. Latoszek
Eric J. Hunter
author_facet Adrián Castillo-Allendes
Juliana Codino
Lady Catherine Cantor-Cutiva
Charles J. Nudelman
Adam D. Rubin
Ben Barsties v. Latoszek
Eric J. Hunter
author_sort Adrián Castillo-Allendes
collection DOAJ
description Background: While several acoustic voice metrics are available for clinical voice assessment, there remains a significant need for reliable and ecologically valid tools. The Acoustic Voice Quality Index version 03.01 (AVQI-3) and Acoustic Breathiness Index (ABI) hold potential due to their comprehensive assessment approach, incorporating diverse voice aspects. However, these tools still need to be validated in English-speaking populations. Methods: This study assessed the discriminatory accuracy and validity of AVQI-3 and ABI in 197 participants, including 148 with voice disorders. Voice samples were collected, followed by AVQI-3 and ABI calculations. Additionally, auditory-perceptual assessments were conducted by a panel of speech-language pathologists. Results: AVQI-3 and ABI effectively identified disordered voice quality, evidenced by high accuracy (AUCs: 0.84, 0.89), sensitivity, and specificity (thresholds: AVQI-3 = 1.17, ABI = 2.35). Strong positive correlations were observed with subjective voice quality assessments (rs = 0.72, rs = 0.77, <i>p</i> < 0.001). Conclusions: The study highlights AVQI-3 and ABI as promising instruments for clinically assessing voice disorders in U.S. English speakers, underscoring their utility in clinical practice and voice research.
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spelling doaj.art-ed918b00244c48afa1ed5202c535bd8f2023-12-22T14:17:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224767910.3390/jcm12247679Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English SpeakersAdrián Castillo-Allendes0Juliana Codino1Lady Catherine Cantor-Cutiva2Charles J. Nudelman3Adam D. Rubin4Ben Barsties v. Latoszek5Eric J. Hunter6Department of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI 48824, USALakeshore Professional Voice Center, Lakeshore Ear, Nose & Throat Center, St. Clair Shores, MI 48081, USADepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI 48824, USADepartment of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL 61820, USALakeshore Professional Voice Center, Lakeshore Ear, Nose & Throat Center, St. Clair Shores, MI 48081, USASpeech-Language Pathology, SRH University of Applied Health Sciences, 40210 Düsseldorf, GermanyDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI 48824, USABackground: While several acoustic voice metrics are available for clinical voice assessment, there remains a significant need for reliable and ecologically valid tools. The Acoustic Voice Quality Index version 03.01 (AVQI-3) and Acoustic Breathiness Index (ABI) hold potential due to their comprehensive assessment approach, incorporating diverse voice aspects. However, these tools still need to be validated in English-speaking populations. Methods: This study assessed the discriminatory accuracy and validity of AVQI-3 and ABI in 197 participants, including 148 with voice disorders. Voice samples were collected, followed by AVQI-3 and ABI calculations. Additionally, auditory-perceptual assessments were conducted by a panel of speech-language pathologists. Results: AVQI-3 and ABI effectively identified disordered voice quality, evidenced by high accuracy (AUCs: 0.84, 0.89), sensitivity, and specificity (thresholds: AVQI-3 = 1.17, ABI = 2.35). Strong positive correlations were observed with subjective voice quality assessments (rs = 0.72, rs = 0.77, <i>p</i> < 0.001). Conclusions: The study highlights AVQI-3 and ABI as promising instruments for clinically assessing voice disorders in U.S. English speakers, underscoring their utility in clinical practice and voice research.https://www.mdpi.com/2077-0383/12/24/7679AVQIvoice qualitybreathinessvoice disordersdysphoniavoice assessment
spellingShingle Adrián Castillo-Allendes
Juliana Codino
Lady Catherine Cantor-Cutiva
Charles J. Nudelman
Adam D. Rubin
Ben Barsties v. Latoszek
Eric J. Hunter
Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
Journal of Clinical Medicine
AVQI
voice quality
breathiness
voice disorders
dysphonia
voice assessment
title Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
title_full Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
title_fullStr Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
title_full_unstemmed Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
title_short Clinical Utility and Validation of the Acoustic Voice Quality and Acoustic Breathiness Indexes for Voice Disorder Assessment in English Speakers
title_sort clinical utility and validation of the acoustic voice quality and acoustic breathiness indexes for voice disorder assessment in english speakers
topic AVQI
voice quality
breathiness
voice disorders
dysphonia
voice assessment
url https://www.mdpi.com/2077-0383/12/24/7679
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