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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Format: | Article |
Language: | English |
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MDPI AG
2023-12-01
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Series: | Journal of Clinical Medicine |
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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. |
first_indexed | 2024-03-08T20:39:22Z |
format | Article |
id | doaj.art-ed918b00244c48afa1ed5202c535bd8f |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-08T20:39:22Z |
publishDate | 2023-12-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
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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