Academic Journal
Reliability, Measurement Error, and Responsiveness of the Voice Handicap Index: A Systematic Review and Meta-analysis.
| Τίτλος: | Reliability, Measurement Error, and Responsiveness of the Voice Handicap Index: A Systematic Review and Meta-analysis. |
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| Συγγραφείς: | Ribeiro VV; University de Brasília, Brasília, São Paulo, Brazil; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil., Batista DJ; Postgraduate Program in Decision Models and Health at the Universidade Federal da Paraíba, João Pessoa, Paraíba, Brazil; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil. Electronic address: denis.batista@outlook.com.br., Silveira WL; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil., Barbosa I; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil., Casmerides MCB; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil; Postgraduate Program in Otorhinolaryngology at the Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, São Paulo., Dornelas R; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil; Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil., Behlau M; Centro de Estudos da Voz, São Paulo, São Paulo, Brazil. |
| Πηγή: | Journal of voice : official journal of the Voice Foundation [J Voice] 2026 Sep; Vol. 40 (5), pp. 1532.e17-1532.e50. Date of Electronic Publication: 2024 Jul 19. |
| Τύπος έκδοσης: | Journal Article; Systematic Review; Meta-Analysis; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Mosby Country of Publication: United States NLM ID: 8712262 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4588 (Electronic) Linking ISSN: 08921997 NLM ISO Abbreviation: J Voice Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : St. Louis, MO : Mosby Original Publication: [New York, N.Y.] : Raven Press, 1987- |
| Ιατρικοί όροι (MeSH): | Voice Disorders*/diagnosis , Voice Disorders*/physiopathology , Voice Disorders*/psychology , Disability Evaluation* , Voice Quality*, Humans ; Reproducibility of Results ; Predictive Value of Tests ; Psychometrics ; Surveys and Questionnaires ; Severity of Illness Index |
| Περίληψη: | Objective: To analyze the reliability, measurement error, and responsiveness of the Voice Handicap Index (VHI) for measuring voice handicap in individuals with voice disorders. Methods: This systematic review followed the recommendations of the COnsensus-based Standards for the Selection of Health Measurement INstruments. Studies that validated the VHI, analyzed the measurement properties of reliability, measurement error, or responsiveness, and had dysphonic individuals as the study population were included. The following electronic databases were searched: Cochrane Library, EMBASE, LILACS, PubMed, Scopus, and Web of Science. The manual search was carried out on gray literature in the Biblioteca Digital Brasileira de Teses e Dissertações and ProQuest Dissertation & Theses, in addition to mapping citations and consulting an expert in the field. Evidence selection, data extraction, risk of bias analysis, certainty of evidence, and good psychometric measurements were performed by two blinded and independent reviewers. A meta-analysis was performed using Fisher's transformed r-to-z correlation coefficient and standardized mean difference. Heterogeneity was calculated using Tau² and I² statistical tests in JAMOVI 2.3.2 software. Results: Eighty studies were included in the meta-analysis. When assessing the risk of bias, most studies were classified as inadequate during the reliability and measurement error stages. In the responsiveness stage, they were classified as doubtful in the sensitivity and specificity sub-boxes and good in the comparison sub-box with a gold standard instrument. For psychometric properties, most studies were classified as indeterminate in terms of both reliability and responsiveness. In test-retest reliability and responsiveness, the average outcome differed significantly from zero, indicating agreement between the test and retest moments and a significant reduction in the VHI score after intervention. Considering certainty of the evidence, the level of evidence was very low in both the reliability and responsiveness stages. The analyzed studies did not evaluate observational errors, and hence, they were not considered in this review. Conclusion: The VHI proved to be reliable and responsive in measuring voice handicap. However, it should be used with caution, as there is heterogeneity, a risk of bias, and no adherence to the analysis of observational error. (Copyright © 2024 The Voice Foundation. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of Competing Interest None. |
| Contributed Indexing: | Keywords: Measurement error; Reliability; Responsiveness; Systematic review; Voice Handicap Index; Voice disorders |
| Entry Date(s): | Date Created: 20240719 Date Completed: 20260907 Latest Revision: 20260914 |
| Update Code: | 20260915 |
| DOI: | 10.1016/j.jvoice.2024.05.017 |
| PMID: | 39030149 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1873-4588 |
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| DOI: | 10.1016/j.jvoice.2024.05.017 |