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Voice Handicap Index (VHI)
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Supplemental: Acute Hospitalized, Concussion/Mild TBI, Epidemiology, Moderate/Severe TBI: Rehabilitation Traumatic Brain Injury (TBI)
Short Description of Instrument
The Voice Handicap Index (VHI) is a 30-item instrument that is used to quantify the psychosocial consequences of voice disorders (Jacobson et al., 1997). The VHI questionnaire assesses the functional (10 questions); emotional (10 questions); and physical (10 questions) aspects of voice and effects of voice on quality of life.
Scoring: Never = 0 points; Almost Never = 1 point; Sometimes = 2 points; Almost Always = 3; points; Always = 4 points
Total Score:
A change of 18 points in a total score or 8 points on any subscale (emotional, functional, or physical) is considered statistically significant.
Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobaon, G., Benninger, M. S., & Newman, C. W. (1997). The Voice Handicap Index (VHI) Development and Validation. Am J Speech-Lang Pathol, 6, 66–70.
Other references:
Bogaardt, H. C., Hakkesteegt, M. M., Grolman, W., & Lindeboom, R. (2007). Validation of the voice handicap index using Rasch analysis. J Voice, 21(3), 337-344.
Cohen, S. M., Jacobson, B. H., Garrett, C. G., Noordzij, J. P., Stewart, M. G., Attia, A., . . . Cleveland, T. F. (2007). Creation and validation of the Singing Voice Handicap Index. Ann Otol Rhinol Laryngol, 116(6), 402-406.
Naraghi, M., Adil, S., Bastaninejad, S., & Dabiran, S. (2015). Evaluation of Pediatric Voice Handicap Index and Pediatric Voice Related Quality of Life before and after adenotonsillectomy in pediatric population. Int J Pediatr Otorhinolaryngol, 79(3), 388-391.
Portone, C. R., Hapner, E. R., McGregor, L., Otto, K., & Johns, M. M., 3rd. (2007). Correlation of the Voice Handicap Index (VHI) and the Voice-Related Quality of Life Measure (V-RQOL). J Voice, 21(6), 723-727.
Rosen, C. A., Murry, T., Zinn, A., Zullo, T., & Sonbolian, M. (2000). Voice handicap index change following treatment of voice disorders. J Voice, 14(4), 619-623.
Stuut, M., Tjon Pian Gi, R. E., & Dikkers, F. G. (2014). Change of Voice Handicap Index after treatment of benign laryngeal disorders. Eur Arch Otorhinolaryngol, 271(5), 1157-1162.
Woisard, V., Bodin, S., Yardeni, E., & Puech, M. (2007). The voice handicap index: correlation between subjective patient response and quantitative assessment of voice. J Voice, 21(5), 623-631.
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