PMID- 34665647
OWN - NLM
STAT- MEDLINE
DCOM- 20211110
LR  - 20220716
IS  - 1558-9110 (Electronic)
IS  - 1058-0360 (Print)
IS  - 1058-0360 (Linking)
VI  - 30
IP  - 6
DP  - 2021 Nov 4
TI  - Psychometric Analysis of an Ecological Vocal Effort Scale in Individuals With and 
      Without Vocal Hyperfunction During Activities of Daily Living.
PG  - 2589-2604
LID - 10.1044/2021_AJSLP-21-00111 [doi]
AB  - Objective The purpose of this study was to examine the psychometric properties of 
      an ecological vocal effort scale linked to a voicing task. Method Thirty-eight 
      patients with nodules, 18 patients with muscle tension dysphonia, and 45 vocally 
      healthy control individuals participated in a week of ambulatory voice 
      monitoring. A global vocal status question was asked hourly throughout the day. 
      Participants produced a vowel-consonant-vowel syllable string and rated the vocal 
      effort needed to produce the task on a visual analog scale. Test-retest 
      reliability was calculated for a subset using the intraclass correlation 
      coefficient, ICC(A, 1). Construct validity was assessed by (a) comparing the 
      weeklong vocal effort ratings between the patient and control groups and (b) 
      comparing weeklong vocal effort ratings before and after voice rehabilitation in 
      a subset of 25 patients. Cohen's d, the standard error of measurement (SEM), and 
      the minimal detectable change (MDC) assessed sensitivity. The minimal clinically 
      important difference (MCID) assessed responsiveness. Results Test-retest 
      reliability was excellent, ICC(A, 1) = .96. Weeklong mean effort was 
      statistically higher in the patients than in controls (d = 1.62) and lower after 
      voice rehabilitation (d = 1.75), supporting construct validity and sensitivity. 
      SEM was 4.14, MDC was 11.47, and MCID was 9.74. Since the MCID was within the 
      error of the measure, we must rely upon the MDC to detect real changes in 
      ecological vocal effort. Conclusion The ecological vocal effort scale offers a 
      reliable, valid, and sensitive method of monitoring vocal effort changes during 
      the daily life of individuals with and without vocal hyperfunction.
FAU - Marks, Katherine L
AU  - Marks KL
AUID- ORCID: 0000-0001-5483-3794
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - Massachusetts General Hospital, Boston.
FAU - Verdi, Alessandra
AU  - Verdi A
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - Massachusetts General Hospital, Boston.
FAU - Toles, Laura E
AU  - Toles LE
AUID- ORCID: 0000-0001-9141-9373
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - Massachusetts General Hospital, Boston.
FAU - Stipancic, Kaila L
AU  - Stipancic KL
AUID- ORCID: 0000-0001-5185-563X
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - University at Buffalo, NY.
FAU - Ortiz, Andrew J
AU  - Ortiz AJ
AUID- ORCID: 0000-0002-6915-736X
AD  - Massachusetts General Hospital, Boston.
AD  - Harvard Medical School, Boston, MA.
FAU - Hillman, Robert E
AU  - Hillman RE
AUID- ORCID: 0000-0002-7374-994X
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - Massachusetts General Hospital, Boston.
AD  - Harvard Medical School, Boston, MA.
FAU - Mehta, Daryush D
AU  - Mehta DD
AUID- ORCID: 0000-0002-6535-573X
AD  - MGH Institute of Health Professions, Boston, MA.
AD  - Massachusetts General Hospital, Boston.
AD  - Harvard Medical School, Boston, MA.
LA  - eng
GR  - P50 DC015446/DC/NIDCD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20211019
PL  - United States
TA  - Am J Speech Lang Pathol
JT  - American journal of speech-language pathology
JID - 9114726
SB  - IM
MH  - Activities of Daily Living
MH  - *Dysphonia/diagnosis
MH  - Humans
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - *Voice
PMC - PMC9132024
EDAT- 2021/10/20 06:00
MHDA- 2021/11/11 06:00
PMCR- 2022/05/01
CRDT- 2021/10/19 17:11
PHST- 2021/10/20 06:00 [pubmed]
PHST- 2021/11/11 06:00 [medline]
PHST- 2021/10/19 17:11 [entrez]
PHST- 2022/05/01 00:00 [pmc-release]
AID - 23814764000300140072 [pii]
AID - 10.1044/2021_AJSLP-21-00111 [doi]
PST - ppublish
SO  - Am J Speech Lang Pathol. 2021 Nov 4;30(6):2589-2604. doi: 
      10.1044/2021_AJSLP-21-00111. Epub 2021 Oct 19.