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Patient reported outcome measures: The impact of environment on VHI‐10 responses
OBJECTIVE: A key outcome measure in the clinical evaluation of dysphonia is the Voice Handicap Index (VHI‐10). The clinical validity of the VHI‐10 was established from surveys administered in the physician's office. We aim to understand whether VHI‐10 responses remain reliable when the question...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948561/ https://www.ncbi.nlm.nih.gov/pubmed/36846431 http://dx.doi.org/10.1002/lio2.1016 |
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author | Kinberg, Eliezer C. Taree, Amir Gray, Mingyang Filip, Peter Courey, Mark |
author_facet | Kinberg, Eliezer C. Taree, Amir Gray, Mingyang Filip, Peter Courey, Mark |
author_sort | Kinberg, Eliezer C. |
collection | PubMed |
description | OBJECTIVE: A key outcome measure in the clinical evaluation of dysphonia is the Voice Handicap Index (VHI‐10). The clinical validity of the VHI‐10 was established from surveys administered in the physician's office. We aim to understand whether VHI‐10 responses remain reliable when the questionnaire is completed in settings other than the physician's office. METHODS: This is a prospective observational study conducted over a 3‐month period in the outpatient laryngology setting. Thirty‐five adult patients presenting with a complaint of dysphonia, which was symptomatically stable for the preceding 3 months, were identified. Each patient completed a VHI‐10 survey during the initial office visit, followed by three weekly out‐of‐office (termed “ambulatory”) VHI‐10 surveys, over the course of 12 weeks. The specific setting in which the patient completed the survey was recorded (social, home, or work). The Minimal Clinically Important Difference (MCID) is defined as 6 points based on existing literature. T‐tests and a test of one proportion were used for analysis. RESULTS: A total of 553 responses were collected. Of these, 347 ambulatory scores (63%) differed from the Office score by at least the MCID. Specifically, 94 (27%) were higher than the in‐office score by 6 or more points while 253 (73%) were lower. CONCLUSION: The setting in which the VHI‐10 is completed affects how the patient answers the questions. The score is dynamic, reflecting effects of the patients' environment during completion. Utilization of VHI‐10 scores to measure clinical treatment response is only valid if each response is obtained in the same setting. LEVEL OF EVIDENCE: 4 |
format | Online Article Text |
id | pubmed-9948561 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99485612023-02-24 Patient reported outcome measures: The impact of environment on VHI‐10 responses Kinberg, Eliezer C. Taree, Amir Gray, Mingyang Filip, Peter Courey, Mark Laryngoscope Investig Otolaryngol Laryngology, Speech and Language Science OBJECTIVE: A key outcome measure in the clinical evaluation of dysphonia is the Voice Handicap Index (VHI‐10). The clinical validity of the VHI‐10 was established from surveys administered in the physician's office. We aim to understand whether VHI‐10 responses remain reliable when the questionnaire is completed in settings other than the physician's office. METHODS: This is a prospective observational study conducted over a 3‐month period in the outpatient laryngology setting. Thirty‐five adult patients presenting with a complaint of dysphonia, which was symptomatically stable for the preceding 3 months, were identified. Each patient completed a VHI‐10 survey during the initial office visit, followed by three weekly out‐of‐office (termed “ambulatory”) VHI‐10 surveys, over the course of 12 weeks. The specific setting in which the patient completed the survey was recorded (social, home, or work). The Minimal Clinically Important Difference (MCID) is defined as 6 points based on existing literature. T‐tests and a test of one proportion were used for analysis. RESULTS: A total of 553 responses were collected. Of these, 347 ambulatory scores (63%) differed from the Office score by at least the MCID. Specifically, 94 (27%) were higher than the in‐office score by 6 or more points while 253 (73%) were lower. CONCLUSION: The setting in which the VHI‐10 is completed affects how the patient answers the questions. The score is dynamic, reflecting effects of the patients' environment during completion. Utilization of VHI‐10 scores to measure clinical treatment response is only valid if each response is obtained in the same setting. LEVEL OF EVIDENCE: 4 John Wiley & Sons, Inc. 2023-01-30 /pmc/articles/PMC9948561/ /pubmed/36846431 http://dx.doi.org/10.1002/lio2.1016 Text en © 2023 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Laryngology, Speech and Language Science Kinberg, Eliezer C. Taree, Amir Gray, Mingyang Filip, Peter Courey, Mark Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title | Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title_full | Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title_fullStr | Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title_full_unstemmed | Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title_short | Patient reported outcome measures: The impact of environment on VHI‐10 responses |
title_sort | patient reported outcome measures: the impact of environment on vhi‐10 responses |
topic | Laryngology, Speech and Language Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948561/ https://www.ncbi.nlm.nih.gov/pubmed/36846431 http://dx.doi.org/10.1002/lio2.1016 |
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