Document Detail


Patient versus partner perception of voice handicap.
MedLine Citation:
PMID:  16950601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The primary purpose of this study was to compare patient's and communication partner's perceptions of handicap secondary to dysphonia. A secondary purpose was to compare patient health-related quality of life (HRQOL) to that of speakers with normal voice. Participants were 20 adults (mean age=69.15 years) with dysphonia and their communication partners. Patients completed the Voice Handicap Index (VHI), a questionnaire of self-perceived voice handicap, and the Short-Form 36 (SF-36), a general health questionnaire. Partners completed the Voice Handicap Index-Partner (VHI-P), a questionnaire derived from the VHI for this pilot study, to gauge partner perception of voice handicap. Patients in this study viewed themselves as only moderately handicapped by their dysphonia and their partners were in close agreement. Patients and their partners were also in close agreement on each of three VHI subscales (physical, functional, and emotional), and in all cases the physical domain was perceived by both patients and their partners to be most handicapped. Patients had lower SF-36 mean scores than those of persons with normal voice from the general U.S. population on scales assessing physical functioning, physical role, general health, vitality, social functioning, emotional role, and mental health. The results of this study are consistent with previous studies examining patient-partner agreement, which consider proxy ratings to be a useful alternative or collaborative source of patient's self-perception. Further research regarding the reliability of patient and partner agreement is necessary to most effectively assess and manage patients with dysphonia.
Authors:
Richard I Zraick; Brandy Y Risner; Laura Smith-Olinde; Brent A Gregg; Felicia L Johnson; Elizabeth K McWeeny
Publication Detail:
Type:  Journal Article     Date:  2006-09-06
Journal Detail:
Title:  Journal of voice : official journal of the Voice Foundation     Volume:  21     ISSN:  0892-1997     ISO Abbreviation:  J Voice     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-02     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  485-94     Citation Subset:  IM    
Affiliation:
University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. rizraick@uams.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Disability Evaluation
Humans
Middle Aged
Observer Variation
Phonetics
Quality of Life / psychology
Speech Perception*
Voice Disorders / epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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