Vocal self-assessment instruments
adaptation to the digital format
DOI:
https://doi.org/10.23925/2176-2724.2025v37i4e72030Keywords:
Self-Evaluation Programs, Speech, Language and Hearing Sciences, Digital Technology, Voice, Voice DisordersAbstract
Introduction: the use of vocal self-assessment instruments is essential in the clinical training of Speech-Language Pathology students, requiring specific skills for their application and interpretation. Digital tools can facilitate this process, promoting greater familiarity with validated instruments. Objective: to present a digital tool developed exclusively for educational purposes, allowing the automated completion of vocal self-assessment instruments to support the teaching and training of Speech-Language Pathology students. Description: the tool was created in Microsoft Excel® for Microsoft 365®, using the original contents of the following instruments translated and/or validated into Brazilian Portuguese, without modifications in structure or scoring: Voice-Related Quality of Life (V-RQOL), Vocal Activity and Participation Profile (VAPP), Vocal Handicap Index-10 (VHI-10), Vocal Fatigue Index (VFI), Vocal Tract Discomfort Scale (VTDS), Vocal Symptoms Scale (VoiSS), (Voice Disability Coping Questionnaire (VDCQ), URICA-Voice, and Vocal Health and Hygiene Questionnaire (VHHQ). The tool was organized into 11 spreadsheets, divided into “General Data,” “Instruments,” and “Summary of Results.” Automated calculations allow scores to be presented clearly, following the formulas published in the original studies. Final considerations: the digital tool serves as a valuable educational resource for developing competencies in the application and interpretation of vocal self-assessment instruments. It is not a validated version for clinical use, nor does it intend to establish psychometric equivalence with printed formats. Its use is restricted to the supervised academic environment.
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1. Patel R, Awan S, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended protocols for instrumental assessment of voice: American Speech-Language-Hearing Association Expert Panel to develop a protocol for instrumental assessment of vocal function. Am J Speech Lang Pathol. 2018; 27(3): 887-905. doi: 10.1044/2018_AJSLP-17-0009.
2. Slavych BK, Zraick RI, Ruleman A. A systematic review of voice-related patient-reported outcome measures for use with adults. J Voice. 2024; 38(2): 544.e1-544.e14. doi: 10.1016/j.jvoice.2021.09.032.
3. Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch Otorhinolaryngol. 2001; 258(2): 77-82. doi: 10.1007/s004050000299.
4. Hogikyan ND, Sethuraman G. Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice. 1999; 13(4): 557-69. doi: 10.1016/s0892-1997(99)80010-1. PMID: 10622521.
5. Gasparini G, Behlau M. Quality of life: validation of the Brazilian version of the voice-related quality of life (V-RQOL) measure. J Voice. 2009; 23(1): 76-81. doi: 10.1016/j.jvoice.2007.04.005. PMID: 17628396.
6. Behlau M, Madazio G, Moreti F, Oliveira G, Santos LM, Paulinelli BR, et al. Efficiency and cutoff values of self-assessment instruments on the impact of a voice problem. J Voice. 2016; 30(4): 506.e9-506.e18. doi: 10.1016/j.jvoice.2015.05.022.
7. Almeida LN, Nascimento JA, Behlau M, Roseno AV, Aguiar A, Almeida AA. Processo de validação de instrumentos de autoavaliação da voz no Brasil. Audiol Commun Res. 2021; 26: e2364.
8. Ma EP, Yiu EM. Voice activity and participation profile: Assessing the impact of voice disorders on daily activities. J Speech Hear Res. 2001; 44: 511-24. doi: 10.1044/1092-4388(2001/040).
9. Ricarte A, Oliveira G, Behlau M. Validation of the Voice Activity and Participation Profile protocol in Brazil. CoDAS. 2013; 25(3): 242-9. doi: 10.1590/S2317-17822013000300009.
10. Pires ME, Oliveira G, Behlau M. Aplicação do Protocolo de Participação e Atividades Vocais-PPAV em duas diferentes escalas de resposta. J Soc Bras Fonoaudiol. 2011; 23: 297-300.
11. Zambon F, Moreti F, Vargas AC, Behlau M. Efficiency and cutoff values of the Voice Activity and Participation Profile for non teachers and teachers. CoDAS. 2015; 27(6): 598-603. doi: 10.1590/2317-1782/20152015028.
12. Melo DC, Zambon F, Behlau M. Competência na comunicação e perfil de participação em atividades vocais de professores do Distrito Federal com e sem desvantagem vocal. Audiol Commun Res. 2024; 29: e2932.
13. Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index‐10. Laryngoscope. 2004; 114(9): 1549-56.
14. Costa T, Oliveira G, Behlau M. Validation of the Voice Handicap Index: 10 (VHI-10) to the Brazilian Portuguese. CoDAS. 2013; 25(5): 482-5. doi: 10.1590/S2317-17822013000500013.
15. Nanjundeswaran C, Jacobson BH, Gartner-Schmidt J, Abbott KV. Vocal Fatigue Index (VFI): development and validation. J Voice. 2015; 29(4): 433-40.
16. Zambon F, Moreti F, Ribeiro VV, Nanjundeswaran C, Behlau M. Vocal Fatigue Index: Validation and Cut-off Values of the Brazilian Version. J Voice. 2022; 36(3): 434.e17-434.e24. doi: 10.1016/j.jvoice.2020.06.018. PMID: 32693976.
17. Santiago RS, Araújo JM, Nascimento MH, Anhoque CF, Neves AT, Depolli GT, et al. Desvantagem, fadiga vocal e qualidade de vida em voz em pacientes com Esclerose Múltipla. CoDAS. 2025; 37: e20230320.
18. Coelho SC, Depolli GT, Cruz KS, Fernandes DN, Costa MR, Oliveira G, et al. Relação entre fadiga vocal e qualidade de vida relacionada à voz em professores universitários. CoDAS. 2021; 33(5): e20200174.
19. Mathieson L, Hirani SP, Epstein R, et al. Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia. J Voice. 2009; 23: 353-66.
20. Rodrigues G, Zambon F, Mathieson L, Behlau M. Vocal Tract discomfort in teachers: its relationship to self-reported voice disorders. J Voice. 2013; 27(4): 473-80. PMid:23528674. http://dx.doi.org/10.1016/j.jvoice.2013.01.005
21. Deary IJ, Wilson JA, Carding PN, MacKenzie K. VoiSS: a patient-derived Voice Symptom Scale. J Psychosom Res. 2003; 54(5): 483-9. doi: 10.1016/S0022-3999(02)00469-5.
22. Moreti F, Zambon F, Oliveira G, Behlau M. Cross-cultural adaptation, validation, and cutoff values of the Brazilian version of the Voice Symptom Scale-VoiSS. J Voice. 2014; 28(4): 458-68. doi: 10.1016/j.jvoice.2013.11.009.
23. Depolli GT, Moreti F, Azevedo EH, Guimarães MF. Vocal sensory symptoms, vocal fatigue and vocal habits in university professors. J Voice. 2024; 38(2): 309-15.
24. Godoy JF, Vieira DP, Siqueira LT. Sintomas vocais e dor musculoesquelética em não profissionais da voz. Audiol Commun Res. 2024; 29: e2930.
25. Epstein R, Hirani SP, Stygall J, Newman SP. How do individuals cope with voice disorders? Introducing the voice disability coping questionnaire. J Voice. 2009; 23(2): 209-17. doi: 10.1016/j.jvoice.2007.09.001. PMID: 18538984.
26. Oliveira G, Hirani S, Epstein R, Yazigi L, Behlau M. Validation of the Brazilian Version of the Voice Disability Coping Questionnaire. J Voice. 2016; 30(2): 247.e13-21. doi: 10.1016/j.jvoice.2015.01.004. PMID: 26474711.
27. Guimarães MF, Oliveira LO, Azevedo EH. Vocal activity profile and dysphonia coping strategies in subjects with laryngeal cancer treated with radiotherapy. Rev CEFAC. 2018; 20: 374-81.
28. Oliveira G, Zambon F, Vaiano T, Costa F, Behlau M. Versões reduzidas para protocolo clínico de enfrentamento das disfonias. CoDAS. 2016; 28(6): 828-32.
29. McConnaughy EA, Prochaska JO, Velicer WF. Stages of change in psychotherapy: measurement and sample profiles. Psychother Theory Res Pract. 1983; 20(3): 368-75.
30. Teixeira LC, Rodrigues AL, Silva AF, Azevedo R, Gama AC, Behlau M. The use of the URICA-VOICE questionnaire to identify the stages of adherence to voice treatment. CoDAS. 2013; 25(1): 8-15. doi: 10.1590/S2317-17822013000100003.
31. Moreti F, Zambon F, Behlau M. Questionário de Saúde e Higiene Vocal (Vocal Health and Hygiene Questionnaire): Development, Validation, and Cutoff Value. Folia Phoniatr Logop. 2025. doi: 10.1159/000547898.
32. Depolli GT, Fernandes DNS, Costa MRB, Coelho SC, Azevedo EHM, Guimarães MF. Fadiga e sintomas vocais em professores universitários. Distúrb Comun. 2019; 31(2): 225-33.
33. Rosa IC, Dassie-Leite AP, Pereira EC, Martins PD. Futuros professores e a autopercepção de sintomas vocais e conhecimento em saúde e higiene vocal. CoDAS. 2023; 35: e20220160.
34. Brasil. Lei nº 13.787, de 27 de dezembro de 2018. Dispõe sobre a digitalização e a utilização de sistemas informatizados para a guarda, o armazenamento e o manuseio de prontuário de paciente. Diário Oficial da União. 2018 dez 28; Seção 1:1.
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Copyright (c) 2025 Vitor Sérgio Borges, Mel Mutiz de Lacerda, Gabriel Trevizani, Elma Heitmann, Felipe Moreti, Michelle Guimarães
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