COSMIN database

Psychometric evaluation of disease specific quality of life instruments in voice disorders

Franic, D. M., Bramlett, R. E., and Bothe, A. C.
The objective of this study was to compare the psychometric properties of voice disordered quality of life (VQOL) instruments. Nine VQOL instruments were identified through a comprehensive literature search. Based on specific criteria, four were selected for comprehensive review: Voice Handicap Index (VHI), Voice Activity and Participation Profile (VAPP), Voice-Related Quality of Life (V-RQOL) and Voice Outcome Survey (VOS). Selected instruments were evaluated based on 11 measurement standards related to item information, versatility, practicality, breadth and depth of health measure, reliability, validity, and responsiveness. VHI and V-RQOL each met 7 of 11 criteria, with VHI showing additional preferable item information, practicality, and reliability over V-RQOL and V-RQOL showing preferable responsiveness properties over VHI. These study results do not support the Social Security Administration's recent conclusion that the VHI meets reliability and validity standards for individual decision making. Nevertheless, the present results do support the use of VHI total scores for clinical use with individual patients, and the use of V-RQOL total scores or individual dimension scores for use with groups of patients.
J Voice
0892-1997 (Print)
Publication year:
Symptom status:
Physical state
Functional status:
Role functioning
General health perceptions / HRQoL:
Health-related quality of life
Adults (18-65)
Children (0-18)
Seniors (65+)
Codes for special purposes
Diseases of and symptoms related to the respiratory system
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
2 - Interviews
6 - Clinical rating scales
HNQOL - University of Michigan Head and Neck Quality of Life Questionnaire
PVOS - Pediatric Voice Outcome Survey
UWQOL - University of Washington Quality-of-life Instrument (alias: UW QOL) (versions: UWQOL-V4; UWQOL-r - revised form)
VAPP - Voice Activity and Participation Profile
VC-QOLQ - Voice Clinic Quality of Life Questionnaire
VDI - Voice Disability Index
VHI - Voice Handicap Index   
VOS - Voice Outcome Survey
V-RQOL - Voice-Related Quality of Life measure