Reliability and Validity of the Mandarin Version of Singing Voice Handicap Index - 10 (MSVHI-10)

  • Sherry Fu
    Mackay Medical College, Department of Audiology and Speech Language Pathology, New Taipei City, Taiwan

    Taipei American School, Lower School, Taipei, Taiwan
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  • Yi-Chen Chen
    University of Taipei, Graduate Master's Program of Speech and Language Pathology, Taipei, Taiwan
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  • Chi-Te Wang
    Address correspondence and reprint requests to Chi-Te Wang, No.21, Sec. 2, Nanya S. Rd., Banciao District, New Taipei City 220, Taiwan.
    University of Taipei, Graduate Master's Program of Speech and Language Pathology, Taipei, Taiwan

    Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

    Department of Electric Engineering, Yuan-Ze University, Taoyuan, Taiwan
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      The present study aims to evaluate the reliability and validity of the Mandarin version of the Singing Voice Handicap Index-10 (MSVHI-10).


      One hundred and fifteen singers, aged from 21 to 65, participated in this study. All the subjects completed the Mandarin version of the SVHI-10 and the Voice Handicap Index-10 (VHI-10). Other gathered information include sex, age, type of singing performance, and the accumulated years of singing. We also asked the participants to self-report the presence of singing voice complaint. Statistical analyses were performed to evaluate the validity, reliability, and the Receiver Operating Characteristic (ROC) curve of MSVHI-10.


      The results showed high internal consistency (Cronbach's α =0.96), with the scores of each question ranged from 0.57 to 0.90. Forty-three singers re-filled the MSVHI-10 with an interval of 12.7 ± 9.3 days (mean ± standard deviation), and the results showed a high test-retest reliability (r = 0.98, P < 0.01). The SVHI-10 scores were significantly correlated with the VHI-10 (r = 0.54-0.72, P < 0.01). ROC analysis revealed a high differentiating accuracy for distinguishing between the subjects with or without singing voice complaints, with an area under the curve (AUC) of 0.97. At the cut-off score of 21.5, the sensitivity and specificity were 85.7% and 95.9%, respectively.


      The Mandarin version of the SVHI-10 has been shown to be a reliable and valid instrument for evaluating the self-perception of singing voice complaints.

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