Correlation Between a Self-Voice Assessment and Objective-Voice Evaluation Outcomes in Speech Language Pathology Students



      The aims of this study is to explore the correlation between the Voice Disorder Index (VDI) score and acoustic and phonatory respiratory voice parameters in speech language pathology (SLP) students with and without self-perceived voice disorders.


      The Voice Disorder Index (VDI) and the Lingwaves 3 “Voice Protocol” were administered to each participant in order to assess his/her self-perceived severity of his/her voice problem, as well as, acoustic and phonatory respiratory measurements. The correlation coefficients were used to evaluate and quantify the degree of a linear relationship between VDI scores and acoustic and phonatory respiratory voice measures in students with and without self-perceived voice disorders.


      Relatively strong, strong and strong positive correlations were revealed when comparing the VDI physical subscale with the Dysphonia Severity Index (r(11) = 0.56, P = 0.048), mean loudness when reading in English (r(11) = 0.70, P = 0.008) and mean loudness when reading in Greek (r(11) =0.69, P = 0.009) respectively.


      SLP students may be more aware of the impact of their laryngeal discomfort and voice output characteristics on their daily activities that can predict certain acoustic parameters than the emotional and functional impact on their daily activities.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Simberg S
        • Sala E
        • Rönnemaa A-M.
        A comparison of the prevalence of vocal symptoms among teacher students and other university students.
        J Voice. 2004; 18: 363-368
        • Thomas G
        • De Jong F
        • Kooijman P
        • et al.
        Voice complaints, risk factors for voice problems and history of voice problems in relation to puberty in female student teachers.
        Folia Phoniatr Logop. 2006; 58: 305-322
        • Thomas G
        • de Jong FI
        • Cremers CW
        • et al.
        Prevalence of voice complaints, risk factors and impact of voice problems in female student teachers.
        Folia Phoniatr Logop. 2006; 58: 65-84
        • Ohlsson A-C
        • Andersson EM
        • Södersten M
        • et al.
        Prevalence of voice symptoms and risk factors in teacher students.
        J Voice. 2012; 26: 629-634
        • Greve K
        • Bryn EK
        • Simberg S.
        Voice disorders and impact of voice handicap in Norwegian student teachers.
        J Voice. 2019; 33: 445-452
        • Ohlsson A-C
        • Demitz-Helin G
        • Furu A-C
        • et al.
        Potential risk factors and prevalence of voice symptoms in students starting their teacher education.
        J Voice. 2021; 35: 323.e321-323.e328
        • Gottliebson RO
        • Lee L
        • Weinrich B
        • et al.
        Voice problems of future speech-language pathologists.
        J Voice. 2007; 21: 699-704
        • Searl J
        • Dargin T.
        Voice and lifestyle behaviors of speech-language pathology students: impact of history gathering method on self-reported data.
        J Voice. 2021; 35 (158.e159-158.e120)
        • Kyriakou K
        • Theodorou E
        • Petinou K
        • et al.
        Risk factors for voice disorders in undergraduate speech language pathology students.
        J Voice. 2022;
        • Soumya M
        • Narasimhan SV.
        Correlation between subjective and objective parameters of voice in elderly male speakers.
        J Voice. 2020;
        • Colton R
        • Casper J.
        Understanding Voice Problems. A Physiological Perspective for Diagnosis and Treatment.
        Williams & Wilkins, Baltimore1996
        • Niebudek-Bogusz E
        • Woznicka E
        • Zamyslowska-Szmytke E
        • et al.
        Correlation between acoustic parameters and voice handicap index in dysphonic teachers.
        Folia Phoniatr Logop. 2010; 62: 55-60
        • Hanschmann H
        • Lohmann A
        • Berger R.
        Comparison of subjective assessment of voice disorders and objective voice measurement.
        Folia Phoniatr Logop. 2011; 63: 83-87
        • Schindler A
        • Mozzanica F
        • Vedrody M
        • et al.
        Correlation between the voice handicap index and voice measurements in four groups of patients with dysphonia.
        Otolaryngol Head Neck Surg. 2009; 141: 762-769
        • Lin F-C
        • Chen SH
        • Chen S-C
        • et al.
        Correlation between acoustic measurements and self-reported voice disorders among female teachers.
        J Voice. 2016; 30: 460-465
        • Karlsen T
        • Sandvik L
        • Heimdal J-H
        • et al.
        Acoustic voice analysis and maximum phonation time in relation to voice handicap index score and larynx disease.
        J Voice. 2020; 34: 161.e127-161.e135
        • Hsiung M-W
        • Pai L
        • Wang H-W.
        Correlation between voice handicap index and voice laboratory measurements in dysphonic patients.
        Eur Arch Otorhinolaryngol. 2002; 259: 97-99
        • Hummel C
        • Scharf M
        • Schuetzenberger A
        • et al.
        Objective voice parameters and self-perceived handicap in dysphonia.
        Folia Phoniatr Logop. 2010; 62: 303-307
        • Woisard V
        • Bodin S
        • Yardeni E
        • et al.
        The voice handicap index: correlation between subjective patient response and quantitative assessment of voice.
        J Voice. 2007; 21: 623-631
        • Sabir B
        • Touri B
        • Moussetad M.
        Correlation between acoustic measures, voice handicap index and GRBAS scales scores among Moroccan students.
        Curr Pediatr Res. 2017;
        • Tafiadis D
        • Tatsis G
        • Ziavra N
        • et al.
        Voice data on female smokers: coherence between the voice handicap index and acoustic voice parameters.
        AIMS Med Sci. 2017; 4: 151-163
        • WEVOSYS
        lingWAVES Voice Disorder Index /Voice Handicap Index-12.
        • WEVOSYS
        lingWAVES 3 Global Handbook for SLP and Voice Clinic Suites.
        • Gugatschka M
        • Rechenmacher J
        • Chibidziura J
        • Friedrich G
        Comparability and conversion of Stimmstörungsindex (SSI) and Voice Handicap Index (VHI).
        Laryngo-rhino-otologie. 2007; 86: 785-788
        • Helidoni ME
        • Murry T
        • Moschandreas J
        • et al.
        Cross-cultural adaptation and validation of the voice handicap index into Greek.
        J Voice. 2010; 24: 221-227
        • Jacobson BH
        • Johnson A
        • Grywalski C
        • et al.
        The voice handicap index (VHI) development and validation.
        Am J Speech Lang Pathol. 1997; 6: 66-70
        • Rea LM
        • Parker RA
        Designing and Conducting Survey Research: A Comprehensive Guide.
        John Wiley & Sons, 2014