An Investigation of Reliability of the Sunderland Tracheosophageal Voice Perceptual Scale.


Journal

Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)
ISSN: 1421-9972
Titre abrégé: Folia Phoniatr Logop
Pays: Switzerland
ID NLM: 9422792

Informations de publication

Date de publication:
2019
Historique:
received: 05 12 2017
accepted: 11 09 2018
pubmed: 5 12 2018
medline: 30 7 2019
entrez: 5 12 2018
Statut: ppublish

Résumé

The Sunderland Tracheosophageal Voice Perceptual scale (SToPS) is the only perceptual rating scale designed specifically for tracheosophageal voice [Hurren et al.: Clin Otolaryngol. 2009 Dec; 34(6): 533-8]. To investigate the inter rater reliability of the SToPS when analyzing alaryngeal voice. Prospective evaluation of inter rater reliability of the SToPS based on audio recordings of 230 voice samples from 41 laryngectomy patients rated by 3 experts. Interval data were analyzed using intraclass correlation coefficients (ICC) while categorical data were analyzed using Kappa. ICC of above 0.6 was observed between raters for each prosthesis on a majority of parameters demonstrating a good level of reliability. Reliability was fair (ICC of between 0.40 and 0.59) on Q11 (Articulatory precision) and Q12 (Paralinguistics). Reliability was also fair (0.21-0.40) or slight (0.00-0.20) for Q2 (Tonicity), which was analyzed using Kappa. Kappa above 0.61 signified a good level of reliability. This study demonstrates good rater reliability for the majority of parameters on the SToPS scale, supporting the use of this tool within the clinical realm. However, further research is required to ascertain if any methods of increasing inter rater reliability on those parameters which did not reach good reliability can be identified.

Sections du résumé

BACKGROUND
The Sunderland Tracheosophageal Voice Perceptual scale (SToPS) is the only perceptual rating scale designed specifically for tracheosophageal voice [Hurren et al.: Clin Otolaryngol. 2009 Dec; 34(6): 533-8].
OBJECTIVE
To investigate the inter rater reliability of the SToPS when analyzing alaryngeal voice.
METHODS
Prospective evaluation of inter rater reliability of the SToPS based on audio recordings of 230 voice samples from 41 laryngectomy patients rated by 3 experts. Interval data were analyzed using intraclass correlation coefficients (ICC) while categorical data were analyzed using Kappa.
RESULTS
ICC of above 0.6 was observed between raters for each prosthesis on a majority of parameters demonstrating a good level of reliability. Reliability was fair (ICC of between 0.40 and 0.59) on Q11 (Articulatory precision) and Q12 (Paralinguistics). Reliability was also fair (0.21-0.40) or slight (0.00-0.20) for Q2 (Tonicity), which was analyzed using Kappa. Kappa above 0.61 signified a good level of reliability.
CONCLUSIONS
This study demonstrates good rater reliability for the majority of parameters on the SToPS scale, supporting the use of this tool within the clinical realm. However, further research is required to ascertain if any methods of increasing inter rater reliability on those parameters which did not reach good reliability can be identified.

Identifiants

pubmed: 30513519
pii: 000493751
doi: 10.1159/000493751
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Pagination

16-23

Informations de copyright

© 2018 S. Karger AG, Basel.

Auteurs

Margaret M Coffey (MM)

Department of SLT, Charing Cross Hospital, London, United Kingdom, margaret.coffey10@imperial.ac.uk.

Neil Tolley (N)

Imperial College Healthcare Trust, Department of ENT, St Mary's Hospital, London, United Kingdom.

David Howard (D)

Imperial College London, Imperial College Healthcare Trust, Department of ENT, Charing Cross Hospital, London, United Kingdom.

Mary Hickson (M)

Plymouth University, Plymouth, United Kingdom.

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