Establishing Validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)
Establishing Validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)
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DOI：
10.1044/1058-0360(2010/09-0105
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发表时间：
2011-02-01
影响因子：
2.6
通讯作者：
Glaze, Leslie E.
中科院分区：
文献类型：
--
作者：
Zraick, Richard I.;Kempster, Gail B.;Glaze, Leslie E.
目的：开发声音共识听觉感知评估 (CAPE-V) 的目的是为临床医生提供一种协议和表格，供临床医生在评估患有嗓音障碍的成人的声音质量时使用（Kempster、Gerratt、Verdolini Abbott、Barkmeier-Kramer 和 Hillman，2009）。本研究检验了经验丰富的声音临床医生使用 CAPE-V 判断正常和紊乱声音时的可靠性和经验有效性。方法：通过两种方式检验 CAPE-V 的有效性。首先，我们使用 CAPE-V 和 GRBAS（等级、粗糙度、呼吸音、虚弱、紧张；参见 Hirano，1981）量表比较了 21 名评估者对 22 种正常声音和 37 种紊乱声音做出的判断。其次，我们将评估者对 59 种声音的总体严重性的判断与先验一致的严重性判断进行了比较。结果：CAPE-V 的评估者内可靠性系数范围从呼吸性的 0.82 到紧张的 0.35；评估者间的可靠性范围从整体严重性的 0.76 到音调的 0.28。 结论：虽然 CAPE-V 和 GRBAS 可靠性系数因评估者和参数的不同而有所不同，但本研究报告，与 GRBAS 量表相比，使用 CAPE-V 对语音质量进行感知判断时，评估者的可靠性略有提高。结果为 CAPE-V 的经验（同时）有效性提供了证据。
Purpose: The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) was developed to provide a protocol and form for clinicians to use when assessing the voice quality of adults with voice disorders (Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kramer, & Hillman, 2009). This study examined the reliability and the empirical validity of the CAPE-V when used by experienced voice clinicians judging normal and disordered voices.Method: The validity of the CAPE-V was examined in 2 ways. First, we compared judgments made by 21 raters of 22 normal and 37 disordered voices using the CAPE-V and the GRBAS (grade, roughness, breathiness, asthenia, strain; see Hirano, 1981) scales. Second, we compared our raters' judgments of overall severity to a priori consensus judgments of severity for the 59 voices.Results: Intrarater reliability coefficients for the CAPE-V ranged from .82 for breathiness to .35 for strain; interrater reliability ranged from .76 for overall severity to .28 for pitch.Conclusions: Although both CAPE-V and GRBAS reliability coefficients varied across raters and parameters, this study reports slightly improved rater reliability using the CAPE-V to make perceptual judgments of voice quality in comparison to the GRBAS scale. The results provide evidence for the empirical (concurrent) validity of the CAPE-V.