Monitoring change requires a rethink of assessment practices in voice and speech
Abstract
Assessment for the purpose of monitoring change over time requires a different practical and statistical approach to that of assessment for diagnosing impairment. Sophisticated methods exist for identifying strengths and weaknesses in a patient's voice/speech profile, yet our understanding of the impact of repeated assessment is limited. Monitoring change necessitates that stimuli are stable in the absence of any true change in functioning, while remaining sensitive to influences that are considered to alter functioning (degeneration, therapy). The current paper discusses the issues relating to stimuli selection, identifying error within the sample and appropriate statistical models for identifying intra-individual change in the context of clinical and experimental speech or voice examinations.
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It can be challenging to quantify neurological deficits such as impaired speech and gait in an objective and reproducible way.
“In turn, it can be challenging to quantify neurological deficits such as impaired speech and gait in an objective and reproducible way. 17”
From Developing digital health technologies for frontotemporal degeneration (2025) · cites this paper as [17]
Cites
Measures of Reliability in Sports Medicine and Science
Hopkins, W. G. (2000) · Sports Medicine · doi:10.2165/00007256-200030010-00001 · Cited by 4,635 · see citing works
The Voice Handicap Index (VHI): Development and Validation
Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobson, G., Benninger, M. S., & Newman, C. W. (1997) · American Journal of Speech-Language Pathology · doi:10.1044/1058-0360.0603.66 · Cited by 2,574 · see citing works
Meta-analysis of experiments with matched groups or repeated measures designs
Dunlap, W. P., Cortina, J. M., Vaslow, J. B., & Burke, M. J. (1996) · Psychological Methods · doi:10.1037/1082-989x.1.2.170 · Cited by 1,693 · see citing works
The RAND-36 measure of health-related quality of life
Hays, R. D., & Morales, L. S. (2001) · Annals of Medicine · doi:10.3109/07853890109002089 · Cited by 1,460 · see citing works
Consensus Auditory-Perceptual Evaluation of Voice: Development of a Standardized Clinical Protocol
Kempster, G. B., Gerratt, B. R., Abbott, K. V., Barkmeier‐Kraemer, J. M., & Hillman, R. E. (2009) · American Journal of Speech-Language Pathology · doi:10.1044/1058-0360(2008/08-0017 · Cited by 1,013 · see citing works
Statistics Notes: Measurement error and correlation coefficients
Bland, J. M., & Altman, D. G. (1996) · BMJ · doi:10.1136/bmj.313.7048.41 · Cited by 643 · see citing works
Sex hormones and the female voice
Abitbol, J., Abitbol, P., & Abitbol, B. (1999) · Journal of Voice · doi:10.1016/s0892-1997(99)80048-4 · Cited by 513 · see citing works
Test “Reliability”: Its Meaning and Determination
Cronbach, L. J. (1947) · Psychometrika · doi:10.1007/bf02289289 · Cited by 460 · see citing works
Falleti, M. G., Maruff, P. T., Collie, A., & Darby, D. (2006) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390500205718 · Cited by 424 · see citing works
Self-citationVocal Acoustic Biomarkers of Depression Severity and Treatment Response
Mundt, J. C., Vogel, A. P., Feltner, D. E., & Lenderking, W. R. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.03.015 · Cited by 323 · see citing works
Self-citationPrinciples and Practice of Behavioral Assessment
Haynes, S. N., & O’Brien, W. H. (2000) · Applied Clinical Psychology · doi:10.1007/978-0-306-47469-9 · Cited by 272 · see citing works
The Use of Standardized Tests for Individuals with Cognitive-Communication Disorders
Turkstra, L. S., COELHO, C. A., & Ylvisaker, M. (2005) · Seminars in Speech and Language · doi:10.1055/s-2005-922101 · Cited by 159 · see citing works
Regression Tree Approach to Studying Factors Influencing Acoustic Voice Analysis
Deliyski, D. D., Bonilha, H. S., Evans, M. K., & Vesselinov, R. M. (2006) · Folia Phoniatrica et Logopaedica · doi:10.1159/000093184 · Cited by 96 · see citing works
Fredrickson, A., Snyder, P. J., Cromer, J., Thomas, E. H. X., Lewis, M., & Maruff, P. T. (2008) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.942 · Cited by 73 · see citing works
Self-citationKent, R. D., Vorperian, H. K., & Duffy, J. R. (1999) · American Journal of Speech-Language Pathology · doi:10.1044/1058-0360.0802.129 · Cited by 73 · see citing works
Acoustic analysis of the effects of sustained wakefulness on speech
Vogel, A. P., Fletcher, J. M., & Maruff, P. T. (2010) · The Journal of the Acoustical Society of America · doi:10.1121/1.3506349 · Cited by 71 · see citing works
Self-citationStandardization of pitch-range settings in voice acoustic analysis
Vogel, A. P., Maruff, P. T., Snyder, P. J., & Mundt, J. C. (2009) · Behavior Research Methods · doi:10.3758/brm.41.2.318 · Cited by 69 · see citing works
Self-citationVogel, A. P., Fletcher, J. M., Snyder, P. J., Fredrickson, A., & Maruff, P. T. (2010) · Journal of Voice · doi:10.1016/j.jvoice.2009.09.003 · Cited by 69 · see citing works
Self-citationGarrett, K. L., & Healey, E. C. (1987) · The Journal of the Acoustical Society of America · doi:10.1121/1.395437 · Cited by 63 · see citing works
Factors affecting the quality of sound recording for speech and voice analysis
Vogel, A. P., & Morgan, A. T. (2009) · International Journal of Speech-Language Pathology · doi:10.3109/17549500902822189 · Cited by 61 · see citing works
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Kreiman, J. E., & Gerratt, B. R. (2010) · Perspectives on Voice and Voice Disorders · doi:10.1044/vvd20.2.62 · Cited by 51 · see citing works
Changes in voice during a day in normal voices without vocal loading
Artkoski, M., Tommila, J., & Laukkanen, A.-M. (2002) · Logopedics Phoniatrics Vocology · doi:10.1080/140154302760834840 · Cited by 46 · see citing works
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Self-citationLongitudinal voice changes: Facts and interpretation
Decoster, W., & Debruyne, F. (2000) · Journal of Voice · doi:10.1016/s0892-1997(00)80026-0 · Cited by 45 · see citing works
Time-of-day effects on voice range profile performance in young, vocally untrained adult females
van Mersbergen, M., Verdolini, K., & Titze, I. R. (1999) · Journal of Voice · doi:10.1016/s0892-1997(99)80007-1 · Cited by 29 · see citing works
The Effect of Speaking Context on Elicitation of Habitual Pitch
Zraick, R. I., Gentry, M. A., Smith-Olinde, L., & Gregg, B. A. (2005) · Journal of Voice · doi:10.1016/j.jvoice.2005.08.008 · Cited by 24 · see citing works
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Self-citationMa (2001) · doi:10.1044/1092-4388(2001/040
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Self-citation
- Authors
- Vogel, A. P., & Maruff, P.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Vogel, Adam P.
- Venue
- Logopedics Phoniatrics Vocology
- Publisher
- Informa UK Limited
- Published
- 2013-03-05
- Volume
- 39
- Issue
- 2
- Pages
- 56-61
- ISSN
- 1401-5439 (ISSN-L)
- 1651-2022
- OpenAlex
- W2092786874
- Cited by
- 45
- References
- 28
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 1
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Logopedics Phoniatrics Vocology (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Phonetics and Phonology Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- voice assessment, speech assessment, repeated assessment, stimulus selection, error identification, within-person change, voice therapy, degeneration
- MeSH terms
- Acoustics, Data Interpretation, Statistical, Humans, Phonetics, Predictive Value of Tests, Speech Acoustics, Speech-Language Pathology, Speech Production Measurement, Time Factors, Voice Quality, Reproducibility of Results, Models, Statistical
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