ArticleJournal of clinical medicine2021
Validation and Classification of the 9-Item Voice Handicap Index (VHI-9i).
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Velopharyngeal Inadequacy-Related Quality of Life Assessment: The Instrument Development and Application Review.Frontiers in surgery · 2022Pooled it
- Gender-Affirming Feminization Voice Surgery: A Scoping Review of Preoperative Assessments.The Laryngoscope · 2026Article
- Review
- Phonosurgical Treatment of Laryngeal Leukoplakia and Dysplasia: Results of Multidimensional Voice Diagnostics Including the VEM.Diagnostics (Basel, Switzerland) · 2026Article
- Assessing the effects of botulinum toxin therapy for spasmodic dysphonia: An Austria-Germany registry.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Incidence and nature of functional voice disorders.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025Article
- Psychological Distress and Quality of Life in Patients with Laryngeal Cancer: A Review.Healthcare (Basel, Switzerland) · 2025Review
- Treatment Effects of Combined Transoral Injection Laryngoplasty with Short Voice Therapy in Patients with Unilateral Vocal Fold Immobility: A Pilot Study.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025Article
- Tracheoesophageal puncture and quality of life after total laryngectomy: A systematic review and meta-analysis.Laryngoscope investigative otolaryngology · 2024Review
- Patient-reported outcomes measure for patients with cleft palate.Frontiers in public health · 2024Review
- Harnessing Machine Learning in Vocal Arts Medicine: A Random Forest Application for "Fach" Classification in Opera.Diagnostics (Basel, Switzerland) · 2023Article
- Review
- [Vocal fatigue as an indicator of complex voice disorders-a diagnostic and therapeutic challenge].HNO · 2022Article
- A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index - 10 score.Journal of family medicine and primary care · 2022Article
- Advances in Management of Voice and Swallowing Disorders.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The international nine-item Voice Handicap Index (VHI-9i) is a clinically established short-scale version of the original VHI, quantifying the patients' self-assessed vocal handicap. However, the current vocal impairment classification is based on percentiles. The main goals of this study were to establish test-retest reliability and a sound statistical basis for VHI-9i severity levels. Between 2009 and 2021, 17,660 consecutive cases were documented. A total of 416 test-retest pairs and 3661 unique cases with complete multidimensional voice diagnostics were statistically analyzed. Classification candidates were the overall self-assessed vocal impairment (VHIs) on a four-point Likert scale, the dysphonia severity index (DSI), the vocal extent measure (VEM), and the auditory-perceptual evaluation (GRB scale). The test-retest correlation of VHI-9i total scores was very high (r = 0.919,
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