Evidence map›Paper›PMID 42600142›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2026

Pediatric Auditory-Perceptual Evaluation of Voice Part 2: A Protocol.

Robert Brinton Fujiki, Sijia Huang, Rebecca Johnson, Susan L Thibeault

Abstract readValidation Study
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Robert Brinton FujikiDepartment of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis.ORCID 0000-0002-9273-046X
Sijia HuangDepartment of Applied Psychology in Education and Research Methodology, Indiana University Bloomington.
Rebecca JohnsonDepartment of Otolaryngology-Head & Neck Surgery, University of Wisconsin-Madison.
Susan L ThibeaultDepartment of Otolaryngology-Head & Neck Surgery, University of Wisconsin-Madison.ORCID 0000-0002-9046-4356

Funding

Engineering the Vocal Fold MucosaR01DC004336 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2000 to 2026
$14.6M
University of Wisconsin Voice Research Training Program (T32)T32DC009401 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2009 to 2026
$6.3M
CTSA K12 Program at Indiana UniversityK12TR004415 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI SAMIR KUMAR GUPTA · 2023 to 2026
$3.4M
NCATS NIH HHS K12 TR004415NIDCD NIH HHS R01 DC004336NIDCD NIH HHS T32 DC009401
6 · The paper itself

Abstract

purposeAlthough auditory-perceptual voice assessments are crucial for evaluating pediatric voices, no protocol designed for use with children has been established. This study created and validated the Pediatric Auditory-Perceptual Evaluation of Voice (PAPE-V) protocol for use across childhood. Influence of scale type and speaker demographics on voice rating reliability was considered.

methodTen speech-language pathologists (SLPs) specialized in pediatric voice rated voice samples from 102 children aged 3-17 years with and without diagnosed voice disorders (47% female). SLPs were asked to rate each voice for overall voice quality, breathiness, roughness, strain, pitch, and loudness. Voices were rated twice across two separate sessions, with 20% of voices repeated to allow for the calculation of intrarater reliability. In each session, either visual analog scales (VASs) or Likert scales were utilized (order counterbalanced across raters). Interrater and intrarater reliabilities were compared across rating scales and child demographics using intraclass correlation coefficients (ICCs) and Krippendorff's alphas. SLPs' feedback regarding both scale types was also obtained.

resultsInterrater and intrarater reliabilities were high across all conditions. For both scale types, ICCs were highest for overall voice quality (Likert ICC = .97, VAS ICC = .96) and lowest for pitch (Likert ICC = .82, VAS ICC = .78). Interrater reliability was significantly greater for children presenting with voice disorders than for children with healthy voices (

conclusionsThe PAPE-V can be used to perform reliable auditory-perceptual voice assessments in children using either VAS or Likert scales. This protocol constitutes an important step in promoting the reliability and efficiency in pediatric voice assessments.

Indexed as

Auditory PerceptionSpeech-Language PathologySpeech PerceptionSpeech Production MeasurementVoice DisordersVoice QualityAdolescentChildChild, PreschoolFemaleHumansMaleObserver VariationReproducibility of Results

Identifiers

PMID42600142
PMCPMC13678538

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.