This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Voice Handicap Index
Short Name:
VHI
Description:
The Voice Handicap Index (VHI) is a 30-item instrument that is used to quantify the psychosocial consequences of voice disorders (Jacobson et al., 1997). The VHI questionnaire assesses the functional (10 questions); emotional (10 questions); and physical (10 questions) aspects of voice and effects of voice on quality of life. Copyright 1997-2001 American Speech-Language-Hearing Association. American Journal of Speech-Language Pathology, Vol 6(3), 66-70, 1997, The Voice Handicap Index is reprinted with permission from all authors and ASHA. Reference: Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jaconsen G, Benninger MS. The Voice Handicap Index (VHI): Development and Validation. Am J Speech Lang Pathol. 1997;6(3):66-70.4
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-13
Owner:
Number of Data Elements:
49
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

Voice Handicap Index Part I-F (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Voice Handicap Index (VHI) - Listener difficulty hear subject participant voice frequency scale  Scale reflecting frequency that listeners have difficulty hearing subject/participant's voice, as part of the Voice Handicap Index (VHI) VHILsnrDfctHrSjPrtcVoicFrqScl Recommended CDE
2 Voice Handicap Index (VHI) - Listener difficulty understand subject participant noisy room frequency scale  Scale reflecting frequency that listeners have difficulty understanding subject/participant in a noisy room, as part of the Voice Handicap Index (VHI) VHILnrDfctUnsdSjPrtcNsyRmFqScl Recommended CDE
3 Voice Handicap Index (VHI) - Family difficulty hear subject participant call within house frequency scale  Scale reflecting frequency that family has difficulty hearing subject/participant calling throughout the house, as part of the Voice Handicap Index (VHI) VHIFlyDfctHrSjPrtCallInHsFqScl Recommended CDE
4 Voice Handicap Index (VHI) - Subject participant use telephone less than desire frequency scale  Scale reflecting frequency that subject/participant uses telephone less often than desired, as part of the Voice Handicap Index (VHI) VHISjPrtUseTlphnLssDesirFrqScl Recommended CDE
5 Voice Handicap Index (VHI) - Subject participant avoid groups because voice frequency scale  Scale reflecting the frequency that subject/participant avoids groups of people because of voice, as part of the Voice Handicap Index (VHI) VHISjPrtAvoidGrpsBcVoiceFrqScl Recommended CDE
6 Voice Handicap Index (VHI) - Subject participant speak less often friend neighbor relative because voice frequency scale  Scale reflecting the frequency that subject/participant speaks less often with friends/neighbors/relatives because of voice, as part of the Voice Handicap Index (VHI) VHISjPtSpLsOftFdNbRvBcVcFrqScl Recommended CDE
7 Voice Handicap Index (VHI) - People request subject participant repeat self when speak face to face frequency scale  Scale reflecting the frequency that people ask the subject/participant to repeat their self when speaking face-to-face, as part of the Voice Handicap Index (VHI) VHIPplRqtSjPtRpSfSpkFc2FcFqScl Recommended CDE
8 Voice Handicap Index (VHI) - Subject participant voice difficulty restrict personal life frequency scale  Scale reflecting the frequency that voice difficulties restrict subject/participant's personal and social life, as part of the Voice Handicap Index (VHI) VHISjPtVcDfcltRstctPslLfFrqScl Recommended CDE
9 Voice Handicap Index (VHI) - Subject participant feel voice exclude conversation frequency scale  Scale reflecting the frequency that subject/participant feels left out of conversations due to voice, as part of the Voice Handicap Index (VHI) VHISjPtFeelVcExcludConvoFrqScl Recommended CDE
10 Voice Handicap Index (VHI) - Subject participant lose income voice problem frequency scale  Scale reflecting the frequency that subject/participant's voice problem causes loss of income, as part of the Voice Handicap Index (VHI) VHISjPtLoseIncmVoiceProbFrqScl Recommended CDE
11 Voice Handicap Index (VHI) - Part I-F subtotal score  Subtotal score for Part I-F, as part of the Voice Handicap Index (VHI) VHIPartIFSubtotalScore Recommended CDE

Voice Handicap Index Part II-P (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Voice Handicap Index (VHI) - Subject participant exhaust breath talk frequency scale  Scale reflecting the frequency that subject/participant exhausts breath when talking, as part of the Voice Handicap Index (VHI) VHISjPtExhaustBreathTalkFrqScl Recommended CDE
2 Voice Handicap Index (VHI) - Subject participant voice sound variable day frequency scale  Scale reflecting the frequency that the sound of subject/participant's voice varies in the course of the day, as part of the Voice Handicap Index (VHI) VHISjPtVoiceSndVryDayFreqScl Recommended CDE
3 Voice Handicap Index (VHI) - Listener question subject participant voice problem frequency scale  Scale reflecting the frequency that people ask subject/participant about voice problems, as part of the Voice Handicap Index (VHI) VHILsnrQuestnSjPtVoicPrbFrqScl Recommended CDE
4 Voice Handicap Index (VHI) - Subject participant voice creaky dry feel frequency scale  Scale reflecting the frequency that subject/participant's voice feels creaky and dry, as part of the Voice Handicap Index (VHI) VHISjPtVoiceCreakDryFeelFrqScl Recommended CDE
5 Voice Handicap Index (VHI) - Subject participant strain vocalize frequency scale  Scale reflecting the frequency that subject/participant strains to vocalize, as part of the Voice Handicap Index (VHI) VHISjPtStrainVocalizeFreqScl Recommended CDE
6 Voice Handicap Index (VHI) - Subject participant vocal clarity unpredictable frequency scale  Scale reflecting the frequency that subject/participant has unpredictable vocal clarity, as part of the Voice Handicap Index (VHI) VHISjPtVoclClrityUnprdctFrqScl Recommended CDE
7 Voice Handicap Index (VHI) - Subject participant vocal change attempt different sound frequency scale  Scale reflecting the frequency that subject/participant attempts vocal change to achieve different sound, as part of the Voice Handicap Index (VHI) VHISjPtVclChgAtmptDifSndFrqScl Recommended CDE
8 Voice Handicap Index (VHI) - Subject participant speech require effort frequency scale  Scale reflecting the frequency that subject/participant's speech requires effort, as part of the Voice Handicap Index (VHI) VHISjPtSpeechRequirEffrtFrqScl Recommended CDE
9 Voice Handicap Index (VHI) - Subject participant speech worse evening frequency scale  Scale reflecting the frequency that subject/participant's speech worsens in the evening, as part of the Voice Handicap Index (VHI) VHISjPtSpeechWorseEvningFrqScl Recommended CDE
10 Voice Handicap Index (VHI) - Subject participant voice failure speaking frequency scale  Scale reflecting the frequency that subject/participant's voice fails while speaking, as part of the Voice Handicap Index (VHI) VHISjPtVoicFailurSpeakngFrqScl Recommended CDE
11 Voice Handicap Index (VHI) - Part II-P subtotal score  Subtotal score for Part II-P, as part of the Voice Handicap Index (VHI) VHIPartIIPSubtotalScore Recommended CDE

Voice Handicap Index Part III-E (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Voice Handicap Index (VHI) - Subject participant voice problem tension speaking frequency scale  Scale reflecting the frequency that subject/participant feels tension while speaking due to voice problems, as part of the Voice Handicap Index (VHI) VHISjPtVoicProbTnsnSpeakFrqScl Recommended CDE
2 Voice Handicap Index (VHI) - Subject participant voice irritate listener frequency scale  Scale reflecting the frequency that subject/participant's voice appears to irritate listeners, as part of the Voice Handicap Index (VHI) VHISjPtVoiceIrritatLstnrFrqScl Recommended CDE
3 Voice Handicap Index (VHI) - People not understand subject participant voice problem frequency scale  Scale reflecting the frequency that people do not understand subject/participant's voice problem, as part of the Voice Handicap Index (VHI) VHIPplNoUndrstndSjPtVcPrbFqScl Recommended CDE
4 Voice Handicap Index (VHI) - Subject participant upset voice problem frequency scale  Scale reflecting the frequency that subject/participant is upset by voice problem, as part of the Voice Handicap Index (VHI) VHISnPtUpsetVoiceProbFrqScl Recommended CDE
5 Voice Handicap Index (VHI) - Subject participant voice problem less outgoing frequency scale  Scale reflecting the frequency that voice problem makes subject/participant less outgoing, as part of the Voice Handicap Index (VHI) VHISjPtVoicProbLessOutgngFqScl Recommended CDE
6 Voice Handicap Index (VHI) - Subject participant voice problem perceive handicap frequency scale  Scale reflecting the frequency that subject/participant perceives voice problem as handicap, as part of the Voice Handicap Index (VHI) VHISnPtVoicProbPrcvHandcpFqScl Recommended CDE
7 Voice Handicap Index (VHI) - Subject participant annoyed request repeat speech frequency scale  Scale reflecting the frequency that subject/participant is annoyed by requests to repeat speech, as part of the Voice Handicap Index (VHI) VHISjPtAnnoyRquestRptSpchFqScl Recommended CDE
8 Voice Handicap Index (VHI) - Subject participant embarrassed request repeat speech frequency scale  Scale reflecting the frequency that subject/participant is embarrassed by requests to repeat speech, as part of the Voice Handicap Index (VHI) VHISjPtEmbrsRquestRptSpchFqScl Recommended CDE
9 Voice Handicap Index (VHI) - Subject participant voice problem cause feeling incompetent frequency scale  Scale reflecting the frequency that subject/participant's voice problem causes feelings of incompetence, as part of the Voice Handicap Index (VHI) VHISjPtVcPrbCsFlngIncmpntFqScl Recommended CDE
10 Voice Handicap Index (VHI) - Subject participant voice problem cause feeling shame frequency scale  Scale reflecting the frequency that subject/participant's voice problem causes feelings of shame, as part of the Voice Handicap Index (VHI) VHISjPtVcPrbCausFlngShameFqScl Recommended CDE
11 Voice Handicap Index (VHI) - Part III-E subtotal score  Subtotal score for Part III-E data elements, as part of the Voice Handicap Index (VHI) VHIPartIIIESubtotalScore Recommended CDE

Voice Handicap Index Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Voice Handicap Index (VHI) - Total score  Total score, as part of the Voice Handicap Index (VHI) VHITotalScore Recommended CDE

 Change History

 Administrative Change History