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Responsiveness of the Korean Version of the Voice Activity and Participation Profile (K-VAPP) after Surgical Intervention

Other Titles
 수술적 중재 후 음성 활동 및 참여 프로파일-한국판(K-VAPP)의 반응도 연구 
Authors
 Seung Jin Lee  ;  Sung-Eun Lim  ;  Hong-Shik Choi 
Citation
 Communication Sciences & Disorders, Vol.22(2) : 379-390, 2017 
Journal Title
 Communication Sciences & Disorders 
ISSN
 2288-1328 
Issue Date
2017
Keywords
Voice Activity and Participation Profile ; K-VAPP ; Responsiveness ; Voice disorder ; Surgical intervention
Abstract
Objectives: The purpose of this study was to confirm the responsiveness of the Korean version of the Voice Activity and Participation Profile (K-VAPP) after surgical intervention for various voice disorders and to explore the correlation between changes in the K-VAPP subscale scores and other measures, focusing on auditory-perceptual estimations. Methods: The K-VAPP was administered to 90 patients with various voice disorders who underwent surgical treatment. Along with the K-VAPP, pre- and post-operative vocal assessment results after 3 months were compared, including psychometric, acoustic (both spectral and cepstral), electroglottographic, and aerodynamic assessment. In addition, a correlation between the differences in the K-VAPP subscale scores and Grade changes of GRBAS (grade, roughness, breathiness, asthenia, strain) scale was explored. Results: After surgery, the total score, activity limitation score, and all the subscale scores except ‘effect on social communication’ decreased significantly. On the other hand, the participation restriction score and ‘social communication’ subscale score did not show significant changes. The responsiveness was supported by improvement in several psychometric, acoustic, and aerodynamic parameters, and correlation between K-VAPP subscale scores and those measures. ‘Self-perceived severity’ and ‘effect on social communication’ subscale scores showed significant correlation with perceived severity by clinician. Conclusion: In sum, the K-VAPP was confirmed to be sufficiently responsive after surgical intervention. It is clinically significant that the participation restriction and effect on social communication did not improve after surgery. Further studies pertaining to each etiological group are needed.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161058
DOI
10.12963/csd.17407
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
Yonsei Authors
임성은(Lim, Sung Eun) ; 최홍식(Choi, Hong Shik)
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