published_or_final_version / Speech and Hearing Sciences / Doctoral / Doctor of Philosophy

Rating scales are commonly used to study voice quality. The purpose of this study was to examine inter-rater reliability/agreement of graduate student clinicians with differing levels of experience in rating voice perception. The Consensus Auditory Perception Evaluation of Voice (CAPE-V) was used to asses 1.) overall severity, 2.) roughness, 3.) breathiness, 4.) strain, 5.) pitch and 6.) loudness from a sample of pediatric voices. Twenty-four graduate clinicians who had completed a graduate level course in voice disorders participated in the study. Twelve of the participants were randomly selected to complete a perceptual training course prior to the evaluation session. Voice samples included 10 disordered and 2 normal voices from a population of children age 3-10 years old. The 12 voice samples were randomly repeated 3 times. Results of analysis of variance indicated that the groups significantly differed in their severity rating of the perceptual indices, suggesting that training affected the participants' judgment of severity. Additionally, variability was reduced as a function of training. Pearson product-moment correlation coefficient's revealed a moderate to strong relationship for all of the perceptual indices suggesting that regardless of training participants have an implicit understanding of normal versus disordered voice samples.