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A Voice Handicap Index Study Based on Receiver Operating Characteristic Analysis: The Unified Monitoring of Adult Smokers Intended for Mobile Applications

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New Realities, Mobile Systems and Applications (IMCL 2021)

Abstract

Voice assessment consists of many methods, amongst them being the Voice Handicap Index (VHI) which is a non-interventional self-reported questionnaire. This research determined and interpreted the cutoff points (COPs) of the Receiver Operating Characteristic (ROC) curves (signal processing) of the standardized VHI Hellenic version along with the Greek Voice Evaluation Template (GR-VET). In turn, as mobile applications are of high interest in the community of smart phones, the latter feature has been taken strongly into account for constructing a protocol serving for mobile screening usage. Specifically, a protocol and diagram of a proposed mobile application is introduced in order the latter to act as a screening platform for alerting clinician for probable voice status problems. The probability of developing voice symptoms was almost the same for all the young smokers and nonsmokers participants. Consequently, another asset from this research is the more customizable treatment using the knowledge of the COPs’ history for every smoker in mobile level technology. The smokers’ group exhibited higher overall VHI total score as compared to non-smokers. Important statistical differences were found due to smoking for all VHI’s construct domains with a total COP of 19.50 (sensitivity: 0.852, 1-specificity: 0.108). Another important finding revealed that VHI distinguished the different voice status of smokers compared to nonsmokers. Specifically, if the COP point is lower after a new assessment, then people exhibit progress as their voice appears improved. Moreover, a valuable finding is that smokers exhibit almost the same unified cutoff point as the voice disordered patients (COP = 18.50).

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Correspondence to Eugenia I. Toki .

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Tafiadis, D. et al. (2022). A Voice Handicap Index Study Based on Receiver Operating Characteristic Analysis: The Unified Monitoring of Adult Smokers Intended for Mobile Applications. In: Auer, M.E., Tsiatsos, T. (eds) New Realities, Mobile Systems and Applications. IMCL 2021. Lecture Notes in Networks and Systems, vol 411. Springer, Cham. https://doi.org/10.1007/978-3-030-96296-8_69

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  • DOI: https://doi.org/10.1007/978-3-030-96296-8_69

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