Cultural and Linguistic Adaptation of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) into Hindi

• Published in: Journal of speech, language, and hearing research language, and hearing research, 2020-12, Vol.63 (12), p.3974-3981
• Main Authors: Joshi, Ashwini, Baheti, Isha, Angadi, Vrushali
• Format: Article
• Language: English
• Subjects: Auditory perception; Bilingualism; Breathiness; Cultural factors; Diagnosis; English language; Evaluation; Hindi language; Indo European Languages; Interrater Reliability; Likert scale; Likert Scales; Linguistics; Measurement Techniques; Medical tests; Multidimensional Scaling; Non English Speaking; Official Languages; Perceptions; Phonemics; Phonetics; Phonology; Rating Scales; Ratings & rankings; Roughness; Sentences; Speech Impairments; Speech Language Pathology; Speech perception; Stimuli; Test Construction; Test Reliability; Urban Areas; Validity; Voice Disorders; Voice quality; Vowels
• ISSN: 1092-4388; 1558-9102
• DOI: 10.1044/2020_JSLHR-20-00348

Aim: The purpose of this study was to develop and assess the reliability of a Hindi version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Reliability was assessed by comparing Hindi CAPE-V ratings with English CAPE-V ratings and by the Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scale. Method: Hindi sentences were created to match the phonemic load of the corresponding English CAPE-V sentences. The Hindi sentences were adapted for linguistic content. The original English and adapted Hindi CAPE-V and GRBAS were completed for 33 bilingual individuals with normal voice quality. Additionally, the Hindi CAPE-V and GRBAS were completed for 13 Hindi speakers with disordered voice quality. The agreement of CAPE-V ratings was assessed between language versions, GRBAS ratings, and two rater pairs (three raters in total). Pearson product-moment correlation was completed for all comparisons. Results: A strong correlation (r > 0.8, p < 0.01) was found between the Hindi CAPE-V scores and the English CAPE-V scores for most variables in normal voice participants. A weak correlation was found for the variable of strain (r < 0.2, p = 0.400) in the normative group. A strong correlation (r > 0.6, p < 0.01) was found between the overall severity/grade, roughness, and breathiness scores in the GRBAS scale and the CAPE-V scale in normal and disordered voice samples. Significant interrater reliability (r > 0.75) was present in overall severity and breathiness. Conclusions: The Hindi version of the CAPE-V demonstrates good interrater reliability and concurrent validity with the English CAPE-V and the GRBAS. The Hindi CAPE-V can be used for the auditory-perceptual voice assessment of Hindi speakers.