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Rater methodology for stroboscopy: a systematic review.

Heather Shaw Bonilha1, Kendrea L Focht2, Bonnie Martin-Harris1

  • 1Department of Health Science and Research, Medical University of South Carolina, Charleston, South Carolina; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

Journal of Voice : Official Journal of the Voice Foundation
|September 29, 2014
PubMed
Summary
This summary is machine-generated.

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Laryngeal endoscopy with stroboscopy (LES) is crucial for voice treatment research, but inconsistent rater methods and poor reliability limit findings. Improving rater methodology and reporting is essential for accurate vocal fold function assessment.

Area of Science:

  • Otolaryngology and Speech-Language Pathology
  • Voice Science and Research Methodology

Background:

  • Laryngeal endoscopy with stroboscopy (LES) is the gold standard for assessing vocal fold function.
  • LES is vital for evaluating voice treatment efficacy in clinical and research settings.
  • The interpretation of LES recordings by clinicians is critical for accurate outcome assessment.

Purpose of the Study:

  • To systematically review and evaluate rater-related methodology in studies using stroboscopic findings as voice treatment outcome measures.
  • To identify inconsistencies and limitations in rater methodology and reliability within voice treatment research.

Main Methods:

  • A systematic literature review was conducted.
  • Relevant articles were identified through computerized database searches using keywords: stroboscopy and treatment.
Keywords:
RaterReliabilityStroboscopyVoice

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  • Eligible studies were analyzed for rater methodology, including the number and type of raters, blinding, and reliability.

    • Main Results:

    • Eighty out of 738 reviewed articles met the inclusion criteria.
    • Over one-third of studies failed to report the number of raters involved.
    • Only eleven studies reported rater reliability, with just two demonstrating good inter- and intrarater reliability.

    Conclusions:

    • The comparability and utility of voice treatment study results using LES are compromised by inadequate rater methodology and inconsistent, often poor, reliability.
    • Enhanced consistency in reporting rater methodology and improved rater reliability are necessary for more robust evaluation of voice treatment outcomes using LES.