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Instruments for Dysphonia Screening, Vocal Symptom Identification, and Self-reported Voice Perception: A Scoping
Renata da Silva Gonçalves1, Gilberto da Cruz Leal2, Marcia Simões-Zenari1
1School of Medicine, University of São Paulo, Speech Therapy, Physiotherapy and Occupational Therapy Department, São Paulo SP, Brazil.
Journal of Voice : Official Journal of the Voice Foundation
|August 5, 2026
Summary
This review maps voice disorder screening and perception tools, finding 41 instruments but noting gaps in pediatric/geriatric use and digital validation. Proper tool selection is crucial for accurate voice assessment.
Area of Science:
- Otolaryngology and Speech-Language Pathology
- Health Informatics
- Systematic Review Methodology
Background:
- Dysphonia, characterized by voice disorders, necessitates reliable screening and assessment tools.
- Existing literature lacks a comprehensive map of instruments for vocal symptom identification and self-reported voice perception.
- Standardized tools are essential for accurate diagnosis and management of voice conditions.
Purpose of the Study:
- To systematically map and categorize instruments used globally for dysphonia screening.
- To identify tools for vocal symptom identification and self-reported voice perception.
- To analyze the characteristics and applications of these voice assessment instruments.
Main Methods:
- A scoping review was conducted following Joanna Briggs Institute and PRISMA-ScR guidelines.
- Searches were performed in December 2025 across major databases (Medline, Lilacs, Scopus, Cochrane, EMBASE).
- Two independent reviewers selected studies with no language or time restrictions, focusing on dysphonia and voice self-report instruments.
Main Results:
- 190 studies (2007-2025) were included, with Brazil leading publications.
- Forty-one distinct instruments were identified, categorized into screening, symptom identification/self-perception, and hybrid types.
- Most studies focused on working-age adults, with limited digital validation and sensitivity/specificity data.
Conclusions:
- Gaps exist in tools for pediatric and geriatric populations and in digital format validation.
- The development of occupational-specific tools is increasing.
- Instrument selection must align with the intended purpose (screening vs. monitoring) and patient profile.
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