Did the patient present with the following?
Results
| Pediatric Auditory-Perceptual Evaluation of Voice (PAPE-V) | |
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Age: Gender: |
Date: |
| Voice Parameters | Rating |
| Overall Voice Quality Breathiness Roughness Strain Pitch Loudness |
-- -- -- -- -- -- |
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Patient presented with: N/A |
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Instructions:
PAPE-V stimuli can be found here..
Evidence suggests that the PAPE-V can be reliably used with either a visual analog scale or Likert scale.
Scale Types
- Visual Analog Scale (VAS): The markers "normal" and "extremely disordered" appear at the top left and right of the scale respectively. Move the marker along the line to the point that corresponds with your rating. Values range from 0 to 100.
- Likert Scale: Select your rating from the options listed. These range from ”normal” to “severe”. Numeric values are listed next to these labels with values ranging from 0 (normal) to 5 (severe).
Parameters of Voice
- Overall voice quality: Overall impression of the patient's voice quality
- Roughness: Degree of irregularity perceived in the voice (glottal fry is not considered roughness)
- Breathiness: Amount of air escape in the voice
- Strain: Degree of vocal effort or tension
- Pitch: Does pitch draw negative attention given the patient's age and gender?
- Loudness: Does vocal loudness draw negative attention given the patient's age and gender?
Areas for further evaluation
The form also asks if the patient presented with hypernasality, hyponasality, poor respiratory support, noisy breathing, speech sound errors, or frequent glottal fry. This allows you to make quick notes on areas not formally rated in the PAPE-V protocol. Factors listed here were selected because they have been shown to influence auditory-perceptual ratings in children.