| Abstract | Objective: The Consensus Auditory Perceptual Evaluation of Voice (CAPE-V) protocol includes specific instructions about obtaining, recording and evaluating voice samples, and measuring the results. From previously conducted interviews with 20 experienced voice clinicians (Nagle, 2022), it became clear that many clinicians do not use the CAPE-V as intended. The objective of this follow-on study was to survey larger groups of voice clinicians to determine how they administer the CAPE-V.
Methods/Design: An anonymous survey was introduced at the 2023 Fall Voice Conference. Participants (N=59, as of 11/11/23) were recruited via a poster presentation, paper flyers and a post on the conference discussion board. A QR code took them to an online survey where they responded to up to 27 questions eliciting demographic information about their practice and specific information about their use of the CAPE-V. The survey took approximately 10 minutes to complete. Additionally, an interactive presentation will be presented on November 17, 2023, at the ASHA Convention, in which audience reactions to eight questions about CAPE-V administration will be solicited. The results of these two data-collection events will be reviewed by the authors, who are actively developing recommendations for revising the CAPE-V.
Results: Preliminary results of the survey show inconsistency amongst clinicians. Two-thirds of clinicians who completed the survey administer the CAPE-V on paper and only half record the voices; 76% complete the assessment in <5 min. Approximately 80% of the respondents use one vowel, most of the CAPE-V sentences, and spontaneous speech tasks during the assessment. Ratings are completed with the patient present 66% of the time. Other survey results include the parameters rated, prompts used for spontaneous speech, and suggestions for revisions.
Conclusions: The survey results collected to date support previous interview results regarding inconsistencies in the administration of the CAPE-V. The ultimate goal of this research is to provide an evidence base for suggested revisions to the CAPE-V protocol and form. Such revisions are intended to address its psychometric validity and administrative fidelity. These suggestions include removing textual labels on the rating form, revising sentence stimuli and speech prompts, and modifying the scoring protocol.
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