{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T21:38:28Z","timestamp":1781386708587,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:00Z","timestamp":1727913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>The Singing Voice Handicap Index\u201010 (SVHI\u201010) is a validated patient\u2010reported outcome measure (PROM) that assesses patients' perception of handicap related to singing voice. A normative value has been established with a score \u226520 being abnormal. However, there is no defined minimal clinically important difference (MCID). This study prospectively determines the MCID of SVHI\u201010 among a diverse group of singers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>103 adult singers with and without voice complaints completed SVHI\u201010 twice, 30\u2009days apart. MCID for the SVHI\u201010 was determined using distribution\u2010based receiver\u2010operating characteristic (ROC) curve analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two men (1 transgender), 75 women (1 transgender), and 6 nonbinary individuals participated. The most frequently reported singing genres were classical (44.7%), musical theater (17.5%), and pop (10.7%). Mean initial SVHI\u201010 score was 13.05 (standard deviation 7.397), and mean follow\u2010up SVHI\u201010 was 13.13 (7.994). There was a significant positive correlation between initial and follow\u2010up SVHI\u201010 scores (<jats:italic>r<\/jats:italic>\u2009=\u20090.879, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). SVHI\u201010 scores were significantly higher among participants who reported voice changes in the past year (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) or sought voice treatment (<jats:italic>p<\/jats:italic>\u2009=\u20090.001) compared with participants who did not. SVHI\u201010 scores varied significantly based on singing type. The area under the ROC curve for SVHI\u201010 was 0.700 (<jats:italic>p<\/jats:italic>\u2009=\u20090.003). The SVHI\u201010 MCID was determined to be 9.5.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An SVHI\u201010 score change \u226510 should be considered clinically meaningful. This definition has been missing from the literature and will improve understanding of patients' responses to treatment, which will help advance clinical care and track research outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 135:752\u2013757, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31808","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T06:40:01Z","timestamp":1728024001000},"page":"752-757","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Singing Voice Handicap Index\u201010 Minimal Clinically Important Difference: A Prospective Determination"],"prefix":"10.1002","volume":"135","author":[{"given":"Claire E.","family":"Perrin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, UCSF Voice and Swallow Center University of California San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-8290","authenticated-orcid":false,"given":"VyVy N.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, UCSF Voice and Swallow Center University of California San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1758-3276","authenticated-orcid":false,"given":"Yue","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, UCSF Voice and Swallow Center University of California San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1571-1086","authenticated-orcid":false,"given":"Clark A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, UCSF Voice and Swallow Center University of California San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Steven D.","family":"Stockton","sequence":"additional","affiliation":[{"name":"Stockton Scientific Services  Glastonbury Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, UCSF Voice and Swallow Center University of California San Francisco  San Francisco California 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