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Acute Respiratory Illness Surveillance (AcRIS) With Mobile Application in a Low-Interventional Decentralized Study.

Acute Respiratory Illness Surveillance (ARIS) by Monitoring Voice and Illness Symptom Changes Using a Mobile Application in a Low-Interventional Decentralized Study.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04748445
Enrollment
9151
Registered
2021-02-10
Start date
2021-04-12
Completion date
2022-04-22
Last updated
2024-02-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Covid-19, Covid 19, Coronavirus, SARS-CoV-2, Flu, Influenza, RSV, Respiratory syncytial virus, Respiratory illness, Acute respiratory illness, remote trial, voice, AcRIS

Brief summary

The purpose of the AcRIS study is to obtain data to characterize the relationship between symptoms and voice features for (reverse transcription polymerase chain reaction (RT-PCR) confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), influenza virus, or Respiratory Syncytial Virus (RSV) positive participants with acute viral respiratory illness. This data will be used as the basis to build voice and symptom algorithm(s) for detection and monitoring of these illnesses. This would benefit vaccine development across several key disease areas, including SARS-CoV-2, influenza virus and RSV. The study also models concepts of more efficient flexible clinical trials involving not only voice capture, but also web-based participant recruitment, enhanced participant engagement, and remote sample collection that could make future clinical studies more efficient. The clinical data obtained in this observational study could provide the documentation of the technology's performance needed to enable its deployment in future interventional studies.

Detailed description

Each subject will be required to stay in the study for 6 weeks. If the participant tests positive for any of the three viruses at swab #1 or swab #2, they will continue the study until the end of Week 8. Participants will record acute respiratory illnesses symptoms and voice data daily for up to a maximum of 8 weeks in both the well state and, should they become ill, the sick state, utilizing the Electronic diary on their Mobile application. Once enrolled, the participant will start recording symptoms and voice in the Electronic diary, with daily time commitment to this portion of the study expected to be 2-4 minutes. Two nasal self-swab collection kits will be ordered for delivery to the participant once they are enrolled in the study. The participant will be asked to self-swab when the test kit arrives (swab #1). The kit, including the specimen, will be returned to the central lab for RT-PCR SARS-CoV2/Influenza/RSV RT-PCR testing. The participant is expected to complete 3 phonemes and 5 lines of reading each day, in addition to score the self-reported symptoms in the Electronic diary. If participants become sick (self-report) with new or increased symptoms of acute respiratory illness symptoms, they will be asked to self-swab (swab #2) and return the sample for central SARS-CoV-2/Influenza/RSV RT-PCR testing. If the participant does not develop any new or increased symptoms between swab #1 and end of Week 6, they will obtain a self-swab (swab #2) at Day 42. If the participant tests positive for any of the three viruses at swab #1 or swab #2, they will continue the study until end of week 8. If they test negative for the three viruses at swab #1 and swab #2, they will exit the study at approximately the end of week 6 when the test results are returned. The results of the RT-PCR testing will be shared with participants.

Interventions

DIAGNOSTIC_TESTSARS-CoV-2/Influenza/RSV RT-PCR

nasal swab

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Participants are eligible to be included in the study only if all of the following criteria apply: Age and Sex: 1. Male or female participants ≥18 years of age (or the minimum state specific age of consent if \>18), at Screening visit. Type of Participant and Disease Characteristics: 2. Participants who are willing and able to comply with daily symptom and voice assessments on the electronic diary application and other study procedures, including self-collection of nasal swabs. 3. Expected to be available for the duration of the study. Informed Consent: 4\. Capable of giving signed informed consent \-

Exclusion criteria

Participants are excluded from the study if any of the following criteria apply: 1. Participants who self-report any medical condition, recreational substance use, or medication use which would prevent them from completing study tasks or impair the providing of informed consent, or in the investigator's judgment, make the participant inappropriate for the study. Prior/Concomitant Therapy: 2. Participants who have been vaccinated with COVID-19 vaccine or are planning to get vaccinated during study participation. Participants can continue to use all other prescription or non-prescription medications. Prior/Concurrent Clinical Study Experience: 3. Previous vaccination with any licensed or investigational RSV vaccine or are planning to get vaccinated during study participation. 4. Previous administration with an investigational drug within 30 days of enrollment (or as determined by the local requirement) or planning to participate in an interventional trial during study conduct. Diagnostic Assessments: 5. Screening diagnostic assessments are not required for eligibility purposes. Other Exclusions: 6. Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator including vendors, and their respective family members. 7. Participants who use a mobile device that does not meet the minimum requirements of the Electronic diary. 8. Participants who have previously been enrolled in the study cannot be re-enrolled.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Voice Features (READ_Speaking Rate) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Baseline was average of endpoint values up to 7 days before first occurrence of new/increased symptoms. If participant had no data in 7 days, average of endpoint values for closest 3 days prior to these 7 days was used as baseline. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor (i.e. LSM\*10\^-2, SE\*10\^-3) in addition to values mentioned.
Change From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Harmonicity, flatness, shimmer recorded and assessed by phonemes: 'eee' and 'mmm' for 4 seconds, ahh sustained and 5-sentence reading passage. Cepstral Peak Prominence: voice quality measure. Harmonicity: degree of periodicity in signal. mel frequency cepstral coefficients (MFCC) mean: quantifies shape of spectrum. MFCC std: quantifies variation in spectral shape over time. Signal-to-noise ratio (SNR): how loud signal is compared to background. Shimmer Local dB: average absolute difference between amplitudes of consecutive periods (how unsteady sound intensity is across neighboring glottal pulses). Spectral Flatness: quantifies how tone-like a signal is based on spectral distribution. Third Octave Band: energy in 200 Hz third octave band relative to total. VLHR: degree of nasality. Linear mixed effect model used for analysis. Fixed effect of slope, as population level estimate is reported. Individual exponential factors for data presented have been mentioned in respective row title.
Change From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Voice features were recorded once daily in an electronic diary for 8 weeks. Assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Coefficient of Variation of F0: measures variation in pitch over time. MFCC 1st order delta: time-averaged estimate of first derivate of the MFCCs. MFCC 2nd order delta: time-averaged estimate of the second derivative of the MFCCs. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Voice Features (EE_Entropy, MM_Entropy) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Participants recorded voice features such as entropy once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Entropy: Shannon entropy of the spectral distribution. Quantifies tonailty similar to spectral flatness. EE\_Entropy and MM\_Entropy refer to this same measure computed on the eee and mmm phonemes, respectively. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Formant: frequency at which the vocal tract produces an acoustic resonance. Formant Bandwidth: the spectral width of the acoustic resonance. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Voice Features (EE_Voiced Frames, MM_Voiced Frames) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. The voiced frames rate indicates how much of the sound is voiced. EE and MM refer to the sounds on which the measure is computed. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Voice Features (EE_Jitter Local, MM_Jitter Local) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Voice features such as jitter were recorded once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Jitter Local: average absolute difference between consecutive periods divided by the average period as a percentage. Indicates how unsteady the pitch is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Voice Features (EE_Shimmer Local, MM_Shimmer Local) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Voice features such as shimmer were once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Shimmer Local: average absolute difference between the amplitudes of consecutive periods divided by the average amplitude as a percentage. Indicates how unsteady the sound intensity is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.
Change From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Baseline up to Day 56Symptoms (fever, cough, difficult breathing, fatigue, runny nose, stuffy/blocked nose, sore throat, loss of taste/smell, chills, muscle pain, diarrhea, vomiting, headache, nausea, rigors, wheezing) recorded at least once daily in e-diary for 8 weeks & rated 0:none to 4:severe for fever & 0:none to 7:severe for other symptoms. Total symptom score=sum of all symptom scores in a recording session & mean of daily total symptom score=average across available sessions for each day, range=0 to 109, higher value=more severe total symptoms. Baseline=average of values up to 7 days before 1st occurrence of new/increased symptoms. If no data in 7 days, average of endpoint values for closest 3 days prior to 7 days used as baseline. Linear mixed effect model used for analysis for change from baseline in each symptom versus day during well to sick period, with slope (without intercept) included as fixed effects and random effects. Fixed effect of slope, as population level estimate, was reported.
Change From Baseline in Voice Features (AHH_Max Phonation Time, EE_Jitter Local Absolute, MM_Jitter Local Absolute) Values From Well-to-Sick State Through Day 56Baseline up to Day 56Participants recorded voice features such as pitch, jitter once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Max Phonation Time: duration that sound is held for. Jitter Local Absolute: average absolute difference between consecutive periods. Indicates how unsteady the pitch is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Secondary

MeasureTime frameDescription
Percentage of Quality Voice RecordingsDay 1 up to Day 56In this outcome measure, percentage was calculated over the number of days that the participant was able to complete the task for each recording. Participants were required to record their daily voice in electronic diary and the assessment included 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Quality recordings were defined as recordings exceeding signal-to-noise (SNR) and duration thresholds (i.e. SNR \>= 20 decibels \[dB\] that have duration \>= 3 seconds for phoneme and \>= 10 seconds for reading tasks). In the case of multiple electronic diary sessions per day, the session with the highest quality voice recordings for that day was used in this analysis.
Percentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVDay 2 up to Day 43In this outcome measure, percentage of participants with valid self-swab 1 and 2 results positive for SARS-COV-2, Flu A, Flu B, RSV and SARS-CoV-2 and/or Influenza (Flu A/Flu B) and/or RSV were reported.
Percentage of Participants Who Administered Self-swab 1 and Self-swab 2Day 2 up to Day 43In this outcome measure, percentage of participants who administered self-swab 1, self-swab 2 and self-swab 1 and 2 excluding participants who experienced technical issues due to study operational errors were reported.
Number of Days Between Reporting Symptoms and Recording Swab 2 in the Electronic-DiaryDay 2 Up to Day 43In this outcome measure, number of days from symptom onset (reporting new or increased symptoms in the electronic diary) to the day of recording Swab 2 day in the electronic diary averaged across participants who administered self-swab 2 was reported.
Percentage of Participants Reporting Symptoms in the Electronic Diary Who Have a Self-swab Collected at or Around Symptom OnsetDay 2 Up to Day 43In this outcome measure, 1) participants (par) who administered (adm) self-swab 2 (SS2) before Week 6 (W6) divided by the number of participants who reported new or increased (inc) symptoms (sym) in the electronic diary (e-diary) before W6 and 2) number of participants who reported new or increased symptoms in the e-diary before Week 6 divided by the number of participants who administered self-swab 2 before Week 6 were reported in percentage.
Percentage of Participants Who Administered Self-swabs With Valid ResultsDay 2 Up to Day 43In this outcome measure, percentage of participants with valid (positive or negative) self-swab results for SARS-CoV-2, Flu A, Flu b and RSV were reported.
Percentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic DiaryDay 1 up to Day 56In this outcome measure, percentage of compliant days in total days of self-reported symptoms and total days of voice recordings as entered in the electronic diary were reported. Compliant days were calculated for the following and expressed as percentage: symptom compliance = number of compliant days of self-reported symptoms divided by the total number of days in the study. Voice compliance (expressed as percentage) = number of compliant days of completed voice recordings divided by the total number of days in the study. Partial voice compliance (expressed as percentage) = number of compliant days of partially completed voice recordings divided by the total number of days in the study. Symptom and voice compliance (expressed as percentage) = number of compliant days of self-reported symptoms and completed voice recordings divided by the total number of days in the study. Participants who experienced technical issues due to study operational errors were excluded.

Countries

United States

Participant flow

Recruitment details

This was an observational study involving collection of voice and respiratory symptoms data in participants in both the well state and sick state.

Participants by arm

ArmCount
All Participants
Eligible participants aged 18 years and older recorded acute respiratory illnesses symptoms and voice data daily for up to a maximum of 8 weeks in both the well state and sick state, utilizing the electronic diary on their mobile application. Additionally, participants who performed two nasal self-swabs and the participants who tested positive for any of the three viruses (severe acute respiratory syndrome cornonavirus-2 \[SARS-CoV-2\], influenza virus and respiratory syncytial virus) at swab1 or swab 2, continued the study until end of Week 8. The participants who tested negative for the three viruses at swab 1 and swab 2, exited the study at end of Week 6.
9,151
Total9,151

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up30
Overall StudyNo longer met eligibility criteria12
Overall StudyOther36
Overall StudyWithdrawal by Subject553

Baseline characteristics

CharacteristicAll Participants
Age, Continuous41.03 Years
STANDARD_DEVIATION 10.63
Ethnicity (NIH/OMB)
Hispanic or Latino
793 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7915 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
443 Participants
Race (NIH/OMB)
American Indian or Alaska Native
116 Participants
Race (NIH/OMB)
Asian
89 Participants
Race (NIH/OMB)
Black or African American
1127 Participants
Race (NIH/OMB)
More than one race
452 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
18 Participants
Race (NIH/OMB)
Unknown or Not Reported
237 Participants
Race (NIH/OMB)
White
7112 Participants
Sex: Female, Male
Female
7235 Participants
Sex: Female, Male
Male
1916 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 9,151
other
Total, other adverse events
28 / 9,151
serious
Total, serious adverse events
0 / 9,151

Outcome results

Primary

Change From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56

Symptoms (fever, cough, difficult breathing, fatigue, runny nose, stuffy/blocked nose, sore throat, loss of taste/smell, chills, muscle pain, diarrhea, vomiting, headache, nausea, rigors, wheezing) recorded at least once daily in e-diary for 8 weeks & rated 0:none to 4:severe for fever & 0:none to 7:severe for other symptoms. Total symptom score=sum of all symptom scores in a recording session & mean of daily total symptom score=average across available sessions for each day, range=0 to 109, higher value=more severe total symptoms. Baseline=average of values up to 7 days before 1st occurrence of new/increased symptoms. If no data in 7 days, average of endpoint values for closest 3 days prior to 7 days used as baseline. Linear mixed effect model used for analysis for change from baseline in each symptom versus day during well to sick period, with slope (without intercept) included as fixed effects and random effects. Fixed effect of slope, as population level estimate, was reported.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study were included. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Fatigue0.259 Scores on a scaleStandard Error 0.0319
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Fever0.029 Scores on a scaleStandard Error 0.005
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Headache0.194 Scores on a scaleStandard Error 0.0281
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Loss of taste or smell0.103 Scores on a scaleStandard Error 0.0266
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Muscle pain0.181 Scores on a scaleStandard Error 0.0268
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Rigors0.030 Scores on a scaleStandard Error 0.0085
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Sore throat0.222 Scores on a scaleStandard Error 0.033
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Stuffy/blocked nose0.337 Scores on a scaleStandard Error 0.0443
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Vomiting0.005 Scores on a scaleStandard Error 0.0017
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Mean of daily total symptom score2.644 Scores on a scaleStandard Error 0.3279
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Chills0.065 Scores on a scaleStandard Error 0.011
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Cough0.281 Scores on a scaleStandard Error 0.0361
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Diarrhea0.036 Scores on a scaleStandard Error 0.0077
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Difficulty breathing0.113 Scores on a scaleStandard Error 0.0263
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Nausea0.044 Scores on a scaleStandard Error 0.0096
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Runny nose0.159 Scores on a scaleStandard Error 0.0216
All ParticipantsChange From Baseline in Self-Reported Symptom Scores From Well-to-Sick State Through Day 56Wheezing0.049 Scores on a scaleStandard Error 0.0174
Comparison: Chillsp-value: <0.000190% CI: [0.046, 0.083]Mixed Models Analysis
Comparison: Coughp-value: <0.000190% CI: [0.221, 0.341]Mixed Models Analysis
Comparison: Diarrheap-value: <0.000190% CI: [0.023, 0.048]Mixed Models Analysis
Comparison: Difficulty breathingp-value: <0.000190% CI: [0.069, 0.156]Mixed Models Analysis
Comparison: Fatiguep-value: <0.000190% CI: [0.206, 0.312]Mixed Models Analysis
Comparison: Feverp-value: <0.000190% CI: [0.02, 0.037]Mixed Models Analysis
Comparison: Headachep-value: <0.000190% CI: [0.148, 0.241]Mixed Models Analysis
Comparison: Loss of taste or smellp-value: 0.000290% CI: [0.059, 0.148]Mixed Models Analysis
Comparison: Muscle painp-value: <0.000190% CI: [0.137, 0.226]Mixed Models Analysis
Comparison: Nauseap-value: <0.000190% CI: [0.028, 0.06]Mixed Models Analysis
Comparison: Rigorsp-value: 0.000790% CI: [0.016, 0.044]Mixed Models Analysis
Comparison: Runny nosep-value: <0.000190% CI: [0.123, 0.195]Mixed Models Analysis
Comparison: Sore throatp-value: <0.000190% CI: [0.168, 0.277]Mixed Models Analysis
Comparison: Stuffy/blocked nosep-value: <0.000190% CI: [0.264, 0.411]Mixed Models Analysis
Comparison: Vomitingp-value: 0.005390% CI: [0.002, 0.007]Mixed Models Analysis
Comparison: Wheezingp-value: 0.005790% CI: [0.02, 0.078]Mixed Models Analysis
Comparison: Mean of daily total symptom scorep-value: <0.000190% CI: [2.101, 3.188]Mixed Models Analysis
Primary

Change From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56

Harmonicity, flatness, shimmer recorded and assessed by phonemes: 'eee' and 'mmm' for 4 seconds, ahh sustained and 5-sentence reading passage. Cepstral Peak Prominence: voice quality measure. Harmonicity: degree of periodicity in signal. mel frequency cepstral coefficients (MFCC) mean: quantifies shape of spectrum. MFCC std: quantifies variation in spectral shape over time. Signal-to-noise ratio (SNR): how loud signal is compared to background. Shimmer Local dB: average absolute difference between amplitudes of consecutive periods (how unsteady sound intensity is across neighboring glottal pulses). Spectral Flatness: quantifies how tone-like a signal is based on spectral distribution. Third Octave Band: energy in 200 Hz third octave band relative to total. VLHR: degree of nasality. Linear mixed effect model used for analysis. Fixed effect of slope, as population level estimate is reported. Individual exponential factors for data presented have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 01 LSM (10^0), SE (10^-1)1.268 DecibelStandard Error 2.82
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 03 LSM (10^-1), SE (10^-1)1.390 DecibelStandard Error 1.262
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 04 LSM (10^-1), SE (10^-1)-1.407 DecibelStandard Error 1.194
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 01 LSM (10^-2), SE (10^-2)8.365 DecibelStandard Error 2.873
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 03 LSM (10^-2), SE (10^-2)3.960 DecibelStandard Error 1.447
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 04 LSM (10^-2), SE (10^-2)2.816 DecibelStandard Error 1.026
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 10 LSM (10^-2), SE (10^-2)1.214 DecibelStandard Error 6.19
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 11 LSM (10^-3), SE (10^-2)8.703 DecibelStandard Error 3.665
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_Cepstral Peak Prominence LSM (10^-3), SE (10^-2)-1.326 DecibelStandard Error 1.174
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_Harmonicity LSM (10^-3), SE (10^-2)7.667 DecibelStandard Error 1.741
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 02 LSM (10^-1), SE (10^-1)-1.752 DecibelStandard Error 2.127
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 05 LSM (10^-3), SE (10^-2)-4.466 DecibelStandard Error 8.869
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 06 LSM (10^-1), SE (10^-2)-1.572 DecibelStandard Error 9.127
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 07 LSM (10^-1), SE (10^-2)1.248 DecibelStandard Error 7.598
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 08 LSM (10^-1), SE (10^-2)-1.054 DecibelStandard Error 7.218
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 09 LSM (10^-2), SE (10^-2)5.944 DecibelStandard Error 6.536
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 10 LSM (10^-2), SE (10^-2)-3.115 DecibelStandard Error 6.007
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 05 LSM (10^-3), SE (10^-2)7.814 DecibelStandard Error 1.034
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 11 LSM (10^-2), SE (10^-2)-1.908 DecibelStandard Error 5.932
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 12 LSM (10^-4), SE (10^-2)-6.574 DecibelStandard Error 5.105
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC mean 13 LSM (10^-3), SE (10^-2)5.026 DecibelStandard Error 5.176
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 02 LSM (10^-2), SE (10^-2)2.906 DecibelStandard Error 1.181
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 06 LSM (10^-2), SE (10^-3)1.151 DecibelStandard Error 8.443
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 07 LSM (10^-2), SE (10^-3)2.528 DecibelStandard Error 8.228
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 11 LSM (10^-2), SE (10^-3)1.547 DecibelStandard Error 6.666
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 12 LSM (10^-2), SE (10^-3)1.118 DecibelStandard Error 6.122
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 13 LSM (10^-2), SE (10^-3)1.160 DecibelStandard Error 5.226
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 08 LSM (10^-2), SE (10^-3)1.755 DecibelStandard Error 7.204
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_SNR LSM (10^-2), SE (10^-2)4.771 DecibelStandard Error 3.351
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 05 LSM (10^-1), SE (10^-2)-1.265 DecibelStandard Error 9.67
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 09 LSM (10^-2), SE (10^-3)2.673 DecibelStandard Error 5.892
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_MFCC std 10 LSM (10^-2), SE (10^-3)1.394 DecibelStandard Error 5.642
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 01 LSM (10^-1), SE (10^-1)9.159 DecibelStandard Error 2.641
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 02 LSM (10^-1), SE (10^-1)-2.180 DecibelStandard Error 1.894
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_Shimmer Local dB LSM (10^-4), SE (10^-4)8.053 DecibelStandard Error 9.807
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_Spectral Flatness LSM (10^-2), SE (10^-2)-3.945 DecibelStandard Error 1.892
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_Third Octave Band LSM (10^-2), SE (10^-2)-7.075 DecibelStandard Error 8.409
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56EE_VLHR LSM (10^-2), SE (10^-2)1.658 DecibelStandard Error 3.607
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_Cepstral Peak Prominence LSM (10^-2), SE (10^-2)1.172 DecibelStandard Error 1.423
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_Harmonicity LSM (10^-3), SE (10^-2)-1.285 DecibelStandard Error 2.112
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 06 LSM (10^-2), SE (10^-2)2.851 DecibelStandard Error 9.96
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 07 LSM (10^-1), SE (10^-2)1.209 DecibelStandard Error 7.569
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 08 LSM (10^-1), SE (10^-2)-2.215 DecibelStandard Error 8.498
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 09 LSM (10^-2), SE (10^-2)5.560 DecibelStandard Error 7.072
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 11 LSM (10^-1), SE (10^-2)-1.106 DecibelStandard Error 4.852
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 12 LSM (10^-2), SE (10^-2)-4.884 DecibelStandard Error 4.827
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 13 LSM (10^-2), SE (10^-2)3.600 DecibelStandard Error 5.634
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 01 LSM (10^-2), SE (10^-2)2.909 DecibelStandard Error 3.096
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 02 LSM (10^-2), SE (10^-2)1.720 DecibelStandard Error 2.595
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 03 LSM (10^-3), SE (10^-2)4.403 DecibelStandard Error 1.503
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 04 LSM (10^-3), SE (10^-2)7.542 DecibelStandard Error 1.639
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 05 LSM (10^-2), SE (10^-3)2.386 DecibelStandard Error 8.233
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 06 LSM (10^-2), SE (10^-2)1.593 DecibelStandard Error 1.243
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 07 LSM (10^-3), SE (10^-2)2.902 DecibelStandard Error 1.082
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 08 LSM (10^-2), SE (10^-2)1.615 DecibelStandard Error 1.118
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 09 LSM (10^-2), SE (10^-2)1.116 DecibelStandard Error 1.104
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 10 LSM (10^-3), SE (10^-3)-2.168 DecibelStandard Error 9.632
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 11 LSM (10^-2), SE (10^-2)1.394 DecibelStandard Error 1.081
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 12 LSM (10^-2), SE (10^-3)1.375 DecibelStandard Error 6.622
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC std 13 LSM (10^-3), SE (10^-2)-2.892 DecibelStandard Error 1.205
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_SNR LSM (10^-3), SE (10^-2)-3.105 DecibelStandard Error 3.256
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_Shimmer Local dB LSM (10^-4), SE (10^-4)6.145 DecibelStandard Error 9.704
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_Spectral Flatness LSM (10^-2), SE (10^-2)-2.911 DecibelStandard Error 1.969
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_Third Octave Band LSM (10^-1), SE (10^-2)-1.487 DecibelStandard Error 8.77
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_VLHR LSM (10^-3), SE (10^-2)3.089 DecibelStandard Error 3.396
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 01 LSM (10^-1), SE (10^-1)8.362 DecibelStandard Error 2.077
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 02 LSM (10^-2), SE (10^-1)3.559 DecibelStandard Error 1.147
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 03 LSM (10^-1), SE (10^-2)2.043 DecibelStandard Error 7.752
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 04 LSM (10^-2), SE (10^-2)-8.280 DecibelStandard Error 6.413
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 05 LSM (10^-2), SE (10^-2)-2.415 DecibelStandard Error 5.26
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 06 LSM (10^-1), SE (10^-2)-1.209 DecibelStandard Error 4.904
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 07 LSM (10^-2), SE (10^-2)2.617 DecibelStandard Error 4.639
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 08 LSM (10^-2), SE (10^-2)-7.305 DecibelStandard Error 4.267
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 09 LSM (10^-2), SE (10^-2)-2.369 DecibelStandard Error 4.428
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 10 LSM (10^-2), SE (10^-2)-7.377 DecibelStandard Error 3.339
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 12 LSM (10^-2), SE (10^-2)-7.414 DecibelStandard Error 3.294
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC mean 13 LSM (10^-2), SE (10^-2)2.929 DecibelStandard Error 2.705
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 01 LSM (10^-1), SE (10^-2)-2.717 DecibelStandard Error 6.612
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 02 LSM (10^-2), SE (10^-2)-5.798 DecibelStandard Error 2.961
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 03 LSM (10^-2), SE (10^-2)-1.008 DecibelStandard Error 1.778
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 04 LSM (10^-2), SE (10^-2)-2.230 DecibelStandard Error 1.193
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 05 LSM (10^-2), SE (10^-2)-1.336 DecibelStandard Error 1.176
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 06 LSM (10^-3), SE (10^-2)-6.497 DecibelStandard Error 1.413
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 07 LSM (10^-2), SE (10^-3)-1.213 DecibelStandard Error 7.7
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 08 LSM (10^-3), SE (10^-3)-7.959 DecibelStandard Error 9.743
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 09 LSM (10^-3), SE (10^-3)-4.137 DecibelStandard Error 8.017
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 10 LSM (10^-4), SE (10^-3)3.760 DecibelStandard Error 7.531
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 11 LSM (10^-3), SE (10^-3)-2.185 DecibelStandard Error 5.703
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 12 LSM (10^-3), SE (10^-3)7.716 DecibelStandard Error 5.746
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_MFCC std 13 LSM (10^-3), SE (10^-3)-4.019 DecibelStandard Error 6.419
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56READ_SNR LSM (10^-3), SE (10^-2)5.103 DecibelStandard Error 2.737
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 03 LSM (10^-1), SE (10^-1)1.821 DecibelStandard Error 1.028
All ParticipantsChange From Baseline in Voice Feature (Cepstral Peak Prominence, Harmonicity, MFCC Mean, MFCC Std, SNR, Shimmer Local dB, Spectral Flatness, Third Octave Band, and VLHR) Values From Well-to-Sick State Through Day 56MM_MFCC mean 04 LSM (10^-1), SE (10^-2)-2.064 DecibelStandard Error 8.474
Comparison: EE\_Cepstral Peak Prominence (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-3).p-value: 0.910390% CI: [-2.079, 1.814]Mixed Models Analysis
Comparison: EE\_Harmonicity (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.660590% CI: [-0.02119, 0.03653]Mixed Models Analysis
Comparison: EE\_MFCC mean 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: <0.000190% CI: [0.8012, 1.736]Mixed Models Analysis
Comparison: EE\_MFCC mean 02 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-1).p-value: 0.411790% CI: [-5.276, 1.773]Mixed Models Analysis
Comparison: EE\_MFCC mean 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-1. For lower limit it was 10\^-2).p-value: 0.272890% CI: [-7.012, 3.482]Mixed Models Analysis
Comparison: EE\_MFCC mean 04 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-1. For upper limit it was 10\^-2).p-value: 0.241190% CI: [-3.385, 5.724]Mixed Models Analysis
Comparison: EE\_MFCC mean 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.959990% CI: [-0.1514, 0.1425]Mixed Models Analysis
Comparison: EE\_MFCC mean 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.087590% CI: [-0.3084, -0.005942]Mixed Models Analysis
Comparison: EE\_MFCC mean 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and estimated value it was 10\^-1. For dispersion value it was 10\^-2 and for lower limit it was 10\^-3).p-value: 0.102990% CI: [-1.072, 2.507]Mixed Models Analysis
Comparison: EE\_MFCC mean 08 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit and estimated value it was 10\^-1. For upper limit and dispersion value it was 10\^-2).p-value: 0.146890% CI: [-2.25, 1.423]Mixed Models Analysis
Comparison: EE\_MFCC mean 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.364990% CI: [-0.04887, 0.1678]Mixed Models Analysis
Comparison: EE\_MFCC mean 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.60590% CI: [-0.1307, 0.06839]Mixed Models Analysis
Comparison: EE\_MFCC mean 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.748390% CI: [-0.1174, 0.07922]Mixed Models Analysis
Comparison: EE\_MFCC mean 12 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-4).p-value: 0.989790% CI: [-8.526, 8.394]Mixed Models Analysis
Comparison: EE\_MFCC mean 13 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-3).p-value: 0.922890% CI: [-8.074, 9.08]Mixed Models Analysis
Comparison: EE\_MFCC std 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.004390% CI: [0.03604, 0.1313]Mixed Models Analysis
Comparison: EE\_MFCC std 02 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.015390% CI: [0.009486, 0.04863]Mixed Models Analysis
Comparison: EE\_MFCC std 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.007190% CI: [1.563, 6.357]Mixed Models Analysis
Comparison: EE\_MFCC std 04 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.00790% CI: [1.115, 4.516]Mixed Models Analysis
Comparison: EE\_MFCC std 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.451390% CI: [-0.009323, 0.02495]Mixed Models Analysis
Comparison: EE\_MFCC std 06 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and estimated value it was 10\^-2. For lower limit and dispersion value it was 10\^-3).p-value: 0.175390% CI: [-2.483, 2.55]Mixed Models Analysis
Comparison: EE\_MFCC std 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-2. For dispersion it was 10\^-3).p-value: 0.002690% CI: [1.164, 3.891]Mixed Models Analysis
Comparison: EE\_MFCC std 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.016290% CI: [0.005616, 0.02949]Mixed Models Analysis
Comparison: EE\_MFCC std 09 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-2. For dispersion value it was 10\^-3).p-value: <0.000190% CI: [1.697, 3.65]Mixed Models Analysis
Comparison: EE\_MFCC std 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.014890% CI: [0.004595, 0.02329]Mixed Models Analysis
Comparison: EE\_MFCC std 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.021990% CI: [0.004425, 0.02652]Mixed Models Analysis
Comparison: EE\_MFCC std 12 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and estimated value it was 10\^-2. For lower limit and dispersion value it was 10\^-3).p-value: 0.070390% CI: [1.032, 2.132]Mixed Models Analysis
Comparison: EE\_MFCC std 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.028290% CI: [0.00294, 0.02026]Mixed Models Analysis
Comparison: EE\_SNR (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.15790% CI: [-0.007823, 0.1032]Mixed Models Analysis
Comparison: EE\_Shimmer Local dB (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.413190% CI: [-0.0008199, 0.002431]Mixed Models Analysis
Comparison: EE\_Spectral Flatness (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.039190% CI: [-0.0708, -0.008096]Mixed Models Analysis
Comparison: EE\_Third Octave Band (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.401890% CI: [-0.2101, 0.0686]Mixed Models Analysis
Comparison: EE\_VLHR (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.646690% CI: [-4.319, 7.635]Mixed Models Analysis
Comparison: MM\_Cepstral Peak Prominence (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.411890% CI: [-1.186, 3.53]Mixed Models Analysis
Comparison: MM\_Harmonicity (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-3).p-value: 0.948190% CI: [-3.385, 3.129]Mixed Models Analysis
Comparison: MM\_MFCC mean 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: 0.000790% CI: [0.4783, 1.354]Mixed Models Analysis
Comparison: MM\_MFCC mean 02 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-1. For upper limit it was 10\^-2).p-value: 0.251990% CI: [-5.319, 9.585]Mixed Models Analysis
Comparison: MM\_MFCC mean 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-1. For lower limit it was 10\^-2).p-value: 0.079190% CI: [1.166, 3.524]Mixed Models Analysis
Comparison: MM\_MFCC mean 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.016390% CI: [-0.3468, -0.06599]Mixed Models Analysis
Comparison: MM\_MFCC mean 05 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and dispersion value it was 10\^-2. For lower limit and estimated value it was 10\^-1).p-value: 0.193290% CI: [-2.867, 3.375]Mixed Models Analysis
Comparison: MM\_MFCC mean 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.775290% CI: [-0.1365, 0.1936]Mixed Models Analysis
Comparison: MM\_MFCC mean 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and estimated value it was 10\^-1. For lower limit it was 10\^-3. For dispersion value it was 10\^-2).p-value: 0.112690% CI: [-4.48, 2.464]Mixed Models Analysis
Comparison: MM\_MFCC mean 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.010290% CI: [-0.3624, -0.08072]Mixed Models Analysis
Comparison: MM\_MFCC mean 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.433290% CI: [-0.06159, 0.1728]Mixed Models Analysis
Comparison: MM\_MFCC mean 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.844890% CI: [-0.09044, 0.1147]Mixed Models Analysis
Comparison: MM\_MFCC mean 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.024490% CI: [-0.191, -0.03016]Mixed Models Analysis
Comparison: MM\_MFCC mean 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.313690% CI: [-0.1288, 0.03115]Mixed Models Analysis
Comparison: MM\_MFCC mean 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.52490% CI: [-0.05736, 0.1294]Mixed Models Analysis
Comparison: MM\_MFCC std 01 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.349390% CI: [-2.222, 8.039]Mixed Models Analysis
Comparison: MM\_MFCC std 02 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.508790% CI: [-2.58, 6.019]Mixed Models Analysis
Comparison: MM\_MFCC std 03 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.770190% CI: [-0.02051, 0.02931]Mixed Models Analysis
Comparison: MM\_MFCC std 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.646190% CI: [-0.01961, 0.0347]Mixed Models Analysis
Comparison: MM\_MFCC std 05 (The statistical data given below have (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-2. For dispersion value it was 10\^-3).p-value: 0.004490% CI: [1.022, 3.75]Mixed Models Analysis
Comparison: MM\_MFCC std 06 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-2. For lower limit it was 10\^-3).p-value: 0.202290% CI: [-4.663, 3.652]Mixed Models Analysis
Comparison: MM\_MFCC std 07 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.78990% CI: [-0.01503, 0.02084]Mixed Models Analysis
Comparison: MM\_MFCC std 08 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-2. For lower limit it was 10\^-3).p-value: 0.15190% CI: [-2.371, 3.467]Mixed Models Analysis
Comparison: MM\_MFCC std 09 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-2. For lower limit it was 10\^-3).p-value: 0.313890% CI: [-7.126, 2.945]Mixed Models Analysis
Comparison: MM\_MFCC std 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.822390% CI: [-0.01813, 0.01379]Mixed Models Analysis
Comparison: MM\_MFCC std 11 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-2. For lower limit it was 10\^-3).p-value: 0.199790% CI: [-3.978, 3.185]Mixed Models Analysis
Comparison: MM\_MFCC std 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.039890% CI: [0.00278, 0.02473]Mixed Models Analysis
Comparison: MM\_MFCC std 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.810790% CI: [-0.02286, 0.01707]Mixed Models Analysis
Comparison: MM\_SNR (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-3).p-value: 0.924290% CI: [-5.706, 5.085]Mixed Models Analysis
Comparison: MM\_Shimmer Local dB (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.527790% CI: [-0.0009936, 0.002223]Mixed Models Analysis
Comparison: MM\_Spectral Flatness (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-2. For upper limit it was 10\^-3).p-value: 0.141890% CI: [-6.174, 3.522]Mixed Models Analysis
Comparison: MM\_Third Octave Band (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.092490% CI: [-0.294, -0.003375]Mixed Models Analysis
Comparison: MM\_VLHR (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-2. For estimated value it was 10\^-3).p-value: 0.927790% CI: [-5.318, 5.936]Mixed Models Analysis
Comparison: READ\_MFCC mean 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: <0.000190% CI: [0.492, 1.18]Mixed Models Analysis
Comparison: READ\_MFCC mean 02 (The statistical data given below have (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: 0.756890% CI: [-0.1545, 0.2256]Mixed Models Analysis
Comparison: READ\_MFCC mean 03 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.009590% CI: [0.07585, 0.3328]Mixed Models Analysis
Comparison: READ\_MFCC mean 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.199190% CI: [-0.1891, 0.02348]Mixed Models Analysis
Comparison: READ\_MFCC mean 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.646990% CI: [-0.1113, 0.06301]Mixed Models Analysis
Comparison: READ\_MFCC mean 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.01590% CI: [-0.2022, -0.03967]Mixed Models Analysis
Comparison: READ\_MFCC mean 07 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.573690% CI: [-0.0507, 0.103]Mixed Models Analysis
Comparison: READ\_MFCC mean 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.089490% CI: [-0.1438, -0.002335]Mixed Models Analysis
Comparison: READ\_MFCC mean 09 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.593690% CI: [-9.706, 4.968]Mixed Models Analysis
Comparison: READ\_MFCC mean 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.02990% CI: [-0.1291, -0.01844]Mixed Models Analysis
Comparison: READ\_MFCC mean 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.812790% CI: [-0.05203, 0.06944]Mixed Models Analysis
Comparison: READ\_MFCC mean 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.026290% CI: [-0.1287, -0.01955]Mixed Models Analysis
Comparison: READ\_MFCC mean 13 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.280990% CI: [-1.553, 7.412]Mixed Models Analysis
Comparison: READ\_MFCC std 01 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-1. For dispersion value it was 10\^-2).p-value: <0.000190% CI: [-3.812, -1.621]Mixed Models Analysis
Comparison: READ\_MFCC std 02 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.052490% CI: [-0.107, -0.008915]Mixed Models Analysis
Comparison: READ\_MFCC std 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-2).p-value: 0.571690% CI: [-3.955, 1.938]Mixed Models Analysis
Comparison: READ\_MFCC std 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.06490% CI: [-0.04208, -0.002526]Mixed Models Analysis
Comparison: READ\_MFCC std 05 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-2. For upper limit it was 10\^-3).p-value: 0.258490% CI: [-3.285, 6.138]Mixed Models Analysis
Comparison: READ\_MFCC std 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.646590% CI: [-0.02992, 0.01692]Mixed Models Analysis
Comparison: READ\_MFCC std 07 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit and estimated value it was 10\^-2. For dispersion value it was 10\^-3 and for upper limit it was 10\^-4).p-value: 0.117790% CI: [-2.489, 6.297]Mixed Models Analysis
Comparison: READ\_MFCC std 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.415590% CI: [-0.02411, 0.008187]Mixed Models Analysis
Comparison: READ\_MFCC std 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.606790% CI: [-0.01742, 0.009148]Mixed Models Analysis
Comparison: READ\_MFCC std 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.960390% CI: [-0.0121, 0.01286]Mixed Models Analysis
Comparison: READ\_MFCC std 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.702290% CI: [-0.01164, 0.007265]Mixed Models Analysis
Comparison: READ\_MFCC std 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.181890% CI: [-0.001806, 0.01724]Mixed Models Analysis
Comparison: READ\_MFCC std 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.532490% CI: [-0.01466, 0.006618]Mixed Models Analysis
Comparison: READ\_SNR (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.852490% CI: [-0.04025, 0.05046]Mixed Models Analysis
Primary

Change From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56

Voice features were recorded once daily in an electronic diary for 8 weeks. Assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Coefficient of Variation of F0: measures variation in pitch over time. MFCC 1st order delta: time-averaged estimate of first derivate of the MFCCs. MFCC 2nd order delta: time-averaged estimate of the second derivative of the MFCCs. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 01 LSM (10^-3), SE (10^-3)-5.601 UnitlessStandard Error 2.751
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_Coefficient of Variation F0 LSM (10^-4), SE (10^-4)2.975 UnitlessStandard Error 3.383
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 02 LSM (10^-3), SE (10^-3)4.120 UnitlessStandard Error 1.464
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 03 LSM (10^-3), SE (10^-3)-3.067 UnitlessStandard Error 1.053
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 04 LSM (10^-3), SE (10^-4)2.780 UnitlessStandard Error 9.751
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 05 LSM (10^-3), SE (10^-4)-1.324 UnitlessStandard Error 8.289
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 06 LSM (10^-4), SE (10^-4)-2.606 UnitlessStandard Error 9.707
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 07 LSM (10^-4), SE (10^-4)-5.071 UnitlessStandard Error 7.593
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 08 LSM (10^-4), SE (10^-4)3.067 UnitlessStandard Error 6.273
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 09 LSM (10^-3), SE (10^-4)-1.649 UnitlessStandard Error 7.998
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 10 LSM (10^-4), SE (10^-4)8.236 UnitlessStandard Error 7.053
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 11 LSM (10^-4), SE (10^-4)-2.920 UnitlessStandard Error 6.839
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 12 LSM (10^-4), SE (10^-4)-3.363 UnitlessStandard Error 6.312
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 1st order delta 13 LSM (10^-4), SE (10^-4)7.281 UnitlessStandard Error 5.677
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 01 LSM (10^-4), SE (10^-3)5.153 UnitlessStandard Error 1.523
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 02 LSM (10^-3), SE (10^-4)-1.330 UnitlessStandard Error 6.782
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 03 LSM (10^-4), SE (10^-4)-1.560 UnitlessStandard Error 6.763
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 04 LSM (10^-5), SE (10^-4)-9.713 UnitlessStandard Error 6.18
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 05 LSM (10^-4), SE (10^-4)4.520 UnitlessStandard Error 5.576
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 06 LSM (10^-4), SE (10^-4)-1.528 UnitlessStandard Error 5.586
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 07 LSM (10^-5), SE (10^-4)-5.254 UnitlessStandard Error 4.217
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 08 LSM (10^-4), SE (10^-4)-4.591 UnitlessStandard Error 3.83
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 09 LSM (10^-4), SE (10^-4)7.046 UnitlessStandard Error 3.687
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 10 LSM (10^-4), SE (10^-4)-1.564 UnitlessStandard Error 3.606
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 11 LSM (10^-5), SE (10^-4)6.573 UnitlessStandard Error 2.81
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 12 LSM (10^-4), SE (10^-4)-4.071 UnitlessStandard Error 3.664
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56EE_MFCC 2nd order delta 13 LSM (10^-4), SE (10^-4)2.799 UnitlessStandard Error 3.317
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_Coefficient of Variation F0 LSM (10^-4), SE (10^-4)1.123 UnitlessStandard Error 1.676
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 01 LSM (10^-5), SE (10^-3)7.586 UnitlessStandard Error 2.882
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 02 LSM (10^-4), SE (10^-3)8.249 UnitlessStandard Error 1.815
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 03 LSM (10^-3), SE (10^-3)-1.188 UnitlessStandard Error 1.322
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 04 LSM (10^-4), SE (10^-3)-7.258 UnitlessStandard Error 1.101
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 05 LSM (10^-3), SE (10^-4)-1.326 UnitlessStandard Error 7.555
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 06 LSM (10^-4), SE (10^-3)5.502 UnitlessStandard Error 1.056
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 07 LSM (10^-4), SE (10^-4)-4.691 UnitlessStandard Error 7.305
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 08 LSM (10^-3), SE (10^-4)-1.530 UnitlessStandard Error 7.82
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 09 LSM (10^-4), SE (10^-4)4.166 UnitlessStandard Error 7.294
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 10 LSM (10^-3), SE (10^-4)-2.112 UnitlessStandard Error 7.299
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 11 LSM (10^-4), SE (10^-4)-7.706 UnitlessStandard Error 7.494
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 12 LSM (10^-4), SE (10^-4)2.388 UnitlessStandard Error 6.494
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 1st order delta 13 LSM (10^-4), SE (10^-4)2.121 UnitlessStandard Error 6.877
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 01 LSM (10^-3), SE (10^-3)-2.784 UnitlessStandard Error 1.667
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 02 LSM (10^-4), SE (10^-4)-1.368 UnitlessStandard Error 9.117
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 03 LSM (10^-3), SE (10^-4)-1.551 UnitlessStandard Error 6.294
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 04 LSM (10^-3), SE (10^-4)1.840 UnitlessStandard Error 7.343
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 05 LSM (10^-3), SE (10^-4)1.290 UnitlessStandard Error 5.029
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 06 LSM (10^-4), SE (10^-4)-1.473 UnitlessStandard Error 5.891
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 07 LSM (10^-4), SE (10^-4)-5.556 UnitlessStandard Error 4.647
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 08 LSM (10^-3), SE (10^-4)1.128 UnitlessStandard Error 5.339
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 09 LSM (10^-4), SE (10^-4)-3.297 UnitlessStandard Error 5.134
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 10 LSM (10^-4), SE (10^-4)-2.104 UnitlessStandard Error 3.528
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 11 LSM (10^-4), SE (10^-4)5.126 UnitlessStandard Error 4.289
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 12 LSM (10^-4), SE (10^-4)2.703 UnitlessStandard Error 4.094
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56MM_MFCC 2nd order delta 13 LSM (10^-4), SE (10^-4)-2.020 UnitlessStandard Error 5.334
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 01 LSM (10^-3), SE (10^-4)-2.660 UnitlessStandard Error 9.22
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 02 LSM (10^-4), SE (10^-4)6.490 UnitlessStandard Error 4.448
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 03 LSM (10^-4), SE (10^-4)1.355 UnitlessStandard Error 3.323
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 04 LSM (10^-5), SE (10^-4)7.664 UnitlessStandard Error 2.574
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 05 LSM (10^-4), SE (10^-4)-1.708 UnitlessStandard Error 2.028
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 06 LSM (10^-4), SE (10^-4)2.510 UnitlessStandard Error 1.904
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 07 LSM (10^-4), SE (10^-4)2.393 UnitlessStandard Error 1.627
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 08 LSM (10^-4), SE (10^-4)4.111 UnitlessStandard Error 1.553
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 09 LSM (10^-5), SE (10^-4)-4.151 UnitlessStandard Error 1.134
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 10 LSM (10^-4), SE (10^-4)1.593 UnitlessStandard Error 1.291
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 11 LSM (10^-4), SE (10^-5)1.893 UnitlessStandard Error 9.442
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 12 LSM (10^-4), SE (10^-5)1.380 UnitlessStandard Error 6.614
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 1st order delta 13 LSM (10^-4), SE (10^-4)1.166 UnitlessStandard Error 1.04
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 01 LSM (10^-3), SE (10^-4)-1.190 UnitlessStandard Error 5.79
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 02 LSM (10^-4), SE (10^-4)-4.504 UnitlessStandard Error 3.04
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 03 LSM (10^-4), SE (10^-4)2.968 UnitlessStandard Error 3.334
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 04 LSM (10^-5), SE (10^-4)-7.963 UnitlessStandard Error 2.101
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 05 LSM (10^-4), SE (10^-4)5.075 UnitlessStandard Error 1.878
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 06 LSM (10^-4), SE (10^-4)-1.880 UnitlessStandard Error 1.174
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 07 LSM (10^-4), SE (10^-4)1.667 UnitlessStandard Error 1.164
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 08 LSM (10^-4), SE (10^-5)1.531 UnitlessStandard Error 9.552
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 09 LSM (10^-4), SE (10^-4)1.989 UnitlessStandard Error 1.076
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 10 LSM (10^-5), SE (10^-5)5.573 UnitlessStandard Error 9.318
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 11 LSM (10^-5), SE (10^-5)1.774 UnitlessStandard Error 8.677
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 12 LSM (10^-5), SE (10^-5)7.327 UnitlessStandard Error 6.63
All ParticipantsChange From Baseline in Voice Feature (Coefficient of Variation, Mel Frequency Cepstral Coefficients (MFCC) 1st Order Delta, MFCC 2nd Order Delta) Values From Well-to-Sick State Through Day 56READ_MFCC 2nd order delta 13 LSM (10^-4), SE (10^-5)1.534 UnitlessStandard Error 9.067
Comparison: EE\_Coefficient of Variation F0 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4.p-value: 0.380990% CI: [-2.631, 8.58]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3.p-value: 0.043890% CI: [-0.01016, -0.001043]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-3.p-value: 0.005790% CI: [1.694, 6.546]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-3.p-value: 0.004290% CI: [-4.811, -1.323]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-3. For dispersion value it was 10\^-4).p-value: 0.005190% CI: [1.164, 4.396]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit and estimated value it was 10\^-3. For upper limit it was 10\^-5 and for dispersion value it was 10\^-4).p-value: 0.112890% CI: [-2.698, 4.973]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.788890% CI: [-0.001869, 0.001348]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.505590% CI: [-0.001765, 0.0007512]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.625790% CI: [-0.0007328, 0.001346]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.041390% CI: [-0.002974, -0.0003238]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.245190% CI: [-0.0003452, 0.001992]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.670290% CI: [-0.001425, 0.0008413]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.595190% CI: [-0.001382, 0.0007097]Mixed Models Analysis
Comparison: EE\_MFCC 1st order delta 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.20290% CI: [-0.0002126, 0.001669]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.735690% CI: [-0.002008, 0.003038]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.052290% CI: [-0.002453, -0.0002057]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.81890% CI: [-0.001277, 0.0009647]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4.p-value: 0.875490% CI: [-0.001121, 0.000927]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.419290% CI: [-0.0004721, 0.001376]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.784990% CI: [-0.001079, 0.0007729]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-4. For estimated value it was 10\^-5).p-value: 0.90190% CI: [-7.513, 6.463]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.232990% CI: [-0.001094, 0.0001755]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.058390% CI: [0.00009366, 0.001315]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.665490% CI: [-7.54, 4.413]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.815490% CI: [-0.0003998, 0.0005313]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.268790% CI: [-0.001014, 0.0002001]Mixed Models Analysis
Comparison: EE\_MFCC 2nd order delta 13 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.400590% CI: [-2.698, 8.296]Mixed Models Analysis
Comparison: MM\_Coefficient of Variation F0 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.50490% CI: [-1.654, 3.901]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.97990% CI: [-0.004701, 0.004852]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.650390% CI: [-0.002183, 0.003833]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-3).p-value: 0.370590% CI: [-3.379, 1.003]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.511190% CI: [-0.002551, 0.001099]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.081690% CI: [-0.002578, -0.0000744]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.603490% CI: [-0.0012, 0.002301]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.52290% CI: [-0.00168, 0.0007415]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.052690% CI: [-0.002826, -0.0002344]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.568990% CI: [-0.000792, 0.001625]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.004590% CI: [-0.003321, -0.000902]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.305890% CI: [-0.002013, 0.0004713]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.713790% CI: [-0.0008374, 0.001315]Mixed Models Analysis
Comparison: MM\_MFCC 1st order delta 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.758390% CI: [-0.0009275, 0.001352]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit it was 10\^-5. For lower limit, estimated value and dispersion value it was 10\^-3).p-value: 0.097490% CI: [-5.547, -2.155]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and lower limit it was 10\^-3. For estimated value and dispersion value it was 10\^-4).p-value: 0.88190% CI: [-1.648, 1.374]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.015190% CI: [-0.002594, -0.0005077]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.013590% CI: [0.0006233, 0.003057]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.011590% CI: [0.0004563, 0.002123]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.802990% CI: [-0.001123, 0.0008288]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.234290% CI: [-0.001326, 0.0002146]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.036690% CI: [0.0002436, 0.002013]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.52290% CI: [-0.00118, 0.0005212]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.55290% CI: [-7.95, 3.742]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For ldispersion value it was 10\^-4).p-value: 0.234390% CI: [-0.0001981, 0.001223]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.510390% CI: [-4.081, 9.487]Mixed Models Analysis
Comparison: MM\_MFCC 2nd order delta 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.705690% CI: [-0.001086, 0.0006819]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-3. For estimated value it was 10\^-4).p-value: 0.004690% CI: [-4.188, -1.132]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.147190% CI: [-0.0000881, 0.001386]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.684290% CI: [-4.152, 6.862]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.766490% CI: [-0.0003499, 0.0005032]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.401590% CI: [-5.069, 1.654]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-4. For lower limit it was 10\^-5).p-value: 0.189790% CI: [-6.446, 5.665]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-4. For lower limit it was 10\^-5).p-value: 0.143990% CI: [-3.035, 5.09]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.009290% CI: [1.537, 6.685]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.71590% CI: [-0.0002294, 0.0001464]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-4. For lower limit it was 10\^-5).p-value: 0.219490% CI: [-5.457, 3.731]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.047190% CI: [0.00003283, 0.0003458]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.03990% CI: [0.0000284, 0.0002476]Mixed Models Analysis
Comparison: READ\_MFCC 1st order delta 13 (The statistical data given below have (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-4. For lower limit it was 10\^-5).p-value: 0.264590% CI: [-5.579, 2.89]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 01 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.04290% CI: [-0.002149, -0.0002303]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 02 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-4. For upper limit it was 10\^-5).p-value: 0.14190% CI: [-9.542, 5.341]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 03 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.375190% CI: [-2.557, 8.492]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 04 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.705390% CI: [-0.0004277, 0.0002685]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 05 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-4).p-value: 0.007890% CI: [1.964, 8.187]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 06 (The statistical data given below have exponential factor in addition to the values mentioned. For lower limit, estimated value and dispersion value it was 10\^-4. For upper limit it was 10\^-6).p-value: 0.111990% CI: [-3.826, 6.611]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 07 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^-4. For lower limit it was 10\^-5).p-value: 0.154590% CI: [-2.615, 3.596]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 08 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit and estimated value it was 10\^-4. For lower limit it was 10\^-6 and for dispersion value it was 10\^-5).p-value: 0.111490% CI: [-5.164, 3.114]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 09 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.066890% CI: [0.00002067, 0.0003772]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 10 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.550990% CI: [-0.0000986, 0.0002101]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 11 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.838390% CI: [-0.000126, 0.0001615]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 12 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.271390% CI: [-0.0000366, 0.0001831]Mixed Models Analysis
Comparison: READ\_MFCC 2nd order delta 13 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-5).p-value: 0.093190% CI: [0.00000317, 0.0003037]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (AHH_Max Phonation Time, EE_Jitter Local Absolute, MM_Jitter Local Absolute) Values From Well-to-Sick State Through Day 56

Participants recorded voice features such as pitch, jitter once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Max Phonation Time: duration that sound is held for. Jitter Local Absolute: average absolute difference between consecutive periods. Indicates how unsteady the pitch is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (AHH_Max Phonation Time, EE_Jitter Local Absolute, MM_Jitter Local Absolute) Values From Well-to-Sick State Through Day 56AHH_Max Phonation Time: LSM (10^-1), SE (10^-2)-1.519 SecondsStandard Error 2.769
All ParticipantsChange From Baseline in Voice Features (AHH_Max Phonation Time, EE_Jitter Local Absolute, MM_Jitter Local Absolute) Values From Well-to-Sick State Through Day 56EE_Jitter Local Absolute: LSM (10^-8)6.899 SecondsStandard Error 0
All ParticipantsChange From Baseline in Voice Features (AHH_Max Phonation Time, EE_Jitter Local Absolute, MM_Jitter Local Absolute) Values From Well-to-Sick State Through Day 56MM_Jitter Local Absolute: LSM (10^-7)-1.743 SecondsStandard Error 0
Comparison: AHH\_Max Phonation Time (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and estimated value it was 10\^-1. For dispersion value it was 10\^-2).p-value: <0.000190% CI: [-1.978, -1.06]Mixed Models Analysis
Comparison: EE\_Jitter Local Absolute (The statistical data given below have exponential factor in addition to the values mentioned. For estimated value it was 10\^-8).p-value: <0.0001Mixed Models Analysis
Comparison: MM\_Jitter Local Absolute (The statistical data given below have exponential factor in addition to the values mentioned. For estimated value it was 10\^-7).p-value: <0.0001Mixed Models Analysis
Primary

Change From Baseline in Voice Features (EE_Entropy, MM_Entropy) Values From Well-to-Sick State Through Day 56

Participants recorded voice features such as entropy once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Entropy: Shannon entropy of the spectral distribution. Quantifies tonailty similar to spectral flatness. EE\_Entropy and MM\_Entropy refer to this same measure computed on the eee and mmm phonemes, respectively. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (EE_Entropy, MM_Entropy) Values From Well-to-Sick State Through Day 56EE_Entropy: LSM (10^-3), SE (10^-3)-1.931 BitStandard Error 3.554
All ParticipantsChange From Baseline in Voice Features (EE_Entropy, MM_Entropy) Values From Well-to-Sick State Through Day 56MM_Entropy: LSM (10^-4), SE (10^-3)-1.479 BitStandard Error 2.847
Comparison: EE\_Entropy (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, estimated value and dispersion value it was 10\^-3).p-value: 0.587890% CI: [-7.82, 3.958]Mixed Models Analysis
Comparison: MM\_Entropy (The statistical data given below have exponential factor in addition to the values mentioned. For estimated value it was 10\^-4. For dispersion value, lower limit and upper limit it was 10\^-3).p-value: 0.958790% CI: [-4.866, 4.57]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (EE_Jitter Local, MM_Jitter Local) Values From Well-to-Sick State Through Day 56

Voice features such as jitter were recorded once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Jitter Local: average absolute difference between consecutive periods divided by the average period as a percentage. Indicates how unsteady the pitch is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (EE_Jitter Local, MM_Jitter Local) Values From Well-to-Sick State Through Day 56EE_Jitter Local: LSM (10^-4), SE (10^-3)8.654 Percentage of periodStandard Error 1.441
All ParticipantsChange From Baseline in Voice Features (EE_Jitter Local, MM_Jitter Local) Values From Well-to-Sick State Through Day 56MM_Jitter Local: LSM (10^-4), SE (10^-3)-2.206 Percentage of periodStandard Error 3.176
Comparison: EE\_Jitter Local (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-3).p-value: 0.549190% CI: [-0.001522, 0.003253]Mixed Models Analysis
Comparison: MM\_Jitter Local (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, and dispersion value it was 10\^-3. For estimated value it was 10\^-4).p-value: 0.944790% CI: [-5.483, 5.042]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (EE_Shimmer Local, MM_Shimmer Local) Values From Well-to-Sick State Through Day 56

Voice features such as shimmer were once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Shimmer Local: average absolute difference between the amplitudes of consecutive periods divided by the average amplitude as a percentage. Indicates how unsteady the sound intensity is across neighboring glottal pulses. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (EE_Shimmer Local, MM_Shimmer Local) Values From Well-to-Sick State Through Day 56EE_Shimmer Local: LSM (10^-3), SE (10^-2)7.567 Percentage of amplitudeStandard Error 1.12
All ParticipantsChange From Baseline in Voice Features (EE_Shimmer Local, MM_Shimmer Local) Values From Well-to-Sick State Through Day 56MM_Shimmer Local: LSM (10^-3), SE (10^-2)6.060 Percentage of amplitudeStandard Error 1.101
Comparison: EE\_Shimmer Local (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.500490% CI: [-0.01099, 0.02612]Mixed Models Analysis
Comparison: MM\_Shimmer Local (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-2).p-value: 0.583190% CI: [-0.01219, 0.02431]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (EE_Voiced Frames, MM_Voiced Frames) Values From Well-to-Sick State Through Day 56

Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. The voiced frames rate indicates how much of the sound is voiced. EE and MM refer to the sounds on which the measure is computed. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (EE_Voiced Frames, MM_Voiced Frames) Values From Well-to-Sick State Through Day 56EE_Voiced Frames: LSM (10^-4), SE (10^-3)-4.024 Frame per secondStandard Error 3.122
All ParticipantsChange From Baseline in Voice Features (EE_Voiced Frames, MM_Voiced Frames) Values From Well-to-Sick State Through Day 56MM_Voiced Frames: LSM (10^-4), SE (10^-4)-6.624 Frame per secondStandard Error 7.961
Comparison: EE\_Voiced Frames (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, and dispersion value it was 10\^-3. For estimated value it was 10\^-4).p-value: 0.897790% CI: [-5.577, 4.772]Mixed Models Analysis
Comparison: MM\_Voiced Frames (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-4).p-value: 0.40790% CI: [-0.001982, 0.0006569]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56

Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Formant: frequency at which the vocal tract produces an acoustic resonance. Formant Bandwidth: the spectral width of the acoustic resonance. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor in addition to values mentioned. Individual exponential factors have been mentioned in respective row title.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 1: LSM (10^-2), SE (10^-1)-3.262 HertzStandard Error 4.487
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 1 Bandwidth: LSM (10^-2), SE (10^-1)-6.912 HertzStandard Error 5.997
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 2: LSM (10^-1), SE (10^0)1.985 HertzStandard Error 1.23
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 2 Bandwidth: LSM (10^-1), SE (10^0)6.573 HertzStandard Error 2.191
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 3: LSM (10^-1), SE (10^-1)6.504 HertzStandard Error 8.958
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56EE_Formant 3 Bandwidth: LSM (10^-2), SE (10^0)9.459 HertzStandard Error 1.255
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 1: LSM (10^-1), SE (10^-1)6.945 HertzStandard Error 7.972
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 1 Bandwidth: LSM (10^-2), SE (10^0)2.424 HertzStandard Error 1.021
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 2: LSM (10^-1), SE (10^0)-9.256 HertzStandard Error 1.083
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 2 Bandwidth: LSM (10^-1), SE (10^0)9.350 HertzStandard Error 1.289
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 3: LSM (10^0), SE (10^0)2.105 HertzStandard Error 1.231
All ParticipantsChange From Baseline in Voice Features (Formant and Formant Bandwidth) Values From Well-to-Sick State Through Day 56MM_Formant 3 Bandwidth: LSM (10^0), SE (10^0)1.664 HertzStandard Error 1.358
Comparison: EE\_Formant 1 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^-1. For estimated value it was 10\^-2).p-value: 0.942190% CI: [-7.761, 7.109]Mixed Models Analysis
Comparison: EE\_Formant 1 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: 0.908490% CI: [-1.063, 0.9247]Mixed Models Analysis
Comparison: EE\_Formant 2 (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit and dispersion value it was 10\^0. For estimated value it was 10\^-1).p-value: 0.872190% CI: [-1.841, 2.238]Mixed Models Analysis
Comparison: EE\_Formant 2 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.764790% CI: [-2.974, 4.288]Mixed Models Analysis
Comparison: EE\_Formant 3 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: 0.469290% CI: [-0.8341, 2.135]Mixed Models Analysis
Comparison: EE\_Formant 3 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.9490% CI: [-2.174, 1.985]Mixed Models Analysis
Comparison: MM\_Formant 1 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^-1).p-value: 0.385390% CI: [-0.6265, 2.015]Mixed Models Analysis
Comparison: MM\_Formant 1 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.981190% CI: [-1.667, 1.716]Mixed Models Analysis
Comparison: MM\_Formant 2 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.394490% CI: [-2.72, 0.869]Mixed Models Analysis
Comparison: MM\_Formant 2 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.469690% CI: [-1.201, 3.071]Mixed Models Analysis
Comparison: MM\_Formant 3 (The statistical data given below have exponential factor in addition to the values mentioned. For dispersion value it was 10\^0).p-value: 0.089690% CI: [0.06596, 4.145]Mixed Models Analysis
Comparison: MM\_Formant 3 Bandwidth (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, estimated value and dispersion value it was 10\^0. For lower limit it was 10\^-1).p-value: 0.222790% CI: [-5.864, 3.915]Mixed Models Analysis
Primary

Change From Baseline in Voice Features (READ_Speaking Rate) Values From Well-to-Sick State Through Day 56

Participants recorded voice features once daily in an electronic diary for 8 weeks. Voice assessments were done by 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Baseline was average of endpoint values up to 7 days before first occurrence of new/increased symptoms. If participant had no data in 7 days, average of endpoint values for closest 3 days prior to these 7 days was used as baseline. Linear mixed effect model was used for analysis for change from baseline in each voice feature versus day during the well to sick period, with slope (without intercept) included as fixed effects and random effects. The fixed effect of the slope, as the population level estimate, was reported. The data given has exponential factor (i.e. LSM\*10\^-2, SE\*10\^-3) in addition to values mentioned.

Time frame: Baseline up to Day 56

Population: Participants who initially were SARS-CoV-2, Influenza and/or RSV negative (at Swab 1) and had no acute symptoms, and became SARS-CoV-2, Influenza virus or RSV positive (at Swab 2) and symptomatic during the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
All ParticipantsChange From Baseline in Voice Features (READ_Speaking Rate) Values From Well-to-Sick State Through Day 562.130 Syllable per secondStandard Error 3.211
Comparison: READ\_Speaking Rate (The statistical data given below have exponential factor in addition to the values mentioned. For upper limit, lower limit, and estimated value it was 10\^-2. For dispersion value it was 10\^-3).p-value: <0.000190% CI: [1.598, 2.662]Mixed Models Analysis
Secondary

Number of Days Between Reporting Symptoms and Recording Swab 2 in the Electronic-Diary

In this outcome measure, number of days from symptom onset (reporting new or increased symptoms in the electronic diary) to the day of recording Swab 2 day in the electronic diary averaged across participants who administered self-swab 2 was reported.

Time frame: Day 2 Up to Day 43

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants had administered self swab 2 and were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
All ParticipantsNumber of Days Between Reporting Symptoms and Recording Swab 2 in the Electronic-Diary18.98 DaysStandard Deviation 17.01
Secondary

Percentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic Diary

In this outcome measure, percentage of compliant days in total days of self-reported symptoms and total days of voice recordings as entered in the electronic diary were reported. Compliant days were calculated for the following and expressed as percentage: symptom compliance = number of compliant days of self-reported symptoms divided by the total number of days in the study. Voice compliance (expressed as percentage) = number of compliant days of completed voice recordings divided by the total number of days in the study. Partial voice compliance (expressed as percentage) = number of compliant days of partially completed voice recordings divided by the total number of days in the study. Symptom and voice compliance (expressed as percentage) = number of compliant days of self-reported symptoms and completed voice recordings divided by the total number of days in the study. Participants who experienced technical issues due to study operational errors were excluded.

Time frame: Day 1 up to Day 56

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsPercentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic DiarySymptom Compliance33.81 Percentage of daysStandard Deviation 35.158
All ParticipantsPercentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic DiaryVoice Compliance32.06 Percentage of daysStandard Deviation 34.535
All ParticipantsPercentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic DiaryPartial Voice Compliance0.49 Percentage of daysStandard Deviation 1.369
All ParticipantsPercentage of Compliant Days in Total Days of Symptoms and Total Days of Voice Recordings Entered in the Electronic DiarySymptom and Voice Compliance32.06 Percentage of daysStandard Deviation 34.535
Secondary

Percentage of Participants Reporting Symptoms in the Electronic Diary Who Have a Self-swab Collected at or Around Symptom Onset

In this outcome measure, 1) participants (par) who administered (adm) self-swab 2 (SS2) before Week 6 (W6) divided by the number of participants who reported new or increased (inc) symptoms (sym) in the electronic diary (e-diary) before W6 and 2) number of participants who reported new or increased symptoms in the e-diary before Week 6 divided by the number of participants who administered self-swab 2 before Week 6 were reported in percentage.

Time frame: Day 2 Up to Day 43

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
All ParticipantsPercentage of Participants Reporting Symptoms in the Electronic Diary Who Have a Self-swab Collected at or Around Symptom OnsetPar who adm SS2 before W6/par who reported new or inc symptoms in e-diary before W69.3 Percentage of participants
All ParticipantsPercentage of Participants Reporting Symptoms in the Electronic Diary Who Have a Self-swab Collected at or Around Symptom OnsetPar who reported new or inc sym in e-diary before W6/par who adm SS2 before W622.3 Percentage of participants
Secondary

Percentage of Participants Who Administered Self-swab 1 and Self-swab 2

In this outcome measure, percentage of participants who administered self-swab 1, self-swab 2 and self-swab 1 and 2 excluding participants who experienced technical issues due to study operational errors were reported.

Time frame: Day 2 up to Day 43

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
All ParticipantsPercentage of Participants Who Administered Self-swab 1 and Self-swab 2Participants who administered self-swab 143.4 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swab 1 and Self-swab 2Participants who administered self-swab 231.4 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swab 1 and Self-swab 2Participants who administered self-swab 1 and self-swab 228.3 Percentage of participants
Secondary

Percentage of Participants Who Administered Self-swabs With Valid Results

In this outcome measure, percentage of participants with valid (positive or negative) self-swab results for SARS-CoV-2, Flu A, Flu b and RSV were reported.

Time frame: Day 2 Up to Day 43

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 1 result for SARS-CoV-291.24 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 1 result for Flu A91.21 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 1 result for Flu B91.21 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 1 result for RSV91.21 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 2 result for SARS-CoV-293.57 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 2 result for Flu A93.57 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 2 result for Flu B93.57 Percentage of participants
All ParticipantsPercentage of Participants Who Administered Self-swabs With Valid ResultsPositive or negative self-swab 2 result for RSV93.57 Percentage of participants
Secondary

Percentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSV

In this outcome measure, percentage of participants with valid self-swab 1 and 2 results positive for SARS-COV-2, Flu A, Flu B, RSV and SARS-CoV-2 and/or Influenza (Flu A/Flu B) and/or RSV were reported.

Time frame: Day 2 up to Day 43

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 1: SARS-COV-26 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 1: Flu A0.2 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 1: Flu B0 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 1: RSV0.1 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 1: SARS-CoV-2 and/or Influenza and/or RSV6.3 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 2: SARS-COV-27.7 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 2: Flu A0.2 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 2: Flu B0 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 2: RSV0.6 Percentage of participants
All ParticipantsPercentage of Participants With a Positive Self-Swab Result for SARS-CoV-2 and/or Influenza and/or RSVSelf-swab 2: SARS-CoV-2 and/or Influenza and/or RSV8.5 Percentage of participants
Secondary

Percentage of Quality Voice Recordings

In this outcome measure, percentage was calculated over the number of days that the participant was able to complete the task for each recording. Participants were required to record their daily voice in electronic diary and the assessment included 2 phonemes: 'eee' and 'mmm' for 4 seconds (minimum 3 seconds), 1 phoneme: ahh sustained (as long as possible) and a 5-sentence reading passage. Quality recordings were defined as recordings exceeding signal-to-noise (SNR) and duration thresholds (i.e. SNR \>= 20 decibels \[dB\] that have duration \>= 3 seconds for phoneme and \>= 10 seconds for reading tasks). In the case of multiple electronic diary sessions per day, the session with the highest quality voice recordings for that day was used in this analysis.

Time frame: Day 1 up to Day 56

Population: Full analysis set included all participants who signed the informed consent document and enrolled in the study.

ArmMeasureValue (MEAN)Dispersion
All ParticipantsPercentage of Quality Voice Recordings84.15 Percentage of quality recordingsStandard Deviation 20.23

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026