Patient Factors Related to Voice Therapy Attendance and Outcomes

Smith, Bonnie E.; Kempster, Gail B.; Sims, H. Steven

doi:10.1016/j.jvoice.2009.03.004

Cited by 62 publications

(30 citation statements)

References 8 publications

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“…Other studies (5,6,24) investigated the relationship between the scores of the VHI and adherence to voice therapy, noting that the VHI average score was not predictive of patient compliance. However, these studies did not use any instrument to investigate the stage of readiness to change, but analyzed the abandonment of therapy and the causes of this abandonment, inferring patient compliance from this information.…”

Section: Discussionmentioning

confidence: 99%

Autoavaliação e prontidão para mudança em pacientes disfônicos

Lopes

Vilela

2016

CoDAS

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RESUMO Objetivo Analisar se existe associação entre a autoavaliação vocal e a prontidão para mudança em pacientes disfônicos. Método Participaram 151 pacientes com queixa vocal e diagnóstico de disfonia, entre 18 e 65 anos de idade, 47 homens e 104 mulheres, atendidos no ambulatório de voz de uma instituição pública. Foram aplicados quatro instrumentos de autoavaliação, incluindo o Questionário de Qualidade de Vida em Voz (QVV), o Índice de Desvantagem Vocal (IDV) e a Escala de Sintomas Vocais (ESV), além da utilização do instrumento URICA-VOZ, para verificação do estágio de prontidão para mudança dos pacientes. Todos os instrumentos foram aplicados imediatamente antes do início da terapia vocal. As variáveis foram correlacionadas e comparadas por meio de estatística inferencial. Resultados A maioria dos pacientes encontrava-se no estágio de contemplação (76,2%, n = 115), 22 (14,6%), no estágio de pré-contemplação e 14 (9,3%), no estágio de ação. Houve correlação negativa entre o escore no URICA-VOZ e o domínio socioemocional e escore total do QVV. Ocorreu correlação positiva entre o escore do URICA-VOZ e os domínios total, emocional e funcional do IDV, assim como entre o escore do URICA-VOZ e os domínios total, de limitação e emocional da ESV. Apenas os valores do domínio socioemocional do QVV e emocional no ESV apresentaram diferenças estatisticamente significantes entre os estágios motivacionais. Conclusões Existe associação entre a autoavaliação vocal e a prontidão para mudança em pacientes disfônicos. Pacientes com maior impacto na qualidade de vida em voz no QVV e maior frequência de sintomas vocais referida na ESV apresentam maior prontidão para mudança.

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Section: Discussionmentioning

confidence: 99%

Autoavaliação e prontidão para mudança em pacientes disfônicos

Lopes

Vilela

2016

CoDAS

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“…The published literature indicates that patients, who concluded vocal therapy presented lower values in the index of disadvantages of voice (23) and in VAPP (24) , when compared to individuals, who abandoned the treatment. Such differences in the results can be justified by methodological issues associated to sample size, however, despite this limitation, our results are relevant because it is a longitudinal study on the long-term results of vocal therapy, and studies of this nature are still scarce.…”

Section: Discussionmentioning

confidence: 99%

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Ferreira

Campos

Bassi

et al. 2013

CoDAS

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DescritoresTo evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. Methods: This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speechlanguage therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. Results: At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. Conclusion: Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average. RESUMOObjetivo: Avaliar os efeitos em longo prazo da fonoterapia na qualidade de vida de professoras que receberam alta ou abandonaram o tratamento fonoaudiológico para disfonia. Métodos: Tratou-se de um estudo longitudinal baseado na análise das avaliações realizadas com docentes da rede municipal de ensino de Belo Horizonte, encaminhados para fonoterapia, que tiveram alta ou abandonaram o tratamento fonoaudiológico há mais de seis meses. Participaram 33 professoras no grupo alta e 20 no grupo abandono que foram contatadas, por meio de ligações telefônicas, e convidadas a responder ao protocolo Perfil de participação em atividades vocais, enviado e reencaminhado às pesquisadoras por meio de carta. Resultados: No momento pré-fonoterapia, os grupos alta e abandono eram homogêneos, exceto em relação ao parâmetro comunicação diária. Na comparação do grupo alta nos momentos pré e pós-fonoterapia observou-se melhora no parâmetro comunicação social e no escore total. O grupo alta apresentou piora no parâmetro autopercepção na comparação das médias nos momentos pós-fonoterapia e atual, e no grupo abandono houve piora nos parâmetros trabalho, comunicação social e no escore total na comparação das médias pré-fonoterapia e atual. Os grupos alta e abandono apresentara...

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“…Roy et al (2003) An investigation of voice therapy dropout in a group of participants with dysphonia by Hapner et al (2009) found that there was no significant differences in the patient characteristics of their therapy completers and non-completers on a range of variables studied, which included general demographics (gender, age, and race/ethnicity), otolaryngology diagnosis, severity of quality-of-life handicap, and severity of dysphonia. However, those study findings were not supported by a more recent investigation by Smith et al (2010) which examined the patient-related factors to positive voice therapy attendance and outcomes. They found clients with more complex laryngeal diagnoses, more perceived vocal severity, occupational issues, more health issues (e.g., smokers, higher reports of being under stress, and reports of taking more prescription medications), and higher VHI scores at the time of the initial voice valuation may be at greater risk for failing to attend voice therapy sessions (Smith et al, 2010).…”

Section: Therapy Attendance and Non Attendance (Dropout)contrasting

confidence: 86%

“…However, those study findings were not supported by a more recent investigation by Smith et al (2010) which examined the patient-related factors to positive voice therapy attendance and outcomes. They found clients with more complex laryngeal diagnoses, more perceived vocal severity, occupational issues, more health issues (e.g., smokers, higher reports of being under stress, and reports of taking more prescription medications), and higher VHI scores at the time of the initial voice valuation may be at greater risk for failing to attend voice therapy sessions (Smith et al, 2010). It has also been proposed that treatment attendance rate may be related to patient motivation for voice therapy.…”

Section: Therapy Attendance and Non Attendance (Dropout)contrasting

confidence: 86%

“…Indeed, recent investigations have shown that lack of attendance and therapy dropout rates for clients are high in this population (Hapner et al, 2009;MacKenzie, et al, 2001;Portone et al, 2008;Roy et al, 2003;Smith et al, 2010). Roy et al (2003) An investigation of voice therapy dropout in a group of participants with dysphonia by Hapner et al (2009) found that there was no significant differences in the patient characteristics of their therapy completers and non-completers on a range of variables studied, which included general demographics (gender, age, and race/ethnicity), otolaryngology diagnosis, severity of quality-of-life handicap, and severity of dysphonia.…”

Section: Therapy Attendance and Non Attendance (Dropout)mentioning

confidence: 99%

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Efficacy of intensive voice therapy for patients with vocal fold nodules

Fu¹

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The primary aetiologic factor for vocal fold nodules has been proposed to be cumulative perpendicular impact stress between the vocal folds over time, which increases with voice use (Titze, 1994). Many people with vocal fold nodules work in high vocal demand occupations, therefore, it is essential that they recover vocal function so that their ability to perform their jobs is not compromised (Karkos & McCormick, 2009). A number of studies have reported positive improvements in vocal fold nodules following various types of behavioural voice therapy, and as such, voice therapy is recommended as a first-line treatment .The majority of the intervention studies for patients with vocal fold nodules have examined treatment outcomes following traditional voice therapy models, typically delivered once a week over a period of multiple weeks. To date, no studies have systematically examined the impact of using an intensive, massed practice therapy approach. In that the rehabilitation process for vocal fold nodules requires the learning, maintenance and transfer of new behaviours, it is possible that a more condensed voice therapy protocol may yield equal or even greater benefit. Therefore, the primary aim of this thesis was to explore the efficacy of intensive voice therapy (eight sessions within 3 weeks) as compared with traditional voice therapy (one session per week for 8 weeks).Both the short and long term effects of the different treatments on perceptual, acoustic, and physiological outcomes were examined.Although it has been established that voice therapy is often effective, in many caseloads, rates of therapy completion are poor and this creates a challenge for clinicians (Portone-Maira, Wise, Johns, & Hapner, 2011). Traditional, face-to-face (FTF) voice therapy has shown dropout rates as high as 65% (Hapner, Portone-Maira, & Johns, 2009). Various factors contributing to nonattendance include travel time, inflexible work conditions, and inability to access due to physical barriers. Non-attendance not only affects treatment success, but also results in unnecessary extensions to treatment, and repeated examinations without sufficient behavioural change to effect improvement. Ultimately, there may be a loss of revenue or even employment if patients are unable to meet the vocal requirements of their occupations (Portone, et al., 2008;Portone-Maira et al., 2011). Consequently, there is a need to explore ways to help maximise attendance and ultimately enhance outcomes for people with vocal fold nodules. To this end, the secondary aim of this thesis iii was to examine the feasibility and outcomes of delivering intensive voice therapy via telepractice, as an alternative service delivery model for patients with vocal fold nodules.To address aim one, 53 female patients (56% professional voice users) with bilateral vocal fold nodules were recruited. Participants were matched in pairs according to their age, occupation, and severity of dysphonia and assigned to either of two treatment groups: traditional therapy of eigh...

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Patient Factors Related to Voice Therapy Attendance and Outcomes

Cited by 62 publications

References 8 publications

Autoavaliação e prontidão para mudança em pacientes disfônicos

Autoavaliação e prontidão para mudança em pacientes disfônicos

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Efficacy of intensive voice therapy for patients with vocal fold nodules

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