“…Faith leaders often experience diminished vocal health associated with their work (Büyükatalay et al, 2020 ; Devadas et al, 2016 , 2019 ; do Nascimento Martins et al, 2018 ; Hagelberg & Simberg, 2015 ; Hapner & Gilman, 2012 ; Hočevar-Boltezar, 2009 ; Jayakumar & Mohamed Yasin, 2021 ; Middleton & Hinton, 2009 ; Palheta Neto et al, 2009 ; Ramani et al, 2021 ; Reed & Sims, 2017 ; Subasi et al, 2020 ). Poor vocal health includes: - Voice signs—noticeable changes in voice performance (Colton et al, 2006 );
- Voice symptoms—a voice users’ negative personal experiences of vocal health (Russell, 1999 ; World Health Organization, 2001 ); and
- Voice problems—health-related difficulties that limit a voice users’ activities and overall life participation (Russell, 1999 ; World Health Organization, 2001 ).
…”