Pilot Evaluation of Community-Based Vocal Health Screenings.

Autor: Enclade HX; USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California., Chow MS; Department of Otolaryngology-Head and Neck Surgery, NYU School of Medicine, New York City, New York., Sund LT; USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California., O'Dell K; USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California., Hapner ER; USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California., Johns MM 3rd; USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California. Electronic address: Michael.Johns@med.usc.edu.
Jazyk: angličtina
Zdroj: Journal of voice : official journal of the Voice Foundation [J Voice] 2021 Jul; Vol. 35 (4), pp. 666.e1-666.e5. Date of Electronic Publication: 2020 Jan 29.
DOI: 10.1016/j.jvoice.2019.12.018
Abstrakt: Introduction: Community-based health fairs can help identify at-risk populations, improve health literacy, and facilitate access to medical services. No community-based screenings specifically targeting vocal health were identified in the literature. The purpose of this study is to compare the results of community-based vocal health screenings across two populations: a group of community members with unknown risk of voice problems, and a group of actors belonging to a profession with a known increased risk of voice problems.
Methods: Vocal health screenings were conducted at two free, community-based health fair events in the Los Angeles area. One was open to the public, and one was organized specifically for actors who are members of the Screen Actors Guild-American Federation of Television and Radio Artists. A total of 142 community members (94 nonactors and 48 actors) were administered a questionnaire on current vocal health and voice-related quality of life indices (Vocal Handicap Index-10, Vocal Fatigue Index), followed by review and discussion with a laryngologist or a speech pathologist trained in assessment and treatment of voice disorders.
Results: A significantly higher percentage of actors (55.1%) reported current voice problems than nonactors (33.0%; χ 2  = 7.122, df = 1, P = 0.008). Additionally, as measured by the Vocal Fatigue Index 2 subscale, actors reported a greater amount of perceived pain with phonation than the nonactors. Despite over half of the actors reporting current voice concerns, only 7% reported having sought medical advice regarding these concerns.
Conclusions: The results of this study suggest that vocal health screenings can help identify persons with voice complaints. However, in order to determine if vocal health screenings help close prevalence-presentation gap and are useful to both medical professionals and participants, more research is needed.
(Copyright © 2019 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE