Predictors of Voice Therapy Initiation: A Cross-Sectional Cohort Study
| Autor: | Susan L. Thibeault, Jennylee Diaz, Kevin Pasternak |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Occupational voice
education.field_of_study medicine.medical_specialty Voice Quality business.industry Voice therapy Population Attendance Dysphonia LPN and LVN Severity of Illness Index Voice Disorder Cohort Studies Speech and Hearing Cross-Sectional Studies Otorhinolaryngology Voice handicap index score Physical therapy Humans Medicine Child business education Breathy voice Cohort study |
| Zdroj: | Journal of Voice. 36:194-202 |
| ISSN: | 0892-1997 |
| Popis: | Summary Objectives/Hypothesis To determine predictors of voice therapy initiation. Study Design Cross-sectional cohort study. Methods All patients were evaluated in an interdisciplinary model at the University of Wisconsin Voice and Swallow Clinics between June 2016 and October 2017. Patients were eligible if they were diagnosed with a voice disorder and recommended for voice therapy as the only treatment. The dependent variable was attendance in at least once voice therapy session. Independent variables included therapeutic alliance, measured using the Session Rating Scale, and patient- and disease-related factors. These factors included gender, age, distance to the clinic, education level, household composition, occupational voice demand, Voice Handicap Index score, auditory-perceptual dysphonia severity (Grade, Roughness, Breathiness, Asthenia, Strain), and medical voice diagnosis. Results Ninety-five patients were enrolled in the study. Voice therapy initiation rate was 70%. Having fewer school-aged children (5-18 years) in the household was significantly different between the group that initiated voice therapy and the group that did not (P = 0.048). There was no difference between groups for all other factors. Conclusions This investigation suggests that household composition, specifically having fewer school-aged children in the household, may predict initiation of voice therapy. This study confirms in a prospective fashion the absence of relationship between voice therapy initiation and most patient- and disease-related factors. Therapeutic alliance should be further investigated for its ability to predict voice therapy initiation using a measure that is validated for the population of patients with dysphonia. |
| Databáze: | OpenAIRE |
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