Attendance in Voice Therapy

Starmer, Heather M.; Liu, Zaneta; Akst, Lee M.; Gourin, Christine G.

doi:10.1177/0003489414523708

Cited by 36 publications

(6 citation statements)

References 19 publications

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“…This is in concordance with prior work identifying concerns about insurance and/or cost as a barrier to seeking voice care 28 but is different from other recent findings in which distance to clinic was not associated with adherence to therapy. 29 Reassurance that it was not cancer was also reported to be a factor that would influence decision making on seeking voice therapy. Knowledge that the voice problem is not due to cancer could perhaps allow readiness for some patients to address the voice problem itself through voice therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Lack of interest in, or inadequate understanding of, voice therapy also suggests that improved methods for engaging the patient regarding the role and rationale of voice therapy are needed. 14,29 Empowering the patient through educational programs has been beneficial for first-time hearing aid users. 31,32 Similar approaches and incorporating shared decision-making strategies in this context could include an overview of the purpose of voice therapy, the process of voice therapy, and the effectiveness of voice therapy for various conditions in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Joint assessment by an otolaryngologist and a speech-language pathologist has been associated with greater voice therapy adherence. 13,29 The greater likelihood of voice therapy attendance in academic versus private practice settings may reflect a more interdisciplinary evaluation or other factors yet to be identified.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Misono

Marmor

Roy

et al. 2016

Otolaryngol.--head neck surg.

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Objective To identify factors associated with the likelihood of attending voice therapy among patients referred for it in the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. Study Design Prospectively enrolled cross-sectional study. Setting CHEER network of community and academic sites. Methods Data were collected on patient-reported demographics, voice-related diagnoses, voice-related handicap (Voice Handicap Index–10), likelihood of attending voice therapy (VT), and opinions on factors influencing likelihood of attending VT. The relationships between patient characteristics/opinions and likelihood of attending VT were investigated. Results A total of 170 patients with various voice-related diagnoses reported receiving a recommendation for VT. Of those, 85% indicated that they were likely to attend it, regardless of voice-related handicap severity. The most common factors influencing likelihood of VT attendance were insurance/copay, relief that it was not cancer, and travel. Those who were not likely to attend VT identified, as important factors, unclear potential improvement, not understanding the purpose of therapy, and concern that it would be too hard. In multivariate analysis, factors associated with greater likelihood of attending VT included shorter travel distance, age (40-59 years), and being seen in an academic practice. Conclusions Most patients reported plans to attend VT as recommended. Patients who intended to attend VT reported different considerations in their decision making from those who did not plan to attend. These findings may inform patient counseling and efforts to increase access to voice care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Misono

Marmor

Roy

et al. 2016

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…12 Accordingly, potential reasons for lack of patient attendance and adherence to voice therapy have been extensively studied. 8,9,[12][13][14][15][16][17] Previously identified causative factors include insufficient health insurance, distance to treatment site, and incomplete patient understanding of the importance and efficacy of therapy. 13,14,15 Other identified contributors to therapy nonattendance include the duration of time from referral to initial evaluation and patient perception of voice therapy as demanding or difficult.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Voice Therapy Attendance in a Language‐Diverse Population

et al. 2020

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Objectives/Hypothesis: Voice therapy is an effective treatment for many voice disorders, but success depends on attendance and adherence. Many factors hinder treatment attendance, and language discordance with the provider may present an additional obstacle to attending therapy. This study evaluates factors associated with voice therapy attendance at a languagediverse, safety-net hospital.Study Design: Retrospective chart review. Methods: Retrospective review of adult patients referred to speech language pathology for treatment of voice disorders from January, 2018 to April, 2019. Primary spoken language, interpreter collaboration, and patient demographics were obtained from medical records. Multivariate analysis compared patient factors with voice therapy attendance versus nonattendance.Results: Of 422 patients, 219 (52%) attended at least one therapy session, whereas 203 (48%) did not attend (n = 120) or schedule therapy (n = 83). In multivariate analysis, only the association between public insurance and nonattendance was statistically significant (P = .016). After adjusting for interpreter use and interval between referral and first appointment, patients with private health insurance were 2.35 times more likely to attend therapy compared to those with public insurance (95% confidence interval: 1.18-4.71). Non-English language; interpreter collaboration; distance from hospital; and patient demographics, including age, gender, ethnicity, and birthplace, did not significantly correlate with attendance.Conclusions: In a culturally and language-diverse cohort of dysphonic patients, individuals with public health insurance were significantly less likely to attend voice therapy. Language-discordant therapy and interpreter collaboration was not a statistically significant barrier to therapy attendance. Additional investigation is warranted to optimize allocation of voice therapy resources for those with public health insurance and for diverse speakers of all languages.

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“…20 Voice stimulability testing administered by an SLP has an important role and can shed light on the nature of the patient’s voice problem and the patient’s potential for improvement with voice therapy as the primary modality. 30,31 Even after controlling for the use of stroboscopy, as compared with otolaryngology evaluation without SLP, laryngeal/voice-disordered patients who also had SLP evaluation had an 18% greater odds of having a change in laryngeal diagnosis and were more likely to attend voice therapy. 20 Further evaluation is needed to examine the impact of multidisciplinary evaluation of laryngeal/voice-disordered patients and the impact on healthcare utilization, especially subsequent pharmacologic treatment.…”

Section: Discussionmentioning

confidence: 99%

Pharmacologic management of voice disorders by general medicine providers and otolaryngologists

2017

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Attendance in Voice Therapy

Abstract: Patients evaluated in a coordinated IDC should be more likely to attend voice therapy and complete their plan of care, regardless of other factors.

Cited by 36 publications

References 19 publications

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Barriers to Voice Therapy Attendance in a Language‐Diverse Population

Pharmacologic management of voice disorders by general medicine providers and otolaryngologists

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