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

Abstract

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...

A Randomized Controlled Trial With Female Teachers: Are there Differences Between and Within the Outcomes in Voice Therapy Groups With and Without Carryover Strategies?

“…Regarding voice parameters, no changes were found after our Control group's eight-week non-therapy period, which corroborates the findings of Gillivan-Murphy et al 70 This shows that voice clients need straight guidance and feedback from a speech therapist to change their voice behavior in order to change the interaction process of airflow, air pressure, and muscular activity of the vocal cords. 22 Our VAPP results did not change either after the non-therapy period, as also reported by Ferreira et al 71 In contrast to our study, Ribeiro et al 57 reported improvement in their control participants' voice-related quality of life, possibly as a consequence of the so-called Hawthorne effect mentioned above. 69 Teachers with organic laryngeal findings In our initial phoniatric examination organic findings were observed in five teachers: in the Carryover group one polyp in the vocal fold and nodules in one vocal fold; in the Trad group there was one vocal fold hemorrhage, one vocal fold atrophy, and one case of vocal fold nodules.…”

A influência do afastamento do trabalho na percepção de saúde e qualidade de vida de indivíduos adultos

“…In Brazil, in 2011, the number of workers away from their labor activities due to illnesses or accidents arising from work activities was 611,576 for temporary absences, and 14,811 for permanent incapacity, causing large consequences on public health with approximate expenses of BRL 63.6 billion According to the results, the perception of health and quality of life of workers on leave from labor activity was significantly worse when compared to the one from the active workers. Several studies have investigated the quality of life for workers in the labor market and in specific occupational groups, such as bank clerks 18 , fire figthers 19 , dentists 20 , motorcycle taxi drivers 21 , public service workers 22 , teachers 23 , and health care professionals 24 , among others. However, in national literature, few investigations analyze the perception of health from workers and the impact of being out of work on the quality of life of the individual.…”

Associação entre a adesão da terapia vocal e perfil de atividades vocais em pacientes disfônicos comportamentais

“…The Voice Activity and Participation Profile (VAPP) Protocol (11) proposes a self-assessment of the impact of dysphonia in the daily activities of the individual. Studies focusing on voice that use the VAPP as a marker of treatment in the patient's quality of life showed a significant improvement in their fields after speech therapy discharge, indicating the effectiveness of the treatment (4,13,14) . Accordingly, there is a need for studies to verify the association of motivational stages and self-assessment of the impact of dysphonia in the daily activities of the patient during the therapeutic process.…”