Association between readiness for behavior change and complaints of vocal problems in teachers

Abstract

DescritoresThe URICA-VOICE scale was used to measure the motivational stages of 138 teachers. Readiness to change was the variable outcome, whereas the independent variables referred to sociodemographic, economic, occupational, lifestyle, general health, and teacher's own voice factors. Results: The majority (59.4%) of teachers were in the pre-contemplation stage of the URICA-VOICE scale. The variables use of medication, perception of voice failure, and demand for speech and language therapy were retained for the final model. Conclusion:The low readiness to change showed the need for increased awareness of the risks and benefits related to the voice and general health. The results can provide public health intervention strategies that deal with individuals at various stages in the decision-making process. RESUMOObjetivo: Verificar a associação entre prontidão para mudanças de comportamento e queixa de disfonia autorreferida pelas professoras da rede municipal de ensino de Montes Claros, Minas Gerais, Brasil. Métodos:Foi aplicada a escala URICA-VOZ para a mensuração dos estágios motivacionais em 138 professoras.A prontidão para mudança constituiu a variável desfecho e as variáveis independentes se referiram a questões sociodemográficas, econômicas, ocupacionais, estilo de vida, saúde geral e sobre a própria voz. Resultados:A maioria (59,4%) se encontrava no estágio de pré-contemplação da escala avaliada. As variáveis que permaneceram associadas à mudança comportamental quanto à voz foram o uso de medicamento, a percepção de falha na voz e a procura por tratamento fonoaudiológico. Conclusão: A baixa prontidão para mudança sugere a necessidade de conscientização quanto aos riscos do mau uso e abuso da voz e benefícios em relação à saúde geral e vocal. Os resultados obtidos poderão fornecer estratégias para intervenções de saúde pública ao lidar com as pessoas em diferentes estágios do processo de tomada de decisão.

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

“…An intervention research with six speech therapy sessions, found most of the subjects with behavioral dysphonia in the contemplation stage and an increase in the percentage of action of the post-therapy (3). Another study evaluated the female public teachers with vocal complaints, the majority (59.4%) was in the pre-contemplation stage, but 78.3% of the sample had never sought speech therapy (17) . In this study, the results of URICA-VOICE scale demonstrate that most patients are in action stage (66.7%) and 33% in contemplation.…”

Readiness to change and pro-health behaviours among students of physical education and other teaching specialisations

“…The research by G. Leśniewska (2016) showed limited readiness to change among teachers, varied depending on age and professional experience, with an indication of greater openness to change among younger teachers. Also, Brazilian studies have shown low readiness of teachers to change behaviours related to health problems (Rossi-Barbosa, Gama, Caldeira, 2015). Research on teachers' readiness to change has also proven that teachers, although they generally declare their willingness to actively participate in on-going changes, limit their readiness in situations of top-down changes, in which their participation in making decisions important for school and education is limited (Inandi, Gilic, 2016).…”

Efeito do programa integral de reabilitação vocal em professoras com disfonia comportamental

“…A survey that applied the URICA-VOICE scale to 138 teachers with vocal complaints from the municipal school network of the municipality of Montes Claros, Minas Gerais state, reported that most of the participants (59.4%) were at the stage of pre-contemplation (23) . It should be emphasized that these teachers had not yet undergone any speech therapy.…”