Pre- and Postoperative Voice Therapy for Benign Vocal Fold Lesions: Factors Influencing a Complex Intervention

White, Anna; Carding, Paul

doi:10.1016/j.jvoice.2020.04.004

Cited by 12 publications

(17 citation statements)

References 61 publications

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“…Questions related to the broad content of the intervention and to the timing, but lacked depth of discussion on these elements. The survey used a combination of multiple‐choice and open‐ended questions providing both quantitative and qualitative data (see Appendix C in the additional supporting information). Expert sampling of factors influencing a complex intervention for pre‐ and post‐operative voice therapy for BVFLs (White & Carding, 2020). A total of 10 purposively sampled expert voice therapists (mean of 22 years of practice, range = 7–38 years) were asked to describe factors influencing their current practice when working pre‐ and post‐operatively with patients with BVFLs and to outline views on optimum treatment pathways for this population.…”

Section: Resultsmentioning

confidence: 99%

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Pre‐ and post‐operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions

White

Carding

Booth

et al. 2022

Intl J Lang & Comm Disor

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Background: Pre-and post-operative voice therapy may improve voice and quality-of-life outcomes for patients undergoing phonosurgery to remove benign vocal fold lesions (BVFLs). However, what constitutes voice therapy in this population is poorly described, resulting in a poor evidence base, lack of clinical guidelines and unwarranted variation in management. In order to develop the evidence base, a robust, iterative process of intervention development work should precede feasibility testing and effectiveness studies.Methods & Procedures: Guidance for developing complex interventions, drawing on evidence, theory and modelling, was used to inform the development of a pre-and post-operative voice therapy intervention entitled 'PaPOV'. Data from four sources of evidence were synthesized using a published triangulation protocol. Data from a systematic review, national survey of current practice, expert interview study, and patient and public involvement conversations were used to populate a triangulation matrix, outlining components of a PaPOV. Data were coded to reflect areas of agreement, dissonance and silence with each component of the intervention. Based on this evidence, an assessment of convergence for each intervention component could be made. Outcomes & Results:In total, 61 components of the PaPOV intervention were explored. Of these, 27 were categorized as having stability of consensus according to a priori criteria. A total of 34 failed to meet the criteria. This was more frequently due to silence (27) rather than dissonance (seven) in the data. By evidencing areas of agreement and stability of consensus across data sources, the validity of individual findings has been enhanced. Furthermore, the study has exposed specific areas of the intervention that lack consensus and require exploration through further intervention development studies.

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Section: Resultsmentioning

confidence: 99%

“…• A qualitative interview study with expert clinicians (n = 10) (White & Carding, 2020). • A national survey of current practice (n = 69) (White, 2020). • Patient and public involvement (PPI) from n = 5 patients with lived experience (face to face, virtual and email correspondence).…”

Section: Identification Of Data Sourcesmentioning

confidence: 99%

Pre‐ and post‐operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions

White

Carding

Booth

et al. 2022

Intl J Lang & Comm Disor

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“…La actuación fonoaudiológica preoperatoria a la microcirugía de laringe de lesiones benignas tiene como objetivo informar y educar el paciente sobre la cirugía y la importancia de seguir las orientaciones, además de concientizar al paciente sobre los factores que influyen en la presencia de inflamación de los pliegues vocales y la tensión muscular compensatoria que muchos pacientes presentan (White & Carding, 2020).…”

Section: Fonoaudiólogo Clínica Los Nogales Bogotá-colômbiaunclassified

“…Por outro lado, quando necessário, deve-se contar com uma equipe multiprofissional (Especialista em gastroenterologia, nutricionista e psicólogo). Porém, para se ter sucesso no tratamento é importante que o paciente se interesse e sejam considerados aspectos como o gasto financeiro com microcirurgia laríngea e fonoaudiologia, afastamento do trabalho, mudanças nos hábitos vocais prejudiciais, que devem ser modificados (White et al, 2020).…”

Section: Fonoaudiólogo Clínica Los Nogales Bogotá-colômbiaunclassified

“…A atuação fonoaudiológica no pré-operatório de microcirurgia laríngea para lesões benignas tem como objetivo informar e orientar o paciente sobre a cirurgia e a importância de seguir as orientações, para conscientizá-lo dos fatores que influenciam na presença de inflamação das pregas vocais e tensão muscular compensatória que muitos pacientes apresentam. (White & Carding, 2020).…”

Section: Fonoaudiólogo Clínica Los Nogales Bogotá-colômbiaunclassified

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II Jornada de actualización en Fonoaudiología

Rojas¹,

Alves²,

Ricz³

et al. 2021

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La ii Jornada de actualización en Fonoaudiología: Abordaje clínico interdisciplinario de la deglución y la voz se celebró el 26 y 27 de octubre de 2020, organizada por el Programa de Fonoaudiología de la Escuela de Medicina de Ciencias de Salud, fue desarrollada en el marco de una convocatoria institucional interna Beca Virtual Exchange de la Universidad del Rosario, que tiene como objetivo convocar a comunidades académicas y compartir experiencias desde diferentes regiones nacionales e internacionales, en este tiempo de la pandemia a nivel mundial. El objetivo de la ii Jornada de actualización en Fonoaudiología: Abordaje clínico interdisciplinario de la deglución y la voz fue crear un espacio colaborativo de aprendizaje entre los profesores del Programa de Fonoaudiología de la Universidad del Rosario y la Facultad de Medicina de Ribeirão Preto de la Universidade de São Paulo – Brasil, quienes participaron como coorganizadores en esta ii Jornada de actualización en Fonoaudiología, promoviendo la práctica basada en la evidencia por medio del intercambio de conocimientos entre los fonoaudiólogos y profesionales de ciencias de la salud de la comunidad rosarista y de diferentes lugares de Colombia y el mundo. ii Jornada de actualización en Fonoaudiología: Abordaje clínico interdisciplinario de la deglución y la voz, tuvo una variedad de temáticas, que fueron exploradas en las diferentes conferencias y que fueron resumidas por los siete conferencistas invitados en estas memorias.

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