Relationship Between Adherence to Speech Therapy in Patients With Dysphonia and Quality of Life

Almeida, Letícia; Santos, Lívia Rodrigues; Bassi, Iara Barreto; Teixeira, Letícia Caldas; Gama, Ana Cristina Côrtes

doi:10.1016/j.jvoice.2013.02.003

Cited by 16 publications

(8 citation statements)

References 26 publications

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“…The published literature indicates that patients, who concluded vocal therapy presented lower values in the index of disadvantages of voice (23) and in VAPP (24) , when compared to individuals, who abandoned the treatment. Such differences in the results can be justified by methodological issues associated to sample size, however, despite this limitation, our results are relevant because it is a longitudinal study on the long-term results of vocal therapy, and studies of this nature are still scarce.…”

Section: Discussionmentioning

confidence: 99%

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

Ferreira

Campos

Bassi

et al. 2013

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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...

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Section: Discussionmentioning

confidence: 99%

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

Ferreira

Campos

Bassi

et al. 2013

CoDAS

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“…In previous research, typical clinical voice and demographic measures have not been predictive of patient adherence to session attendance (Hapner, Portone,-Maira, & Johns, 2009;Portone, Johns, & Hapner, 2008;Smith, Kempster & Sims, 2010) or have yielded conflicting results (Duarte de Almeida et al, 2013). Taken together, study results provide preliminary evidence that perceived vocal limitations may lead individuals to seek voice care, but social-cognitive factors determine their readiness to change vocal behavior.…”

Section: Predictive Role Of Social-cognitive Factorsmentioning

confidence: 61%

Predicting and Influencing Voice Therapy Adherence Using Social–Cognitive Factors and Mobile Video

Leer

Connor

2015

Am J Speech Lang Pathol

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Purpose: Patient adherence to voice therapy is an established challenge. The purpose of this study was (a) to examine whether adherence to treatment could be predicted from three social-cognitive factors measured at treatment onset: self-efficacy, goal commitment, and the therapeutic alliance, and (b) to test whether the provision of clinician, self-, and peer model mobile treatment videos on MP4 players would influence the same triad of social cognitive factors and the adherence behavior of patients. Method: Forty adults with adducted hyperfunction with and without benign lesions were prospectively randomized to either 4 sessions of voice therapy enhanced by MP4 support or without MP4 support. Adherence between sessions was assessed through self-report. Social cognitive factors and voice outcomes were assessed at the beginning and end of therapy. Utility of MP4 support was assessed via interviews. Results: Self-efficacy and the therapeutic alliance predicted a significant amount of adherence variance. MP4 support significantly increased generalization, self-efficacy for generalization, and the therapeutic alliance. An interaction effect demonstrated that MP4 support was particularly effective for patients who started therapy with poor self-efficacy for generalization. Conclusion: Adherence may be predicted and influenced via social-cognitive means. Mobile technology can extend therapy to extraclinical settings.

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“…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.…”

Section: Introductionmentioning

confidence: 97%

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

Góes

Ferracciu

Silva

2016

CoDAS

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RESUMO Objetivo Analisar a associação entre a adesão da terapia vocal, perfil de atividades vocais em pacientes disfônicos comportamentais e seus possíveis fatores associados. Método Participaram da amostra dezoito indivíduos com disfonia comportamental que estavam em tratamento regular no Serviço de Fonoaudiologia da instituição. Os participantes do estudo responderam ao protocolo Perfil de Participação e Atividades Vocais (PPAV) e à escala URICA-VOZ. As variáveis associadas (número de sessões, faixa etária, tipo de disfonia comportamental, gênero e tratamento fonoaudiológico anterior) foram coletadas por meio de entrevista com o paciente e análise dos seus respectivos prontuários. Os dados foram submetidos à análise estatística inferencial. Resultados A maioria dos pacientes encontrava-se no estágio de ação. Houve associação estatisticamente significante entre o aspecto Efeitos na Emoção do PPAV e os estágios de prontidão para a adesão da terapia vocal, porém os outros aspectos do PPAV não se associaram com a escala URICA-VOZ. Das variáveis associadas, o número de sessões, faixa etária e tipo de disfonia comportamental apresentaram associação com a adesão da terapia de voz. Constatou-se diferença estatisticamente significante entre o tipo de disfonia comportamental e os escores do PPAV. Conclusão O aspecto Efeitos na Emoção do PPAV e as variáveis número de sessões, faixa etária e tipo de disfonia mostraram-se associadas ao estágio de adesão da escala URICA-VOZ. Os indivíduos com disfonia organofuncional apresentaram maior impacto da alteração vocal em suas atividades diárias.

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Relationship Between Adherence to Speech Therapy in Patients With Dysphonia and Quality of Life

Cited by 16 publications

References 26 publications

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

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

Predicting and Influencing Voice Therapy Adherence Using Social–Cognitive Factors and Mobile Video

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

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