Transsexual Voice Questionnaire for Male-to-female Brazilian Transsexual People

Schwarz, Karine; Fontanari, Anna Martha Vaitses; Mueller, Andressa; Costa, Ângelo Brandelli; Soll, Bianca Machado Borba; Silva, Dhiordan Cardoso da; Cielo, Carla Aparecida; Kuhl, Gabriel; Spritzer, Poli Mara; Schneider, Maiko Abel; Dorfmann, Maria Elza; Lobato, Maria Inês Rodrigues

doi:10.1016/j.jvoice.2016.02.012

Cited by 18 publications

(21 citation statements)

References 19 publications

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“…Recientes estudios, apoyan la utilidad clínica del TVQ MtF y confirman que es una herramienta fiable de autopercepciones en la población transexual, además de una medida indispensable para la planificación de acciones preventivas y la promoción de la salud de este colectivo (Dacakis et al, 2016;Schwarz, Fontanari, Mueller, et al, 2017).…”

Section: Valoración Vocal En Las Pacientes Transexualesunclassified

“…Son excluidos 5 artículos por referirse a la terapia vocal u hormonal en transexuales de mujer a hombre (Azul, 2015;Azul et al, 2017;Cosyns et al, 2014;Nygren, Nordenskjöld, Arver, & Södersten, 2016;Sellman & Rihkanen, 2015). Se descartan 2 artículos que hacen referencia a las medidas de autopercepción de la voz transexual (Bultynck et al, 2017;Schwarz, Fontanari, Mueller, et al, 2017) y 1 que hace referencia a la calidad de vida de las mujeres transexuales americanas (A. B. Hancock, 2017).…”

Section: Metodologíaunclassified

“…Sin embargo, todos los estudios y revisiones han sido llevados a cabo en Estados Unidos, en Australia o en Canadá. Esto sugiere que no se realizan estudios de este tipo en España y, teniendo en cuenta que la masculinidad y la feminidad son características ligadas a la cultura, la sociedad, el idioma e incluso el dialecto (Schwarz, Fontanari, Mueller, et al, 2017), también sería interesante poder partir de datos y población más cercana a nuestro entorno.…”

Section: Conclusionesunclassified

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Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Gómez-Raya¹

2018

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Resumen. La transexualidad es un trastorno en el cual entran en conflicto el sexo fisiológico y el género de una persona. Las personas transexuales sienten el deseo de pertenecer al sexo con el que realmente se identifican y esto les lleva a realizar ciertas acciones para cambiar su apariencia. La mujer transexual no alcanzará la feminización de su voz mediante el tratamiento hormonal, siendo sus opciones: la cirugía de las cuerdas vocales y/o la intervención logopédica. La presente revisión bibliográfica tiene como objetivo exponer aspectos relevantes y proporcionar información amplia sobre el trabajo logopédico en el tratamiento de la feminización de la voz, en transexuales de hombre a mujer, como intervención única, no complementaria a la intervención quirúrgica. Para llevar a cabo una revisión bibliográfica descriptiva se realiza la búsqueda de artículos científicos en las fuentes secundarias PubMed y Scopus. Utilizando una metodología cualitativa, se obtiene un listado de 25 artículos, en cada una, que se acota con filtros y criterios de inclusión y exclusión, dando como resultado una lista de 7 artículos finales. En cuanto a los resultados, todos los artículos concluyen con resultados positivos de la terapia vocal en mujeres transexuales, destacando especialmente los objetivos relativos al aumento de la frecuencia fundamental y al aumento de las frecuencias formantes. En conclusión, se halla información que demuestra que la terapia logopédica puede ser eficaz en la feminización de la voz en la población transexual. Sin embargo, el escaso número de artículos impide hacer generalizaciones universales. Palabras clave: transexual; feminización; voz; logopedia.[en] Speech therapy in the feminization of voice in transsexuals: bibliographic review Abstract. Transsexualism is a disorder in which the physiological sex and the gender of a person are mismatched. Transgender people feel the desire to belong to the sex with which they actually identify and this leads them to perform certain actions to change their appearance. The transsexual woman will not achieve the feminization of her voice through the hormonal treatment, being her options: vocal cords surgery and/or speech therapy intervention. The objective of this review is to expose relevant aspects and provide wide information on speech therapy work in the treatment of the feminization of the voice in transsexuals from man to woman as a single treatment not complementary to surgical intervention. To carry out a descriptive bibliographic review, the search for scientific articles in the secondary sources PubMed and Scopus are carried out. Using a qualitative methodology, a list of 25 articles is obtained from each of them. This is checked with filters and inclusion and exclusion criteria, resulting in a list of 7 final articles. * La presente revisión ha sido llevada a cabo gracias al apoyo y tutorización de Ana Lou Moreno, logopeda y profesora en la Fundación Universitaria del Bages. 1

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Section: Valoración Vocal En Las Pacientes Transexualesunclassified

Section: Metodologíaunclassified

Section: Conclusionesunclassified

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Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Gómez-Raya¹

2018

RLOG

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“…Nowadays, transgender people have been looking for more adequate vocal quality, specially the trans women. They represent the biggest part of this population (in a ratio of three to one) 10 , even known that the prevalence of transgender people among literature is uncertain due to different methods applied to the researches, sociodemographic and cultural diversity 11 . Even when they undergo long term hormonal treatments, changes in the voice are null, because hormones cannot heighten the fundamental frequency of voice, reduce vocal fold mass or take to long-lasting effects on pitch 7,12,13 .…”

Section: Introductionmentioning

confidence: 99%

“…Even when they undergo long term hormonal treatments, changes in the voice are null, because hormones cannot heighten the fundamental frequency of voice, reduce vocal fold mass or take to long-lasting effects on pitch 7,12,13 . Therefore, transgender women usually seek to adjust their voices through speech therapy and surgeries, such thyroplasty, aiming a vocal quality enough for being identified as female on daily situations, especially those that does not give any visual clue to the listener, for example, during a phone call 11 .…”

Section: Introductionmentioning

confidence: 99%

Voice challenge in transgender women: trans women self-perception of voice handicap as compared to gender perception of naïve listeners

et al. 2018

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Purpose: to analyze the self-perception of transgender women’s voice handicap in comparison to the voices’ gender perception by naïve listeners. Methods: 31 transgender women, who were first submitted to vocal acoustic assessment and had their voices recorded to measure fundamental frequency and standard deviations, were eligible to the study. Next, they answered to the Voice Handicap Index protocol, from which, at the end of data collection, the most suited questions to the daily demands of this population were selected. Subsequently, 50 naïve blindfolded listeners were exposed to the recordings and had to identify the voices as males, females or undefined. Descriptive statistics were applied to speakers’ characteristics and the Spearman's correlation coefficient was applied to the protocol scores and the speaker's voice identifications. Results: the mean fundamental frequency found was 172.40 Hz (SD=4.8Hz) and one third of the transgender women reported being satisfied with their voices. A moderate positive significant correlation was found in voices considered as males, and strongly significant and negative in voices considered as females. For the voices considered undefined, however, no significant correlation was found. Conclusion: transgender women’s self-perception of voice handicap is directly related to naïve listeners' perception of their voice gender.

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Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

et al. 2023

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ImportanceGender-affirming care is a key clinical area that can benefit from implementation of patient-reported outcome measures (PROMs). Identifying barriers to and enablers of PROM implementation is needed to develop an evidence-based implementation strategy.ObjectiveTo identify (1) PROMs previously implemented for gender-affirming care and constructs measured, (2) how patients completed PROMs and how results were reported and used, and (3) barriers to and enablers of PROM implementation.Evidence ReviewIn this systematic review, PubMed, Embase, MEDLINE, PsycINFO, CINAHL, and Web of Science were searched from inception to October 25, 2021, and updated on December 16, 2022. Gray literature was searched through gray literature database, online search engine, and targeted website searching. Inclusion criteria were (1) original articles of (2) a formally developed PROM or ad hoc instrument administered for gender-affirming care to (3) patients accessing gender-affirming care. The Critical Appraisal Skills Programme tool was used to evaluate quality of included studies. This review was registered on PROSPERO (CRD42021233080).FindingsIn total, 286 studies were included, representing 85 395 transgender and nonbinary patients from more than 30 countries. A total of 205 different PROMs were used in gender-affirming care. No studies described using an implementation science theory, model, or framework to support PROM deployment. Key barriers to PROM implementation included issues with evidence strength and quality of the PROM, engaging participants, and PROM complexity. Key enablers of PROM implementation included using PROMs validated for gender-affirming care, implementing PROMs able to be deployed online or in person, implementing PROMs that are shorter and reduce patient burden, engaging key stakeholders and participants as part of developing an implementation plan, and organizational climate.Conclusions and RelevanceIn this systematic review of barriers to and enablers of PROM implementation in gender-affirming care, PROM implementation was inconsistent and did not follow evidence-based approaches in implementation science. There was also a lack of patient input in creating implementation strategies, suggesting a need for patient-centered approaches to PROM implementation. Frameworks created from these results can be used to develop evidence-based PROM implementation initiatives for gender-affirming care and have potential generalizability for other clinical areas interested in implementing PROMs.

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Transsexual Voice Questionnaire for Male-to-female Brazilian Transsexual People

Cited by 18 publications

References 19 publications

Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Voice challenge in transgender women: trans women self-perception of voice handicap as compared to gender perception of naïve listeners

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

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