Workplace Productivity and Voice Disorders: A Cognitive Interviewing Study on Presenteeism in Individuals With Spasmodic Dysphonia

Isetti, Derek D.; Meyer, Tanya K.

doi:10.1016/j.jvoice.2014.03.017

Cited by 26 publications

(28 citation statements)

References 20 publications

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“…Results from this study are congruent with a previous evaluation performed by the senior author of VRS‐20 statements with respect to spasmodic dysphonia alone . Both S18, fatigue, and S11, telephone avoidance, made the top 4 statements in that study, and S2, S6, S17, and S19 were in the bottom 6, indicating some consistency of participant statements preferences.…”

Section: Discussionsupporting

confidence: 88%

“…In this study, the WPAI was made specific for voice disorders by substituting “voice” for “PROBLEM” (Appendix 1). The 20 voice‐related statements have been previously described by the author and studied in relation to spasmodic dysphonia . Additional questions were included in the packet to obtain demographic information and guide the cognitive interviews.…”

Section: Methodsmentioning

confidence: 99%

“…Our group has previously shown in a cross‐sectional analysis that individuals with spasmodic dysphonia report a significant presenteeism effect . Furthermore, through a qualitative study on patients with spasmodic dysphonia we developed a battery of voice‐related statements to qualitatively assess the specific ways in which dysphonia affected them at work . This preliminary work was focused on individuals with spasmodic dysphonia, but we think that these same concerns would apply to individuals with dysphonia from varied etiologies.…”

Section: Introductionmentioning

confidence: 99%

“…The purpose of this study is to perform cognitive interviews on a varied voice disorder population to set the foundation for development of a voice‐specific work productivity inventory we are calling Work Hoarse. We hypothesize that patients with chronic voice disorders will find that some 20 previously delineated voice‐related statements (VRS‐20) are a better measure of voice‐related presenteeism than the WPAI or the HPQ.…”

Section: Introductionmentioning

confidence: 99%

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Development of a voice disorder work productivity inventory utilizing cognitive interviewing technique

Giliberto

Zhu

Meyer

2016

Laryngoscope Investig Oto

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Objectives/HypothesisVoice disorders have been shown to impair workplace productivity primarily by reduced efficiency while at work (presenteeism) versus increased days missed (absenteeism). Work productivity measures such as the Work Productivity and Activity Impairment (WPAI) Questionnaire or the World Health Organization Health ‐ Work Performance Questionnaire (HPQ) can be customized to a specific disease but do not fully capture impaired work productivity associated with voice disorders. The purpose of this study was to develop a novel questionnaire to evaluate work productivity in patients with voice disorders.Study DesignDescriptiveMethodsAt a tertiary medical center, patients with gainful employment and with chronic voice disorders were given the WPAI, HPQ, and 20 voice‐related statements (VRS‐20). Cognitive interviews were conducted and recorded with all patients.ResultsTen patients (7 females, 3 males) completed the questionnaires and subsequent cognitive interviews. One patient had spasmodic dysphonia, 6 had benign vocal fold lesions, and 3 had vocal fold motion disorders. The median VHI‐10 was 18 (9‐40). Themes that emerged during interviews include: avoiding oral communication/telephone, use of voice associated with strain/fatigue, frustration and stress at work, and workplace integrity. Conclusions: In cognitive interviews, participants felt the VRS‐20 captured the impact of their voice disorder at work better than the WPAI and HPQ. Participants also felt some statements were more important than others.Level of Evidence5.

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Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development of a voice disorder work productivity inventory utilizing cognitive interviewing technique

Giliberto

Zhu

Meyer

2016

Laryngoscope Investig Oto

View full text Add to dashboard Cite

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“…SD also impacts on individuals' QOL and productivity in the workplace. New standardized work-related QOL assessment scales are needed to determine how SD affects the quality and quantity of their work [34].…”

Section: A Qualitative Study [32] Of Expert and Everyday Listener's Pmentioning

confidence: 99%

Review of differential diagnosis and management of spasmodic dysphonia

Whurr

Lorch

2016

Current Opinion in Otolaryngology & Head and Neck Surgery

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Purpose of Review: The recent literature on spasmodic dysphonia is reviewed with regard to pathogenesis, differential diagnosis, treatment options, audits, and current methods of which impinges on all aspects of their lives. Spasmodic dysphonia is now classified as a "rare" disease in the USA. This designation will assist in international standards of diagnosis, assessment, treatment, and management.

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Association of Laryngeal Botulinum Neurotoxin Injection With Work Productivity for Patients With Spasmodic Dysphonia

Meyer

Spiekerman

Kaye

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE A disordered voice can affect an individual across both work and non-work-related life domains. There is insufficient research on the effect of spasmodic dysphonia or its treatment with botulinum neurotoxin (BoNT) injections on work productivity.OBJECTIVE To assess whether employed patients with spasmodic dysphonia experience voice-related work productivity impairment before BoNT injection, and had a 10% or greater improvement in productivity 1 month after treatment with BoNT injection.DESIGN, SETTING, AND PARTICPANTS This prospective case series carried out in 2 laryngology outpatient clinics from November 1, 2015, to August 30, 2018 included a consecutive sample of adult employed patients diagnosed with spasmodic dysphonia. Analysis was conducted between November 1, 2015, to July 31, 2018.EXPOSURES Treatment with BoNT injection into the intrinsic laryngeal musculature. MAIN OUTCOMES AND MEASURESEligible participants completed the following validated outcomes instruments immediately before and 1 month after outpatient laryngeal BoNT injection: the Work Productivity and Activity Impairment instrument (WPAI), Voice Handicap Index (VHI), and WorkHoarse. Demographic, comorbidity, and occupational voice use data were also collected at baseline. The changes in outcome measures (primary, WPAI Work Productivity Impairment domain) were tested using a paired 2-tailed t test. Exploratory subgroup analyses were analyzed with multivariable linear regression, adjusting for demographic, comorbidity, and voice use variables. RESULTSOf the 101 patients enrolled, 75 completed the study. The mean (SD) age of the 75 completing participants was 55.7 (11.8) years and 53 (71%) were women. The participants who completed the study had mean (SD) voice-related work productivity impairment of 43% (27%) at baseline and 22% (23%) at 1 month after BoNT injection (difference, 20% [27%] improvement; 95% CI, 14%-27%; effect size, 0.74). CONCLUSIONS AND RELEVANCEThis case series study found that employed patients with spasmodic dysphonia reported voice-related work productivity impairment, which improved significantly 1 month after treatment with BoNT injection. The association of spasmodic dysphonia with voice-related work productivity appeared greater in women than men with comparable outcomes with BoNT treatment, but this exploratory sex-associated difference requires independent validation.

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Workplace Productivity and Voice Disorders: A Cognitive Interviewing Study on Presenteeism in Individuals With Spasmodic Dysphonia

Cited by 26 publications

References 20 publications

Development of a voice disorder work productivity inventory utilizing cognitive interviewing technique

Development of a voice disorder work productivity inventory utilizing cognitive interviewing technique

Review of differential diagnosis and management of spasmodic dysphonia

Association of Laryngeal Botulinum Neurotoxin Injection With Work Productivity for Patients With Spasmodic Dysphonia

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