Individualized Patient Vocal Priorities for Tailored Therapy.
Purpose: The purposes of this study are to introduce the concept of vocal priorities based on acoustic correlates, to develop an instrument to determine these vocal priorities, and to analyze the pattern of vocal priorities in patients with voice disorders. Method: Questions probing the importance o...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 61; no. 12; pp. 2884 - 2895 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Dec2018
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=133539458&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 133539458 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2018 vid: 61 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 133539458 10.1044/2018_JSLHR-S-18-0109 ppf: 2884 ppct: 11 formats: fmt: @attributes: type: P size: 691KB tig: atl: Individualized Patient Vocal Priorities for Tailored Therapy. aug: au: Titze, Ingo R. Riede, Tobias Palaparthi, Anil Hynan, Linda S. Hamilton, Amy Toles, Laura Maue, Ted affil: National Center for Voice and Speech, University of Utah, Salt Lake City Department of Communication Sciences and Disorders, The University of Iowa, Iowa City Department of Physiology, Midwestern University, Glendale, AZ Departments of Clinical Sciences and Psychiatry, University of Texas Southwestern Medical Center, Dallas Clinical Center for Voice Care, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas MGH Institute of Health Professions, Center for Laryngeal Surgery and Voice Rehabilitation, Boston, MA su: Intonation (Phonetics) Decision making Speech therapy Individualized medicine Test validity sug: subj: Intonation (Phonetics) Decision making Speech therapy Individualized medicine Test validity ab: Purpose: The purposes of this study are to introduce the concept of vocal priorities based on acoustic correlates, to develop an instrument to determine these vocal priorities, and to analyze the pattern of vocal priorities in patients with voice disorders. Method: Questions probing the importance of 5 vocal attributes (vocal clarity, loudness, mean speaking pitch, pitch range, vocal endurance) were generated from consensus conference involving speech-language pathologists, laryngologists, and voice scientists, as well as patient feedback. The responses to the preliminary items from 213 subjects were subjected to exploratory factor analysis, which confirmed 4 of the predefined domains. The final instrument consisted of a 16-item Vocal Priority Questionnaire probing the relative importance of clarity, loudness, mean speaking pitch, and pitch range. Results: The Vocal Priority Questionnaire had high reliability (Cronbach's a = .824) and good construct validity. A majority of the cohort (61%) ranked vocal clarity as their highest vocal priority, and 20%, 12%, and 7% ranked loudness, mean speaking pitch, and pitch range, respectively, as their highest priority. The frequencies of the highest ranked priorities did not differ by voice diagnosis or by sex. Considerable individual variation in vocal priorities existed within these large trends. Conclusions: A patient's vocal priorities can be identified and taken into consideration in planning behavioral or surgical intervention for a voice disorder. Inclusion of vocal priorities in treatment planning empowers the patient in shared decision making, helps the clinician tailor treatment, and may also improve therapy compliance. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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