Voice assessment practices of speech and language therapists in Ireland.

Evidence supports the need for a multiparametric voice assessment incorporating objective and subjective assessment types. European guidelines and the American Speech-Language-Hearing Association recommend a comprehensive voice assessment protocol; however, currently in Ireland, no national standard...

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Published in:Clinical Linguistics & Phonetics Vol. 34; no. 1/2; pp. 29 - 54
Main Authors: McAlister, Sarah, Yanushevskaya, Irena
Format: questionnaire/scale research tables/charts Journal Article
Published: Taylor & Francis Ltd 2020
Online Access:View this record in EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/02699206.2019.1610798
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        au:
          McAlister, Sarah
          Yanushevskaya, Irena
        affil: Discipline of Speech and Language Therapy, National Univerisity of Ireland Galway, Galway, Ireland
      sug:
        subj:
          Speech-Language Pathologists
          Practice Patterns
          Voice Disorders Diagnosis
          Professional Practice
          Clinical Assessment Tools
          Diagnostic Imaging
          Research Instruments
          Human
          Ireland
          Medical Practice, Evidence-Based
          Health Services Accessibility
          Health Care Costs
          Education, Speech-Language Pathology
          Descriptive Research
          Prospective Studies
          Quantitative Studies
          Qualitative Studies
          Surveys
          Questionnaires
          Data Analysis Software
          Descriptive Statistics
          Voice Evaluation
          Patient Assessment
          Audiorecording
          Vocal Cords
          Acoustics
          Aerodynamic Load
          Clinical Competence
          Equipment and Supplies
          Professional Development
          Knowledge
      ab: Evidence supports the need for a multiparametric voice assessment incorporating objective and subjective assessment types. European guidelines and the American Speech-Language-Hearing Association recommend a comprehensive voice assessment protocol; however, currently in Ireland, no national standards exist. This study investigates voice assessment practices of speech and language therapists (SLTs) in Ireland, with a particular interest in the use of objective instrumentation. It further elucidates what may act as barriers to the use of instrumental techniques, which has not been addressed in earlier studies. An online questionnaire was distributed to SLTs who work with voice disordered clients, via social media outlets of the Irish Association of Speech and Language Therapy (IASLT) and the Voice Special Interest Group to obtain both qualitative and quantitative data. Forty-five questionnaires were returned; the results of 33 completed questionnaires are presented here. The results suggest that subjective measures (auditory assessment protocols) are more commonly used by SLTs in Ireland than instrumental techniques. Limited access to equipment, the cost of equipment and low prioritization of voice clients in a large caseload were most frequently named as barriers to the use of instrumental assessment. The SLTs acknowledged the need for and expressed interest in more training on the use of instrumental techniques in the assessment of voice disorders. The results provoke discussion surrounding evidence-based practice in voice assessment and have implications for how instrumental techniques are incorporated in the curriculum of SLT training courses and in the continual professional development.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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