Journal article
Individualized Patient Vocal Priorities for Tailored Therapy
Journal of speech, language, and hearing research, Vol.61(12), pp.2884-2894
12/01/2018
DOI: 10.1044/2018_JSLHR-S-18-0109
PMCID: PMC6440314
PMID: 30515514
Abstract
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.
Details
- Title: Subtitle
- Individualized Patient Vocal Priorities for Tailored Therapy
- Creators
- Ingo R. Titze - University of UtahTobias Riede - Midwestern State UniversityAnil Palaparthi - University of UtahLinda S. Hynan - The University of Texas Southwestern Medical CenterAmy Hamilton - The University of Texas Southwestern Medical CenterLaura Toles - The University of Texas Southwestern Medical CenterTed Mau - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of speech, language, and hearing research, Vol.61(12), pp.2884-2894
- DOI
- 10.1044/2018_JSLHR-S-18-0109
- PMID
- 30515514
- PMCID
- PMC6440314
- NLM abbreviation
- J Speech Lang Hear Res
- ISSN
- 1092-4388
- eISSN
- 1558-9102
- Publisher
- Amer Speech-Language-Hearing Assoc
- Number of pages
- 11
- Grant note
- R01DC014538 / NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD) R01 DC014538-01A1 / National Institute on Deafness and Other Communication Disorders; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD)
- Language
- English
- Date published
- 12/01/2018
- Academic Unit
- School of Music; Communication Sciences and Disorders
- Record Identifier
- 9984719751402771
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