Objectives: Voice handicap has generally been measured at a single timepoint. Little is known about its variability from hour to hour or day to day. Voice handicap has been shown to be negatively related to voice-related perceived control in cross-sectional studies, but the within-person variability in voice-related perceived control is also unknown. We aimed to use ecological momentary assessment (EMA) to (1) assess the feasibility of EMA to examine daily voice handicap and voice-related perceived control in patients with voice disorders, (2) measure within-person variability in daily voice handicap and perceived control, and (3) characterize temporal associations (eg, correlations over time) between daily voice handicap and perceived control.
Methods: Adults with voice problems were recruited from a large public university medical center in the Midwest. They completed baseline measures, followed by twice-daily assessments, including selected items measuring voice handicap and perceived control, and then repeated the baseline measures at the final timepoint. Feasibility was assessed via completion rates. Within-person variability was measured using standard deviations. Temporal associations were characterized using simulation modeling analysis.
Results: EMA of voice handicap and perceived control was feasible in this patient population. Momentary voice handicap varied more than perceived control, though both were variable. Multiple patterns of temporal associations between daily voice handicap and perceived control were found.
Conclusions: These findings identified important variability in (1) measures of voice handicap and perceived control and (2) their associations over time. Future EMA studies in patients with voice disorders are both feasible and warranted.
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http://dx.doi.org/10.1177/0003489419842267 | DOI Listing |
Cureus
December 2024
Otorhinolaryngology-Head and Neck Surgery, Apollo Hospitals, Chennai, IND.
Introduction Benign vocal cord lesions are diagnosed by clinical examination with usually an office-based laryngoscopy examination. The severity of voice impairment can be assessed by severity scores such as the Voice Handicap Index (VHI). These lesions are usually treated by conservative methods such as voice rest/restriction and voice therapy.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
January 2025
Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Türkiye.
Purpose: This study aimed to identify how the acoustic parameters, patient-reported outcomes (PROs), and durational measurements differ based on perceptually rated dysphonia severity and to investigate their relationship with dysphonia severity.
Methods: One hundred seventy-nine subjects (males-78, females-101; mean ± SD age of 47.79 ± 14.
J Voice
January 2025
Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA; Boston University Chobanian and Avedisian School of Medicine, Boston, MA. Electronic address:
Introduction: Patient-reported outcome measures (PROMs) represent an important part of a comprehensive voice assessment for clinical care and research. Access to multilingual PROMs enables inclusion of information from diverse patient populations. This review compares available translated and validated PROMs for adult dysphonia.
View Article and Find Full Text PDFJ Voice
January 2025
Voicest Clinic, Istanbul, Turkiye.
Purpose: To compare the Voice Handicap Index-10 Scores, voice hygiene habits, and voice training of Christian and Muslim religious officials living in Turkiye.
Method: In this study, a mixed method, including quantitative and qualitative research, was used. The population of the research consists of Christian and Muslim religious officials working in Turkiye.
Early Hum Dev
January 2025
Department of Otorhinolaryngology, Puerta del Mar University Hospital, 11009 Cádiz, Spain.
Background: Trans girls may initiate early puberty blockers once puberty has started in order to prevent the development of masculine secondary sexual characteristics. Depending on how early the puberty blockers are administered, voice may have reached a certain degree of development and have acquired typically male acoustic and phonetic parameters, which can cause discomfort and affect the adolescent's quality of life.
Purpose: The aim of the present study was to (1) determine if there are differences in discomfort with the self-perceiver voice according to the moment of puberty block (PB), and (2) find a relation between vocal discomfort and variables such a voice phonetic/acoustic characteristics and self-perception of voice.
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