Self-assessment and readiness for change in dysphonic patients.

Leonardo Wanderley Lopes,Eveline Gonçalves Vilela

doi:10.1590/2317-1782/20162015111

Leonardo Wanderley Lopes, Eveline Gonçalves Vilela

Open Access

https://doi.org/10.1590/2317-1782/20162015111

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Journal: CoDAS	Publication Date: Jul 4, 2016
Citations: 16	License type: cc-by

Affiliation: Universidade Federal da Paraíba

Abstract

To examine whether there is an association between vocal self-assessment and readiness for change in dysphonic patients. 151 patients with vocal complaints and diagnosis of dysphonia, between 18 and 65 years of age, 47 men and 104 women treated at the voice clinic of a public institution participated in the study. Four self-assessment instruments were applied, including the Voice-Related Quality of Life (V-RQOL), the Voice Handicap Index (VHI) and the Voice Symptom Scale (VoiSS), and the use of URICA-VOICE instrument to verify the patients stage of readiness for change. All instruments were applied immediately before the start of vocal therapy. The variables were correlated and compared using inferential statistics. Most patients were in the contemplation stage (76.2%, n = 115), 22 (14.6%) were in the pre-contemplation stage and 14 (9.3%) in the action stage. There was a negative correlation between the score in URICA-VOICE and the socio-emotional domain and total score V-RQOL. There was a positive correlation between the score URICA-VOICE and full social, emotional and functional VHI, as well as between the score URICA-VOICE and full fields, limitation and emotional VoiSS. Only the social-emotional domain V-RQOL and emotional in VoiSS values showed statistically significant differences between the motivational stages. There is association between vocal self-assessment and readiness for change in dysphonic patients. Patients with major impact on quality of life in voice in V-RQOL and higher frequency of vocal symptoms mentioned in the VoiSS show greater readiness for change.

Highlights

The voice disorder is multidimensional and includes for diagnosis, laryngeal examination, perceptual analysis, acoustic analysis and the patient’s self-assessment in the frequency of symptoms and influence of disorder in his daily life[1]
Considering the magnitude of the voice issue from the patient’s point of view, can be one of the main factors responsible for the readiness to change and, to join the vocal therapy[6,7], this study aimed to investigate whether there is an association between vocal self-assessment and the stage of readiness to change in patients with voice disorders
Patients were categorized as to the stage of readiness to change that at the time the vocal screening, noting that most of the patients were in the contemplation stage (Table 1)

Summary

Introduction

The voice disorder is multidimensional and includes for diagnosis, laryngeal examination, perceptual analysis, acoustic analysis and the patient’s self-assessment in the frequency of symptoms and influence of disorder in his daily life[1]. The success of the vocal therapy depends largely on the patient’s adherence to the guidelines and procedures indicated by the speech language pathologist and / or physician, and readiness to modify certain behaviors that contributed to the genesis and / or maintenance of dysphonia[4,5]. It is one of the most important aspects of vocal rehabilitation, and key to its success, there are few studies addressing adherence to voice therapy and its associated factors[4,5,6,7,8]

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Conclusion