Blog Archives

Reproducibility and Validity of Patient-Rated Assessment of Speech, Swallowing, and Saliva Control in Parkinson’s Disease

Conclusions
The ROMP provides a reliable and valid instrument to evaluate patient-perceived problems with speech, swallowing, and saliva control in patients with PD or AP.

from Archives of Physical Medicine and Rehabilitation

Vocal health profile of amateur singers from an evangelical church

CONCLUSION: Amateur religious singers of both genders showed an expressive percentage of vocal complaints and habits that might be associated to lack of information about healthy vocal habits, which can contribute to the development of laryngeal alterations and voice disorders.

from Revista de Sociedade Brasileira de Fonoaudiologia

Voice handicap in singing: analysis of the Modern Singing Handicap Index – MSHI questionnaire

CONCLUSION: The questionnaire proved to be sensitive for modern singers with vocal complaints. Choir singers with vocal complaints had higher self-reported handicap in comparison to choir singers without vocal complaints and non-singers. Aspects of organic nature were highlighted with larger deviations.

from Revista de Sociedade Brasileira de Fonoaudiologia

Validation of the Lithuanian Version of the Glottal Function Index

Conclusion
The GFI-LT is considered to be a valid and reliable tool for self-assessment of the severity of voice disorders in Lithuanian-speaking patients.

from the Journal of Voice

Readability of Patient-Reported Outcome Questionnaires for Use With Persons With Dysphonia

In the demand for standardization of voice-related quality of life assessment tools, developers should consider readability as another testable construct because poor readability may affect validity, reliability and sensitivity. The voice clinician should consider the average reading level needed to understand a particular PRO questionnaire when administering it to a patient or their proxy. Developers of PRO questionnaires should consider reading level of respondents and include information about this when reporting psychometric data.

from the Journal of Voice

Coping Strategies in Voice Disorders of a Brazilian Population

The purpose of this research is to explore coping strategies of individuals with and without vocal complaint and to examine relationships between the type of coping and vocal complaint; vocal symptoms; vocal self-assessment; perceptual analysis and states of depression, anxiety, and aspects related to self-esteem; and locus of control. One hundred seventy-eight subjects with (n = 87) and without vocal (n = 91) complaint completed the following analysis: identification and characterization questionnaire, vocal self-assessment, perceptual analysis, Voice Disability Coping Questionnaire (VDCQ)—Brazilian Version, Beck Depression Inventory, Rosenberg Self-esteem Scale, Spielberger State-Trait Anxiety Inventory, and Health Locus of Control Scale. Age (P = 0.219) and sex (P = 0.132) were similar for both groups. The groups were statistically different for the following vocal characterization: number of symptoms, voice complaint, vocal self-assessment, and perceptual analysis. Conversely, the groups did not differ on states of depression, anxiety, and aspects related to self-esteem; and locus of control. Mean coping scores for the group with vocal complaint was 51.86 and for the group without vocal complaint was 23.18. Furthermore, men and women did not differ on the coping strategies reported (P = 0.750); however, individuals with vocal complaint reported statistically more strategies than the individuals without vocal complaint (P < 0.001). Problem-focused strategies were more frequently reported by individuals with vocal complaint (46.7%). Coping results correlated (Spearman’s r) positively with vocal perceptual analysis (P = 0.036), depression (P = 0.006), and anxiety (P = 0.022), and correlated negatively with locus of control (P = 0.001). No correlation was found between coping and the other variables studied. These findings indicate that people with vocal complaint use a variety of coping strategies, problem focused in particular, to deal with their voice problems. Coping results appear to be associated with perceptual characteristics of voice and some traits, such as depression, anxiety, and locus of control.

from the Journal of Voice

Children with hearing impairment – Living with cochlear implants or hearing aids

Conclusions
Children with cochlear implants and children with hearing aids have, in some aspects, equally good functioning in everyday life situations. However, certain differences were found in dimensions of functioning, regarding neck and shoulder pain, usage of aids and sign language, and hearing problems in some activities.

from the International Journal of Pediatric Otorhinolaryngology

Psychometric evaluation of the Dutch translation of the Overall Assessment of the Speaker’s Experience of Stuttering for adults (OASES-A-D)

The Overall Assessment of the Speaker’s Experience of Stuttering for adults (OASES-A; Yaruss & Quesal, 2006, 2010) is a patient-reported outcome measure that was designed to provide a comprehensive assessment of “the experience of the stuttering disorder from the perspective of individuals who stutter” (Yaruss & Quesal, 2006, p.90). This paper reports on the translation process and evaluates the psychometric performance of a Dutch version of the OASES-A. Translation of the OASES-A into Dutch followed a standard forward and backward translation process. The Dutch OASES-A (OASES-A-D) was then administered to 138 adults who stutter. A subset of 91 respondents also evaluated their speech on a 10-point Likert scale. For another subset of 45 respondents, a clinician-based stuttering severity rating on a 5-point Likert scale was available. Thirty-two of the respondents also completed the Dutch S-24 scale (Brutten & Vanryckeghem, 2003). The OASES-A-D showed acceptable item properties. No ceiling effects were observed. For 30 out of 100 items, most of which were in Section IV (Quality of Life), floor effects were observed. Cronbach’s alpha coefficients for all sections and subsections surpassed the 0.70 criterion of good internal consistency and reliability. Concurrent validity was moderate to high. Construct validity was confirmed by distinct scores on the OASES-A-D for groups with different levels of stuttering severity as rated by the speakers themselves or by clinicians. These results suggest that the OASES-A-D is a reliable and valid measure that can be used to assess the impact of stuttering on Dutch adults who stutter.

from Journal of Fluency Disorders

Hearing health: study of satisfaction degree of hearing aid wearers

There was no relationship between the degree of satisfaction presented by the hearing aid users and the variables: gender, age, hearing loss degree and electroacoustic profile.

from Revista de Sociedade Brasileira de Fonoaudiologia

Relation between work environment and voice deviation in metallurgic workers

Metallurgic workers presented high occurrence of voice deviation that might be related to work environment, which can contribute to the development of dysphonia.

from Revista de Sociedade Brasileira de Fonoaudiologia

Voice loss in teachers and non-teachers

CONCLUSION: The teachers showed to value their voices differently from the non-teachers group. Both groups agreed that voice loss would not bring the most negative consequences. Although teachers noticed more the impact of an eventual loss of voice than non-teachers, the feelings towards this hypothetical situation were similar in both groups.

from Revista de Sociedade Brasileira de Fonoaudiologia

Incidence and quality of vertigo symptoms after cochlear implantation

Conclusion: Exposing patients to the risk of possible balance disorders associated with cochlear implantation is justified in view of the hearing rehabilitation achieved, even with today’s broader indications for cochlear implantation. However, patients should in any case be informed about the possibility and quality of post-operative vertigo symptoms.

from the Journal of Laryngology and Otology

Schoolteachers’ attitudes towards people who stutter: results of a mail survey

This study assessed schoolteachers’ attitudes toward people who stutter (PWS) and also explored the effect of familiarity and educational factors on teachers’ attitudes toward PWS. A 14-item semantic differential scale was used to measure teachers’ attitudes towards PWS as compared to fluent speakers. The responses from 178 teachers were analyzed with regards to the teachers’ level of experience with PWS and their previous coursework on stuttering. The results indicated that the teachers reported positive attitudes towards both PWS and fluent speakers. The scores on the semantic differential scale indicated that the PWS were judged more positively for three items. Educational and experiential factors were found to have no systematic effect on the teachers’ attitudes toward PWS. Future research is needed to further investigate societal stereotypes and biases related to fluency disorders.

from the Canadian Journal of Speech-Language Pathology and Audiology

Adhesion to speech therapy according to the view of orthodontists and pediatric dentists

from Revista da Sociedade Brasileira de Fonoaudiologia

PURPOSE: To verify the perception of orthodontists and pediatric dentists from Belo Horizonte and Itabira concerning adhesion to speech therapy.
METHODS: A transversal study was carried out by using a questionnaire with 30 orthodontists and 30 pediatric dentists, half from each city. Statistical analysis used the Chi-square test.
RESULTS: The entire group of professional considered speech therapy important and reported to frequently refer their patients to this practice. From the sample, 58.3% of the professionals reported that their patients sometimes need speech therapy; 46.7% informed that sometimes patients also look for a speech therapist, and 70.0% have a trustworthy speech therapist to whom they usually refer patients to. It was verified that 85% of the sample informed that they do not work with speech therapists in the same work environment, and 85% believe that sharing the same space would increase the adhesion to therapy. To 75%, the patients’ referral is usually carried out after the evaluation, and 83.3% informed that patients do not look for treatment due to lack of time, although 86.7% affirmed that patients with good financial condition usually do adhere to speech therapy. The referrals are usually made for the same reason, except in cases regarding malocclusions. In the other questions, no differences were found between pediatric dentists and orthodontists or between cities.
CONCLUSION: The professionals interviewed deal with a trustworthy speech therapist and judge that sharing the same work environment is important to increase patients’ adhesion to treatment. The patients’ referrals are usually made right after the odontological evaluation, and lack of time is the main reason why they do not look for a speech therapist, although patients with good financial situation easily adhere to treatment. Referrals are usually made because of the same reasons.

Evaluation of an Internet-Based Hearing Test—Comparison with Established Methods for Detection of Hearing Loss

from the Journal of Medical Internet Research

Conclusions: Though an Internet-based hearing test cannot replace a clinical pure-tone audiogram conducted by a trained audiologist, it is a valid and useful screening tool for hearing ability in a large population carried out at a low cost.