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Patient characteristics and intervention effect as measured by Voice Handicap Index
Linköping University, Department of Clinical and Experimental Medicine, Division of Speech language pathology, Audiology and Otorhinolaryngology. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-4715-6980
Specialpedagogiskt Centre, Sweden.
Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
2017 (English)In: Logopedics, Phoniatrics, Vocology, ISSN 1401-5439, E-ISSN 1651-2022, Vol. 42, no 2, p. 93-98Article in journal (Refereed) Published
Abstract [en]

Objective: To analyze patients with a confirmed voice disorder in order to identify patterns regarding age, gender, and occupation compared to the general public. To explore effects of voice therapy according to the Voice Handicap Index (VHI) score pre- and post-therapy in relation to the number of sessions, age, and gender. Design: Prospective cohort study. Materials and methods: This study was conducted as a collaborative project between Linkoping University and hospitals in the south-east health care region in Sweden. Six voice clinics participated by asking their patients voluntarily to complete the Swedish version of the VHI at the beginning and end of therapy. Results and conclusions: The two most prevalent diagnoses were dysphonia (43%) and phonasthenia (25%). Among the working population, the three most common occupational fields were education, health care, and child-care. The majority of the patients were women (74.3%), and the mean age of all patients was 55 years. A significant improvement in VHI scores was found after therapy, with an average decrease of 19 median points in total score and a substantial effect size (0.55). The number of sessions did not significantly correlate with the mean VHI score difference but had a weak correlation to the start and end scores. Increasing age correlated with a higher median VHI score both at the start and end of therapy but did not affect the average decrease between the two measurements.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2017. Vol. 42, no 2, p. 93-98
Keywords [en]
Epidemiology; therapy evaluation; therapy outcome; voice disorders; Voice Handicap Index
National Category
Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:liu:diva-137875DOI: 10.1080/14015439.2016.1219387ISI: 000400408100005PubMedID: 27536880OAI: oai:DiVA.org:liu-137875DiVA, id: diva2:1104988
Available from: 2017-06-02 Created: 2017-06-02 Last updated: 2017-06-02

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