Voice therapy for muscle tension dysphonia (MTD) involves techniques to change maladaptive vocal behaviors, and for successful outcomes, patients must complete a prescribed voice therapy regimen. Research into adherence to therapy, however, has shown high attrition rates among behavior-change programs. This study sought to determine (a) adherence to a prescribed voice therapy regimen for treatment of MTD; (b) the impact of sociodemographic factors (i.e., gender, age, race, geographical residence, and employment status) on adherence; and (c) the impact of patient perceptions of life quality (i.e., vocal impairment, health, life satisfaction, and social support) on adherence. To determine adherence, a retrospective review was conducted and included 45 medical charts of patients ages 22 to 89 years who enrolled between January 2014 and December 2015 in voice therapy for treatment of MTD. These 45 participants either provided or confirmed sociodemographic information. To determine the impact of perceptions of life quality, participants completed the Voice Handicap Index, the Optum™ Short Form Health Survey 12 version 2, the Satisfaction with Life Scale©, and the Quality of Relationships Inventory. Results indicate that (a) 60% of participants completed the prescribed voice therapy regimen; (b) employment status was significantly associated with completion voice therapy, such that those reporting gainful employment more often completed the regimen, p = .038; and (c) relationship depth was significantly associated with completion of voice therapy, such that those reporting less confidence in a specific and significant relationship more often completed the regimen, p = .004. Combined with the results of other studies, this study assists in identifying factors that may affect adherence to voice therapy for treatment of MTD.
|Advisor:||Zraick, Richard I.|
|Commitee:||Bursac, Zoran, Guyette, Thomas W., Hadden, Kristie, Tulunay-Ugur, Ozlem E., Zraick, Richard I.|
|School:||University of Arkansas for Medical Sciences|
|Department:||Communication Sciences and Disorders|
|School Location:||United States -- Arkansas|
|Source:||DAI-B 79/10(E), Dissertation Abstracts International|
|Keywords:||Adherence, Attrition, Drop out, Muscle tension dysphonia, Voice therapy|
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