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Purpose: The purpose of this study is to assess the general course of acoustic, patient rated, and clinician-rated voice outcomes from pre- up to 12 months post total laryngectomy.
Methods: Patients admitted to a total laryngectomy in five participating hospitals in Australia and The Netherlands were included. Assessments took place at pre-, 3 months, 6 months, and 12 months post-surgery. Voice outcomes are evaluated with the Acoustic Voice Quality Index (AVQI), perceptual scales, and patient-reported outcome measures including VHI-10 and EQ-5D-5L. Statistical analyses include descriptive statistics, t tests (pre- to 6 months post-surgery), Linear Mixed Effect models.
Results: The study included 43 participants. A significant worsening of AVQI is seen from pre- to post-surgery evaluated with t test (p < 0.001). The Linear Mixed Effect model confirmed Time as a significant factor in predicting AVQI score (p ≤ 0.001), as well as perceptual rated voice quality by the clinician (p = 0.015) and patient-reported perceptual rated voice quality (p = 0.002). No statistical significance was found in VHI-10 scores over time.
Conclusion: Successful TE-speech was achieved in most participants, some had to rely on augmentative alternative communication methods. Patient-reported outcomes indicate acceptance of the condition and sufficient coping in the long term. However, acoustic rated voice quality is abnormal at all post-surgery time-points. AVQI proved to be a useful instrument to evaluate TE-speech. There is a need for validation and determination of cut-off values for VHI-10 and AVQI for use in TE-speech.
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http://dx.doi.org/10.1007/s00405-020-06216-z | DOI Listing |
Oxf Open Digit Health
August 2025
Department of Health Policy Planning and Management, Makerere University College of Health Sciences, School of Public Health, Mulago Hill-Road. P.O.Box, 7072, Kampala, Uganda.
Background: This study explored reasons why respondents neither initiate nor complete an interactive voice response (IVR) survey and whether call-backs by a human can increase subsequent IVR survey participation.
Methods: We conducted a mixed methods study. Using random digit dialing (RDD), participants were sent an IVR survey (IVR-RDD) to their mobile phone.
Arch Phys Med Rehabil
September 2025
James Madison University, College of Health and Behavioral Studies, Communication Sciences and Disorders, 235 Martin Luther King Jr. Way, Harrisonburg, VA 22807; Sentara Rockingham Memorial Hospital, 2010 Health Campus Drive, Harrisonburg, VA 22801.
Objective: To identify which, if any, acoustic measures are associated with swallowing safety.
Design: prospective, original research SETTING: : primarily outpatient PARTICIPANTS: : 34 adults referred for a videofluoroscopic swallowing study (VFSS) were audio-recorded completing a sustained vowel and reading a sentence before the VFSS and again after swallowing each bolus.
Interventions: none MAIN OUTCOME MEASURE(S): : Swallowing safety was initially quantified using the Penetration-Aspiration Scale (PAS) with ratings then defined dichotomously (e.
J Voice
September 2025
Center for Speech and Language Sciences (CESLAS), Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium; Department of Otorhinolaryngology and Head and Neck Surgery, Ghent University Hospital, Ghent, Belgium.
Introduction: A significant challenge for some transgender and gender diverse (TGD) individuals is that their voice and communication do not align with their gender identity or the way they wish to be perceived. Voice and communication training (VCT) can address key factors that are the most salient in gender perception, such as pitch, resonance, articulation, and intonation. While intonation training has proven its benefits for developing a feminine-sounding voice, its impact on achieving a masculine-sounding voice remains underexplored.
View Article and Find Full Text PDFJ Pain Symptom Manage
September 2025
Children's Healthcare of Atlanta, Atlanta, GA; Emory School of Medicine, Department of Pediatrics, Division of Pediatric Palliative Care, Atlanta, GA.
Introduction: Black and Native American children in the United States experience disparities in serious illness care and outcomes which are compounded by systemic inequities. These disparities necessitate research approaches that center the voices of racially minoritized families, combat systems of oppression, and promote culturally humble care. Community-based participatory research (CBPR) emphasizes engaging affected communities throughout the research process.
View Article and Find Full Text PDFSoc Sci Med
September 2025
Department of Political Science, University of Calgary, Canada.
In the context of the over-representation of women who are Indigenous in prisons and historical and structural barriers to health, we undertook a scoping review to understand research regarding the reproductive and maternal health experiences of Indigenous women in prison in Australia, Canada, New Zealand, and the USA. We searched online databases in May 2022 since inception, as well as Google and governmental websites between December 2022 and March 2023. We identified 8 eligible articles.
View Article and Find Full Text PDF