Advertisement
Research Article| Volume 22, ISSUE 2, P192-196, March 2008

Download started.

Ok

A Review of Patient Adherence to the Recommendation for Voice Therapy

Published:June 18, 2007DOI:https://doi.org/10.1016/j.jvoice.2006.09.009
A Review of Patient Adherence to the Recommendation for Voice Therapy
Previous ArticleFundamental Frequency Change During Offset and Onset of Voicing in Individuals with Parkinson Disease
Next ArticleAttitudes of Children With Dysphonia

      Summary

      Voice therapy is a preferred treatment for many voice problems. Many patients referred to voice therapy by their otolaryngologist fail to follow through with the recommendation. Unlike other behavior change therapies, there are no studies documenting the incidence of poor patient attendance in voice therapy. The primary purpose of this study was to document initial patient adherence to the physician's recommendation for voice therapy. A retrospective review of 294 charts was conducted at 2 voice institutions in Atlanta, GA. Reviews included adherence to (1) the physician's referral to the speech-language pathologist and (2) the speech-language pathologist's recommendation for follow-up voice therapy. Thirty-eight percent of patients did not adhere to the physician's recommendation to attend voice therapy. Of those who initiated follow-through, 47% did not return after the initial speech-language pathology evaluation session. There was no significant difference in attendance by gender or by age group. The primary reasons reported for nonattendance were insurance denials, resolution of the problem, and distance to the clinic. The attendance rates described in this study were low but consistent with research published in the fields of otolaryngology, gastroenterology, and psychology. Poor patient attendance is an important area to consider in outcomes research and the cost to healthcare.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

      1. Hapner E. Voice center attendance policy. Available at: http://[email protected]. Accessed July 5, 2006.

        View in Article
        • Miller W.
        • Rollnick S.
        Motivational Interviewing: Preparing People for Change.
        Guilford Press, New York, NY2002
        View in Article
        • Rollnick S.
        • Mason P.
        • Butler C.
        Health Behavior Change: A Guide for Practitioners.
        Churchill Livingston, London2003
        View in Article
        • Verdolini-Marston K.
        • Burke M.K.
        • Lessac A.
        • Glaze L.
        • Caldwell E.
        A preliminary study on two methods of treatment for laryngeal nodules.
        J Voice. 1995; 9: 74-85
        View in Article
        • Ramig L.
        • Verdolini K.
        Treatment efficacy: voice disorders.
        J Speech Lang Hear Res. 1998; 41: S101-S116
        View in Article
        • Smoller J.
        • McLean R.
        • Otto M.
        • Pollack M.
        How do clinicians respond to patients who miss appointments?.
        J Clin Psychiatry. 1998; 59: 330-338
        View in Article
        • Morris M.
        • Stein L.
        Turning up or turning off.
        Speech Lang Ther Prac. 2005; : 26-27
        View in Article

      8. Abramo L. Age-specific transcultural competencies for health care providers. In-service Presented at: Saint Joseph's Hospital of Atlanta; 2002.

        View in Article

      9. Gillespie A. The influence of clinical terminology on self-efficacy for voice [unpublished thesis]. Graduate faculty of the Communication Science and Disorders Department, University of Pittsburgh; 2005.

        View in Article
        • Lloyd M.
        • Bradford C.
        • Webb S.
        Non-attendance at outpatient clinics: is it related to the referral process?.
        Fam Pract. 1993; 10: 111-117
        View in Article
        • Henggeler S.W.
        Multisystemic therapy: an overview of clinical procedures, outcomes, and policy implications.
        Child Psychol Psychiatry Rev. 1999; 4: 2-10
        View in Article
        • Noel S.
        • Howard K.
        Initial contact and engagement in psychotherapy.
        J Clin Psychol. 1998; 45: 798-805
        View in Article

      13. Van Leer E, Hapner E. Validation of a self-efficacy for voice therapy scale. Presented at: The 34th Annual Symposium: Care of the Professional Voice; June 2005; Philadelphia, PA.

        View in Article

      14. Van Leer E, Hapner E. Enhancing patient motivation and compliance in voice therapy: application of self-efficacy and stages of change theory. Presented at: The 33rd Annual Symposium: Care of the Professional Voice; June 2004; Philadelphia, PA.

        View in Article

      15. Van Leer E, Hapner E. Who gets stuck? Obstacles to voice improvement. Presented at: The American Speech, Language, and Hearing Association Annual Convention; November 2002; Atlanta, GA.

        View in Article

      16. Hapner E. Motivational interviewing: a method to enhance treatment adherence. Presented at: The Florida Association of Speech Language Pathology and Audiology Annual Convention; May 2006; Orlando, FL.

        View in Article

      Article info

      Publication history

      Published online: June 18, 2007
      Accepted: September 21, 2006

      Identification

      DOI: https://doi.org/10.1016/j.jvoice.2006.09.009

      Copyright

      © 2008 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX