ABSTRACT
Objective
To propose a Dysphonia Risk Screening Protocol for Actors (DRSP-A), test its usability
in conjunction with the General Dysphonia Risk Screening Protocol (G-DRSP), determine
the cut-off point for a high risk of dysphonia in actors, and compare the risk of
dysphonia between actors with and without voice disorders.
Method
Observational cross-sectional study with 77 professional actors or students. The questionnaires
were applied individually and the total scores were summed to calculate the final
score of the Dysphonia Risk Screening (DRS-Final). The validity of the questionnaire
was verified from the area under the Receiver Operating Characteristic (ROC) curve, and cut-offs were obtained based on diagnostic criteria for screening
procedures. Voice recordings were collected for auditory-perceptual analysis and subsequent
division into groups with and without vocal alteration.
Results
The sample showed a high risk of dysphonia. Higher scores in the G-DRSP and in the
DRS-Final were found in the group that presented vocal alteration. The cut-off points
established for the DRSP-A and DRS-Final were 0.623 and 0.789, respectively, with
higher degrees of sensitivity than specificity. Thus, above these values, the risk
of dysphonia is greater.
Conclusion
A cut-off value was calculated for the DRSP-A. This instrument was proven to be viable
and applicable. The group with vocal alteration had a higher score in the G-DRSP and
DRS-Final, but there was no difference in the DRSP-A.
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 accessOne-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 VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Reliability in perceptual analysis of voice quality.J Voice. 2005; 19: 555-573https://doi.org/10.1016/j.jvoice.2004.08.008
- Comparison of supraglottic activity and spectral slope between theater actors and vocally untrained subjects.J Voice. 2016; 30: 767.e1-767.e8https://doi.org/10.1016/j.jvoice.2015.10.017
- Acting in action: prosodic analysis of character representation during acting.J Exp Psychol Gen. 2019; 148: 1407-1425
- “Prologues to a bad voice”: effect of vocal hygiene knowledge and training on voice quality following stage performance.J Voice. 2018; 32: 300-306
- Vocal quality in theater actors.J Voice. 2017; 31: 510.e7-510.e14
- The actor’s voice: vocal performance assessment by different professionals.J Voice. 2020; 36: 440.e1-440.e9
- Perceptual and acoustic analyses of good voice quality in male radio performers.J Voice. 2017; 31: 259.e1-259.e12
- Investigation of the effectiveness of a holistic vocal training program designed to preserve theatre students’ vocal health and increase their vocal performances; a prospective research study.J Voice. 2020; 34: 302.e21-302.e28
- Work-related voice disorder: proposal of an individual notification record.Distúrb Comun. 2018; 30: 170-178
- Dysphonia risk screening protocol.Clinics. 2016; 71: 114-127
- Analysis of possible factors of vocal interference during the teaching activity.Revis Saúde Públ. 2017; 51: 1-10
- Cut-off point for high dysphonia risk in children based on the Child Dysphonia Risk Screening Protocol: preliminary findings.Clinics. 2020; 75e1682
- Dysphonia risk screening protocol for musical theatre actors: a preliminary study.CoDAS. 2021; 33: 1-8
- Voice deviation, dysphonia risk screening and quality of live in individuals with various laryngeal diagnoses.Clinics. 2018; 73e174
- Actor’s voice: association between vocal symptoms and life habits.Audiol Commun Res. 2019; 24: 1-8
- A power primer.Psychol Bull. 1992; 112: 155-159
- Drama students with and without vocal complaint: vocal health and hygiene data, symptoms and voice handicap.CoDAS. 2019; 31: 1-7
- Risk factors for voice problems in professional actors and singers.Zdr Varst. 2020; 59: 92-98
- Voice and lifestyle behaviors of student actors: impact of history gathering method on self-reported data.J Voice. 2021; 35: 233-246
- Professional theatre actors: environmental and socio-occupational use of voice.J Soc Bras Fonoaudiol. 2011; 23: 271-276
- Actor and drama students: voice related to practice.Rev CEFAC. 2016; 18: 897-907
- A curva ROC para testes diagnósticos.Cad Saude Colet. 2003; 11: 7-31
- Voice disorders in actors.J Voice. 2013; 2370508
- Perceived vocal complaint and self-assessment of the vocal problem impact in professional theater actors.Audiol Commun Res. 2022; 27e2463
Article info
Publication history
Published online: May 25, 2023
Accepted:
April 19,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved. All rights reserved.
