Patient, Parent, and Speech-Language Pathologists' Perceptions of Pediatric Voice Therapy Through Interviews Purpose Voice therapy is heavily reliant on patient adherence for success, and patient perceptions are an important piece of understanding adherence. Patient perceptions of voice therapy have not been studied in the pediatric population. The purpose of this study was to examine patient, parent, and speech-language pathologists' experiences and perceptions ... Research Article
Newly Published
Research Article  |   August 07, 2018
Patient, Parent, and Speech-Language Pathologists' Perceptions of Pediatric Voice Therapy Through Interviews
 
Author Affiliations & Notes
  • Maia N. Braden
    Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, University of Wisconsin–Madison
  • Eva van Leer
    Program of Communication Disorders, Georgia State University, Atlanta
  • Katherine McConville
    Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, University of Wisconsin–Madison
  • Sarah D. M. Blakeslee
    Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, University of Wisconsin–Madison
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Sarah D. M. Blakeslee is now at SSM Health Dean Medical Group, St. Louis, MO
    Sarah D. M. Blakeslee is now at SSM Health Dean Medical Group, St. Louis, MO×
  • Correspondence to Maia N. Braden: braden@surgery.wisc.edu
  • Editor-in-Chief: Julie Barkmeier-Kraemer
    Editor-in-Chief: Julie Barkmeier-Kraemer×
  • Editor: M. Preeti Sivasankar
    Editor: M. Preeti Sivasankar×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Speech, Voice & Prosody / Newly Published / Research Article
Research Article   |   August 07, 2018
Patient, Parent, and Speech-Language Pathologists' Perceptions of Pediatric Voice Therapy Through Interviews
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2018_AJSLP-17-0226
History: Received December 21, 2017 , Revised March 26, 2018 , Accepted April 25, 2018
 
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2018_AJSLP-17-0226
History: Received December 21, 2017; Revised March 26, 2018; Accepted April 25, 2018

Purpose Voice therapy is heavily reliant on patient adherence for success, and patient perceptions are an important piece of understanding adherence. Patient perceptions of voice therapy have not been studied in the pediatric population. The purpose of this study was to examine patient, parent, and speech-language pathologists' experiences and perceptions of voice therapy and how they reflect barriers to and facilitators of adherence to therapy.

Method Participants took part in semistructured interviews, which were transcribed, and content analysis was completed using established qualitative methods of content analysis to identify themes and subthemes related to voice therapy adherence.

Participants Thirty-four voice therapy patients (of ages 4–18) and their parents and 5 pediatric speech-language pathologists were included in the study.

Results Seven primary themes with multiple subthemes were identified. The primary themes identified were as follows: (a) voice therapy is fun, (b) voice therapy is easy, (c) voice therapy is worthwhile, (d) the clinician–patient match matters, (e) support systems are helpful, (f) fitting it in, and (g) changing behavior is hard.

Conclusions Adherence to voice therapy in pediatric populations is complex and depends on multiple intrinsic and extrinsic factors. Identification of themes related to adherence in voice therapy should serve to assist clinicians in planning therapy and in developing treatment programs.

Acknowledgments
This work is supported in part by the Diane M. Bless Endowed Chair, Division of Otolaryngology–Head and Neck Surgery at University of Wisconsin, Madison. The authors thank Emerald Doll and Landon Riggs for their help and support in conducting and transcribing interviews and the families for participating in this study.
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