Perceived Control, Voice Handicap, and Barriers to Voice Therapy.
Viann N Nguyen-Feng, Patricia A Frazier, Nelson Roy and 2 others
PMID 31604609WHAT IT FOUND
Patients who felt they could currently control their voice problem reported less voice handicap.
This link held even after accounting for personality. Higher perceived control also predicted fewer barriers to therapy, such as finding exercises strange or hard to translate.
Key findings
01Higher perceived present control was associated with lower voice handicap, and this relationship remained significant after controlling for personality traits.
02Perceived present control was negatively related to specific barriers to voice therapy, including the belief that exercises are hard to translate into everyday use or seem strange.
03Perceived present control was not significantly related to the overall self-reported likelihood of attending voice therapy.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The data were cross-sectional, so the study cannot determine if low perceived control causes higher handicap or if severe voice problems reduce a patient's sense of control. The sample was largely female, white, and educated, which may limit generalizability to other populations. The study relied on self-reported likelihood of attending therapy, not actual attendance or adherence data. Brief versions of personality and control measures were used, which may have reduced the precision of these assessments.
The easy way to misread this
Do not assume that increasing a patient's perceived control will automatically make them more likely to attend voice therapy. The study found no significant relationship between perceived control and the self-reported likelihood of attending, only a relationship with specific perceived barriers.