The Effect of Group Voice Therapy via Telepractice on Voice Fatigue in Preschool Teachers

IF 2.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders Pub Date : 2026-10-16 DOI:10.1111/1460-6984.70350

Mustafa Seyrek, Suna Tokgoz-Yilmaz, Tarik Babur Kucuk

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引用次数: 0

Abstract

Background

Although in-person and face-to-face voice therapies have been used for years in professional voice users with voice fatigue, limited research examining the outcomes of group voice therapy via telepractice is available.

Aims

This study investigated the effectiveness of group voice therapy via telepractice among preschool teachers with voice fatigue.

Methods and Procedures

Forty women preschool teachers with voice fatigue were recruited and randomly assigned to eight groups of five participants each in this prospective longitudinal design. The 45-min group voice therapy sessions were conducted via telepractice for eight weeks, utilizing both indirect (vocal hygiene training) and direct (Lax Vox Voice Therapy) techniques. Pre- and post-therapy and follow-up evaluations were performed using subjective, aerodynamic, and acoustic analyses.

Outcomes and Results

Our results showed no significant differences between groups in terms of acoustic, aerodynamic, and subjective evaluations. However, significant differences were found between the time periods. Pairwise comparisons revealed that this effect was evident between the pre-therapy and other evaluation periods. Additionally, the study found that voice hygiene behaviours were maintained during the follow-up evaluations.

Conclusions and Implications

The results indicate that group voice therapy via telepractice could reduce voice fatigue in preschool teachers and increase their voice awareness and quality of life. It is recommended that this study be replicated in other professional voice users and patients with dysphonia.

WHAT THIS PAPER ADDS

What is already known on this subject

Voice fatigue is common among preschool teachers due to prolonged voice use and unfavorable vocal environments. Previous studies have shown that voice therapy, including vocal hygiene education and direct voice techniques, can alleviate voice problems in professional users. However, most studies have focused on individual face-to-face therapy, while evidence regarding group voice therapy delivered via telepractices remains limited.

What this paper adds to the existing knowledge

This study demonstrated that group voice therapy delivered via telepractice significantly reduced voice fatigue among preschool teachers over time. Improvements were observed in subjective, acoustic, and aerodynamic measures between pre-therapy and later evaluation periods, and participants maintained vocal hygiene behaviours during follow-up. These findings provide evidence that telepractice-based group voice therapy is an effective and sustainable intervention for professional voice users.

What are the potential or actual clinical implications of this work?

Group voice therapy delivered via telepractice may be a cost-effective and accessible intervention for preschool teachers who experience voice fatigue. This approach may increase the awareness of vocal health and support long-term vocal hygiene. Telepractice-based group interventions should be considered in preventive voice care programmes for professional voice users.

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远程团体语音治疗对幼儿教师语音疲劳的影响

虽然面对面和面对面的语音治疗已经在患有语音疲劳的专业语音用户中使用了多年，但通过远程实践检验群体语音治疗结果的研究有限。目的探讨小组语音治疗对幼儿教师语音疲劳的效果。方法与步骤采用前瞻性纵向设计，招募40名患有声音疲劳的女幼儿教师，随机分为8组，每组5人。45分钟的小组语音治疗课程通过远程练习进行，为期8周，使用间接（声音卫生训练）和直接（Lax Vox语音治疗）技术。使用主观、空气动力学和声学分析进行治疗前后和随访评估。结果和结果我们的研究结果显示，在声学、空气动力学和主观评价方面，两组之间没有显著差异。然而，在不同时期之间发现了显著的差异。两两比较显示，这种效果在治疗前和其他评估期之间是明显的。此外，研究发现，在后续评估中，语音卫生行为保持不变。结论与意义通过远程实践进行群体语音治疗可以减轻幼儿教师的语音疲劳，提高幼儿教师的语音意识和生活质量。建议在其他专业语音使用者和发声障碍患者中重复这项研究。由于长时间的语音使用和不利的语音环境，幼儿教师普遍存在语音疲劳。先前的研究表明，声音治疗，包括声音卫生教育和直接发声技术，可以缓解专业用户的声音问题。然而，大多数研究都集中在个人面对面治疗上，而通过远程实践提供的群体语音治疗的证据仍然有限。本研究表明，随着时间的推移，通过远程实践进行的群体语音治疗显著减少了幼儿教师的语音疲劳。在治疗前和之后的评估期间，观察到主观、声学和空气动力学指标的改善，参与者在随访期间保持了声音卫生行为。这些发现为基于远程实践的群体语音治疗对专业语音使用者是一种有效和可持续的干预提供了证据。这项工作的潜在或实际临床意义是什么？通过远程实践提供的群体语音治疗可能是一种具有成本效益和可访问的干预学龄前教师的声音疲劳。这种方法可以提高对声音健康的认识，并支持长期的声音卫生。在针对专业语音使用者的预防性语音保健规划中，应考虑基于远程实践的群体干预措施。

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来源期刊

International Journal of Language & Communication Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.30

自引率

12.50%

发文量

116

审稿时长

6-12 weeks

期刊介绍： The International Journal of Language & Communication Disorders (IJLCD) is the official journal of the Royal College of Speech & Language Therapists. The Journal welcomes submissions on all aspects of speech, language, communication disorders and speech and language therapy. It provides a forum for the exchange of information and discussion of issues of clinical or theoretical relevance in the above areas.