Perceived Control, Voice Handicap, and Barriers to Voice Therapy

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7 Scopus citations


OBJECTIVE: To characterize the associations of perceived control with voice outcomes and self-reported likelihood of attending voice therapy using a national practice-based research network.

STUDY DESIGN: Cross-sectional study of prospectively enrolled adult patients seen for dysphonia.

SETTING: Creating Healthcare Excellence through Education and Research (CHEER) network of community and academic practice sites.

SUBJECTS AND METHODS: Data collected included patient-reported demographics, outcome measures of voice (Voice Handicap Index-10), perceived control (present control subscale of voice-specific Perceived Control over Stressful Events Scale), personality (Ten Item Personality Inventory), likelihood of attending voice therapy if recommended, and barriers to attending voice therapy.

RESULTS: Patients (N = 247) were enrolled over 12 months from 10 sites, of whom 170 received a recommendation for voice therapy. The majority (85%) of this group planned to attend voice therapy. Voice-specific perceived control and VHI-10 were inversely related (r = -0.31, P < 0.001), even when controlling for personality. No study variables were associated with self-reported likelihood of attending voice therapy, but perceived control was the most consistent correlate of specific barriers to attending voice therapy (eg, "hard to translate into everyday use") and was inversely related to these barriers.

CONCLUSIONS: Patients scoring higher on a voice-specific measure of perceived control reported less voice handicap, independent of personality, and higher perceived control was associated with having fewer concerns about voice therapy goals and process. Perceived control is a potential target for intervention in patients with voice disorders.

Original languageEnglish (US)
Pages (from-to)326.e13-326.e19
JournalJournal of Voice
Issue number2
StatePublished - Mar 2021

Bibliographical note

Funding Information:
Funding: This work was supported by funding from the National Institutes of Health (NIH), including grants K23DC016335, 3R33DC008632-05S1, UL1TR000114, KL2 RR0333182, and ULI RR033183. The NIH did not play a role in the research, and opinions expressed herein are the authors’ and do not reflect the views of the National Institutes of Health, the Department of Health and Human Services, or the United States government.

Publisher Copyright:
© 2019 The Voice Foundation


  • Dysphonia
  • Perceived control
  • Personality
  • Voice handicap
  • Voice therapy
  • Disability Evaluation
  • Voice Disorders/diagnosis
  • Cross-Sectional Studies
  • Dysphonia/diagnosis
  • Humans
  • Adult
  • Voice

PubMed: MeSH publication types

  • Journal Article


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