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Telehealth: voice therapy using telecommunications technology.

Pauline A Mashima1, Deborah P Birkmire-Peters, Mark J Syms

  • 1Speech Pathology Clinic, Otolaryngology Service, Department of Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Tripler AMC, HI 96859-5000, USA. Pauline.Mashima@haw.tamc.amedd.army.mil

American Journal of Speech-Language Pathology
|December 9, 2003
PubMed
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Remote voice therapy via video teleconference is as effective as in-person sessions for patients with voice disorders. This study demonstrates the viability of telehealth for vocal rehabilitation, improving accessibility for remote populations.

Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Health Services Research

Background:

  • Telehealth presents a solution for delivering healthcare services to remote and underserved populations.
  • Voice therapy is a crucial component of vocal rehabilitation for various laryngeal conditions.

Purpose of the Study:

  • To conduct a proof-of-concept study evaluating the effectiveness of remote voice therapy.
  • To compare treatment outcomes of vocal rehabilitation delivered conventionally versus via video teleconference.

Main Methods:

  • Seventy-two patients with voice disorders were divided into two groups: conventional (in-person) and video teleconference (remote).
  • A vocal rehabilitation protocol was administered to both groups.
  • Outcomes were assessed using perceptual voice quality judgments, acoustic analyses, patient satisfaction, and fiber-optic laryngoscopy.

Related Experiment Videos

Main Results:

  • No significant differences in outcome measures were observed between the conventional and video teleconference groups.
  • Participants in both groups demonstrated positive changes in voice quality and function post-therapy.
  • Reasons for early discontinuation supported the feasibility of the telehealth model.

Conclusions:

  • Remote voice therapy delivered via video teleconference is an effective alternative to conventional in-person therapy.
  • Telehealth can successfully provide vocal rehabilitation services, enhancing accessibility.
  • The study supports the expansion of telehealth for voice disorder management.