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The efficacy of a voice training program: a case-control study in China
Jingming Duan1, Li Zhu, Yan Yan
1Department of Otolaryngology, Third Hospital, Peking University, No. 49, Hua Yuan Bei Lu, HaiDian District, 100191 Beijing, People's Republic of China.
Summary
A voice training program significantly improved voice handicap index and maximum phonation time in Chinese middle school teachers. This study provides evidence for effective voice disorder treatment in China.
Area of Science:
- Speech and Hearing Sciences
- Educational Psychology
- Public Health
Background:
- Occupational voice use among teachers can lead to voice disorders.
- Effective voice training programs are needed for Chinese-speaking educators.
Purpose of the Study:
- To design and evaluate a voice training program for Chinese-speaking middle school teachers.
- To assess the program's impact on voice handicap index (VHI), maximum phonation time (MPT), and acoustic parameters.
Main Methods:
- A prospective, randomized, case-control study involving three middle schools in Beijing.
- Teachers in the treatment group underwent a 4-week voice training program including vocal hygiene and group training.
- Control group teachers received no intervention.
Main Results:
- The treatment group showed a significant decrease in VHI and a significant increase in MPT post-intervention.
- Noise to Harmonic Ratio (NHR) significantly decreased in the treatment group.
- Jitter and shimmer showed no significant changes in either group.
Conclusions:
- The designed voice training program is effective and suitable for treating voice disorders in Chinese middle school teachers.
- The findings offer reliable evidence supporting the implementation of voice training initiatives in China.
- The program demonstrates potential for improving vocal health in occupational settings.

