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Predicting No Show in Voice therapy: Avoiding the Missed Appointment Cycle
Briana E Vamosi1, Lauren Mikhail1, Renée L Gustin1
1Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Summary
Multidisciplinary voice therapy clinics improve patient compliance and reduce no-shows (NS). Non-white patients showed a higher association with NS, indicating a need for further investigation into adherence factors.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Health Services Research
Background:
- Voice therapy is crucial for voice disorders but faces patient compliance challenges.
- Previous studies suggest multidisciplinary clinics improve voice therapy outcomes.
- This study investigates factors predicting no-shows (NS) in voice therapy.
Purpose of the Study:
- To identify factors associated with no-show rates in voice therapy.
- To evaluate the impact of clinic model on voice therapy adherence.
- To explore patient demographics related to voice therapy nonadherence.
Main Methods:
- Retrospective chart review of 146 patients at a tertiary medical center.
- Analysis of cancellations and no-shows (NS) over a 6-month period.
- Multivariable general linear model to assess associations between NS and covariates.
Main Results:
- Not being seen in a multidisciplinary clinic was significantly associated with higher NS rates (P=0.0431).
- Non-white race was significantly associated with higher NS rates (P=0.0006).
- The study included 146 patients, 62% female, mean age 52.7.
Conclusions:
- Multidisciplinary models are recommended to improve voice therapy adherence.
- Further research is needed to understand nonadherence factors in non-white patients.
- Addressing demographic disparities is crucial for optimizing voice therapy outcomes.
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