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Qualitative Analysis of Speech-Language Pathologists' Voice Evaluation Practices and Perspectives
Michael D Madoule1, Katherine L Marks1,2, Kathleen F Nagle3
1Department of Speech, Language & Hearing Sciences, Boston University, MA.
American Journal of Speech-Language Pathology
|June 30, 2025
Summary
Speech-language pathologists have varied opinions on using acoustic measures in voice evaluations, citing time constraints and lack of direct therapy guidance as barriers, yet acknowledging their value for accurate comparisons and patient-centered care.
Area of Science:
- Speech-language pathology
- Voice science
- Clinical audiology
Background:
- Voice evaluations are crucial for diagnosing and treating voice disorders.
- Acoustic measures offer objective data but their clinical utility is debated.
- Understanding clinician perspectives is key to integrating new assessment tools.
Purpose of the Study:
- To explore the structure of voice evaluations.
- To gather speech-language pathologists' (SLPs) views on barriers and benefits of acoustic measures.
- To investigate how SLPs assess vocal strain and effort.
Main Methods:
- Qualitative study involving interviews with 15 voice-specialized SLPs in the US.
- Thematic analysis of interview data regarding practice patterns and opinions on acoustic measures.
- Exploration of methods used to evaluate vocal strain and effort.
Main Results:
- Practitioner differences noted across evaluation components.
- Barriers to acoustic measures: time-consuming, do not inform therapy.
- Benefits of acoustic measures: accurate comparison, supplement patient-centered care.
- Vocal strain/effort assessment: lack of consensus on objective measures, use of multi-modal perception, varied approaches.
Conclusions:
- SLPs hold diverse views on acoustic assessment's role in therapy guidance.
- Variability in assessing vocal strain and effort highlights the need for further research.
- Integrating objective measures requires addressing practical and perceived limitations.
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