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Voice related coping in professional voice users - a systematic review

Ramachandran, A. ORCID: 0000-0002-5519-010X, Hilari, K. ORCID: 0000-0003-2091-4849, Epstein, R. , Devane, N. ORCID: 0000-0001-8448-1478 & Hirani, S. P. ORCID: 0000-0002-1577-8806 (2022). Voice related coping in professional voice users - a systematic review. Journal of Voice, doi: 10.1016/j.jvoice.2022.08.024


Objectives: This systematic review explored coping with voice problems in professional voice users. The objectives were to: 1) evaluate how voice-related coping is assessed in professional voice users 2) investigate how they cope with voice problems, and 3) identify factors associated with voicerelated coping.

Design: Systematic review

Methods: A systematic literature search of ten electronic databases using both EBSCOhost and OVID online platforms was conducted following the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Only peer-reviewed articles which assessed coping in the context of voice problems in professional voice users were included. Methodological quality was assessed using Johanna-Briggs Institute Critical Appraisal checklists. Data analysis was conducted using narrative synthesis.

Results: Following deduplication, abstract and full-text screening, seven articles were included in the review. All participants (n=2484) were teachers; no other professional voice users were covered. 98% of the cases studied were females. The tools used to assess voice-related coping were Utrecht Coping List (UCL) and Voice Disability Coping Questionnaire (VDCQ). Studies which used UCL reported a passive coping pattern in teachers with high vocal handicap whereas VDCQ showed increased use of social support. Factors associated with coping were not examined by any of the studies.

Conclusion: Seeking social support was highlighted as a frequently used coping strategy across studies and measures. Teachers with high vocal handicap used a passive coping pattern and active coping styles were not significantly used. Current evidence does not sufficiently specify factors affecting coping in professional voice users. More research on voice-related coping involving all professional voice users is warranted to identify associated factors and further ascertain its influence on vocal health.

Publication Type: Article
Additional Information: © 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Publisher Keywords: Coping, Dysphonia, Voice Disorders, Patient Reported Outcome Measures
Subjects: P Language and Literature > P Philology. Linguistics
R Medicine > RT Nursing
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
School of Health & Psychological Sciences > Language & Communication Science
School of Health & Psychological Sciences > Nursing
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