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https://revistacefac.org.br/article/doi/10.1590/1982-0216/202426111022
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Proposals to promote health and prevent voice disorders in occupational voice users: A scoping review

Propostas de promoção da saúde e prevenção de distúrbios vocais para profissionais da voz: revisão de escopo

Glauciene Amaral Martins; Isabele Tiemi Saito; Flávia Viegas; Marcia Simões-Zenari; Katia Nemr

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Abstract

Purpose: to characterize the actions of vocal health promotion and/or prevention of vocal disorders applied to voice professionals.

Methods: a scoping review following the PRISMA-ScR guidelines in SciELO and PubMed databases was conducted. Articles that had as participants voice professionals without concomitant vocal treatment, that described proposals for health promotion or vocal disorders prevention, published between 2010 and 2023, were included. They were grouped into categories and data were presented descriptively.

Literature Review: eighteen articles with artistic and non-artistic voice professionals, mostly teachers, were included. Most of the studies focused on healthy voices, aiming at primary prevention. Many articles presented guidance on vocal hygiene and health and used resources such as vocal enhancement, voice workshop, voice amplifiers and apps. All the articles positively mentioned their results, especially with regard to self-perception in relation to voice, vocal quality and quality of life, awareness of positive and harmful practices to the voice.

Conclusion: the proposals contemplated different levels of prevention, but most focused on primary prevention, including vocally healthy participants; all articles indicated positive results in voice self-perception, voice quality and quality of life, and awareness of positive and harmful voice practices.

Keywords

Voice; Dysphonia; Disease Prevention; Health Education; Health Promotion; Speech, Language and Hearing Sciences

Resumo

Objetivo: caracterizar as ações de promoção de saúde vocal e/ou prevenção de distúrbios vocais aplicadas em profissionais da voz.

Métodos: foi conduzida uma revisão de escopo seguindo as diretrizes do PRISMA-ScR nas bases de dados SciELO e PubMed. Foram incluídos artigos que tivessem como participantes profissionais da voz sem tratamento vocal concomitante, que descrevessem propostas de promoção da saúde ou prevenção de distúrbios vocais, publicados entre 2010 e 2023. Os artigos foram agrupados em categorias e os dados apresentados de forma descritiva.

Revisão da Literatura: foram incluídos 18 artigos com profissionais da voz artística e não-artística, em sua maioria professores. A maior parte dos estudos tinha como foco vozes saudáveis, visando a prevenção primária. Muitos artigos apresentaram orientações sobre higiene e saúde vocal e utilizaram recursos como aprimoramento vocal, oficina de voz, amplificadores de voz e aplicativos. Todos os artigos mencionam resultados benéficos, principalmente no que se refere à autopercepção em relação a voz, qualidade vocal e de vida, conscientização de práticas positivas e prejudiciais à voz.

Conclusão: as propostas contemplaram diferentes níveis de prevenção, mas a maioria tinha como foco a prevenção primária, incluindo participantes vocalmente saudáveis; todos os artigos indicaram resultados favoráveis na autopercepção em relação à voz, qualidade vocal e de vida e conscientização de práticas benéficas e prejudiciais à voz. 

Palavras-chave

Voz; Disfonia; Prevenção de Doenças; Educação em Saúde; Promoção da Saúde; Fonoaudiologia

Referências

1. Brasil. Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância em Saúde Ambiental e Saúde do Trabalhador. Distúrbio de Voz Relacionado ao Trabalho - DVRT [homepage on the internet]. Brasília: Ministério da Saúde, 2018, 42 p. [accessed 2012 dec 13]. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/disturbio_voz_relacionado_trabalho_dvrt.pdf

2. Phyland D, Miles A. Occupational voice is a work in progress: active risk management, habilitation and rehabilitation. Curr Opin Otolaryngol Head Neck Surg. 2019;27(6):439-47. https://doi.org/10.1097/moo.0000000000000584 PMID: 31651425.

3. Salturk Z, Kumral TL, Aydogdu I, Arslanoglu A, Berkiten G, Yildirim G et al. Psychological effects of dysphonia in voice professionals. Laryngoscope. 2015;125(8):1908-10. https://doi.org/10.1002/lary.25319 PMID: 25892054.

4. Chitguppi C, Raj A, Meher R, Rathore PK. Is the voice of professional voice users with no vocal cord lesions similar to that of non professional voice users? J Voice. 2017;33(1):66-72. https://doi.org/10.1016/j.jvoice.2017.09.004 PMID: 29079123.

5. Czeresnia D. The concept of health and the difference between prevention and promotion. Cad Saúde Pública. 1999;15(4):701-9. https://doi.org/10.1590/S0102-311X1999000400004

6. Penteado RZ, Servilha EAM. Fonoaudiologia em saúde pública/coletiva: compreendendo prevenção e o paradigma da promoção da saúde. Distúrb. Comunic. 2004;16(1):107-16. https://revistas.pucsp.br/index.php/dic/article/view/11631/8357

7. Hazlett DE, Duffy OM, Moorhead SA. Review of the impact of voice training on the vocal quality of professional voice users: implications for vocal health and recommendations for further research. J Voice. 2011;25(2):181-91. https://doi.org/10.1016/j.jvoice.2009.08.005 PMID: 20137890.

8. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/m18-0850 PMID: 30178033.

9. BRASIL. Ministério da Saúde. Secretaria de Atenção Primária à Saúde (SAPS) [homepage on the internet]. Atenção Primária e Atenção Especializada: Conheça os níveis de assistência do maior Sistema público de saúde do mundo [accessed 2023 Jul 7]. Available at: https://aps.saude.gov.br/noticia/16496

10. Behlau M, Zambon F, Guerrieri AC, Roy N. Epidemiology of voice disorders in teachers and nonteachers in Brazil: prevalence and adverse effects. J Voice. 2012;26(5):665.e9-18. https://doi.org/10.1016/j.jvoice.2011.09.010 PMID: 22516316.

11. Prebil N, Boltežar IH, Šereg Bahar M. Risk factors for voice problems in professional actors and singers. Zdr Varst. 2020;59(2):92-8. https://doi.org/10.2478%2Fsjph-2020-0012 PMID: 32952708.

12. Buss PM. Promoção da saúde e qualidade de vida. Ciênc. Saúde Coletiva. 2000;5(1)163-77. https://doi.org/10.1590/S1413-81232000000100014

13. Richter B, Nusseck M, Spahn C, Echternach M. Effectiveness of a voice training program for student teachers on vocal health. J Voice. 2016;30(4):452-9. https://doi.org/10.1016/j.jvoice.2015.05.005 PMID: 26059831

14. Nanjundeswaran C, Li NY, Chan KM, Wong RK, Yiu EM, Verdolini-Abbott K. Preliminary data on prevention and treatment of voice problems in student teachers. J Voice. 2012;26(6):816.e1-12. https://doi.org/10.1016/j.jvoice.2012.04.008 PMID: 22921297.

15. Xavier IN, Santos AO, Silva DM. Vocal health of teacher: phonoaudiologic intervention in primary health care. Rev. CEFAC. 2013;15(4):976-85. https://doi.org/10.1590/S1516-18462013000400027

16. Faham M, Ahmadi A, Drinnan M, Saadatmand N, Fatahi E, Jalalipour M. The effects of a voice education program on VHI scores of elementary school teachers. J Voice. 2016;30(6):755.e1-755.e11. https://doi.org/10.1016/j.jvoice.2015.09.009 PMID: 26482398.

17. Pizolato RA, Rehder MC, Dias CS, Meneghim MC, Ambrosano GB, Mialhe FL et al. Evaluation of the effectiveness of a voice training program for teachers. J Voice. 2013;27(5):603-10. https://doi.org/10.1016/j.jvoice.2013.04.013 PMID: 23911008.

18. Blanco EI, Imbrizi JM. Voice perception in teachers: life-story narratives between workspaces and the scenic choir. CoDAS. 2019;31(2):e20180200. https://doi.org/10.1590/2317-1782/20182018200 PMID: 31038575.

19. Masson MV, Fabbron EG, Loiola-Barreiro CM. Vocal warm-up and cool-down in teachers: a quasi-experimental controlled study. CoDAS. 2019;31(4):e20180143. https://doi.org/10.1590/2317-1782/20182018143 PMID: 31531555.

20. de Goulart BG, da Rocha JG, Chiari BM. Group speech-language pathology intervention in popular singers: prospective controlled study. J Soc Bras Fonoaudiol. 2012;24(1):7-18. http://dx.doi.org/10.1590/S2179-64912012000100004 PMID: 22460367.

21. Pizolato RA, Rehder MC, Meneghim MC, Ambrosano GB, Mialhe FL, Pereira AC. Impact on quality of life in teachers after educational actions for prevention of voice disorders: a longitudinal study. Health and Quality of Life Outcomes. 2013;11(28):1-9. https://doi.org/10.1186/1477-7525-11-28 PMID: 23445566.

22. Grillo EU. An online telepractice model for the prevention of voice disorders in vocally healthy student teachers evaluated by a smartphone application. Perspect ASHA Spec Interest Groups. 2017;2(3):63-78. https://doi.org/10.1044/persp2.sig3.63 PMID: 28890933.

23. Sundram ER, Norsa'adah B, Mohamad H, Moy FM, Husain NRN, Shafei MN. The effectiveness of a voice care program among primary school teachers in northeastern Malaysia. Oman Med J. 2019;34(1):49-55. https://doi.org/10.5001/omj.2019.08 PMID: 30671184.

24. López JM, Catena A, Montes A, Castillo ME. Effectiveness of a short voice training program for teachers: a preliminary study. J Voice. 2017;31(6):697-706. https://doi.org/10.1016/j.jvoice.2017.01.017 PMID: 28256365.

25. Mailänder E, Mühre L, Barsties B. Lax Vox as a voice training program for teachers: a pilot study. J Voice. 2017;31(2):262.e13-262.e22. https://doi.org/10.1016/j.jvoice.2016.04.011 PMID: 27542775.

26. Sezin RK, Özcebe E, Aydinli FE, Köse A, Günaydin RÖ. Investigation of the effectiveness of a holistic vocal training program designed to preserve theatre students' vocal health and increase their vocal performances: a prospective research study. J Voice. 2020;34(2):302.e21-302.e28. https://doi.org/10.1016/j.jvoice.2018.08.009 PMID: 30236535.

27. Paniagua MS, Pérez CJ, Calle-Alonso F, Salazar C. An acoustic-signal-based preventive program for university lecturers' vocal health. J Voice. 2020;34(1):88-99. https://doi.org/10.1016/j.jvoice.2018.05.011 PMID: 30072204.

28. Atará-Piraquive AP, Forero-Suárez LL, Cárdenas-Martinez JF, Cantor-Cutiva LC. Effect of an online Workplace Vocal Health and Low Stress Levels Promotion Program implemented in a Colombian university during COVID-19 pandemic. CoDAS. 2023;35(6):e20220052. https://doi.org/10.1590/2317-1782/20232022052 PMID: 37672412.

29. Atará-Piraquive AP, Herrera-Guzmán CL, Hernández-Contreras JR, Rincón-Pinilla MP, Peña-Campagnoli AT, Florez-Lancheros GP et al. Effect of a Workplace Vocal Health Promotion Program and working conditions on voice functioning of college professors. J Voice. 2021;S0892-1997(21)00186-7. https://doi.org/10.1016/j.jvoice.2021.05.016 PMID: 34275725.

30. Scanferla WH, Oliveira C, Lousada ML, Teixeira LC. The usability and acceptability of the mHealth "Health and Voice" for promoting teachers' vocal health. J Voice. 2022;S0892-1997(22)00396-4. https://doi.org/10.1016/j.jvoice.2022.12.007 PMID: 36690506.

31. Meier B, Beushausen U. Long-term effects of a voice training program to prevent voice disorders in teachers. J Voice. 2021;35(2):324.e1-324.e8. https://doi.org/10.1016/j.jvoice.2019.06.003 PIMD: 31307902.

32. Servilha EM, Ferreira LP, Masson MV, Reinaldi MM. Teachers' voice: analyses of brazilian laws in the perspective of health promotion. Rev. CEFAC. 2014;16(6):1888-99. https://doi.org/10.1590/1982-0216201410913

33. Hazlett DE, Duffy OM, Moorhead SA. Review of the impact of voice training on the vocal quality of professional voice users: implications for vocal health and recommendations for further research. J Voice. 2011;25(2):181-91. https://doi.org/10.1016/j.jvoice.2009.08.005 PMID: 20137890.

34. Luchesi KF, Mourão LF, Kitamura S, Nakamura HY. Vocal problems at work: prevention in the teaching practice according to the teacher's view. Saúde Soc. 2009;18(4):673-81. https://doi.org/10.1590/S0104-12902009000400011

35. Brasil CP, Oliveira CA, Vasconcelos Filho JE. Vocal health and mHealth: novel alternatives for old scenarios. Rev Bras Promoc Saúde. 2017;30(1):1-2. https://doi.org/10.5020/18061230.2017.p1

36. Carlos DO, Magalhães TO, Vasconcelos Filho JE, Silva RM, Brasil CP. Concepção e avaliação de tecnologia mHealth para promoção da saúde vocal. RISTI. 2016;19(9):46-60. http://dx.doi.org/10.17013/risti.19.46-60

37. Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. BMJ Evid Based Med. 2016;21(4):125-7. https://doi.org/10.1136/ebmed-2016-110401 PMID: 27339128.

38. Behlau M, Almeida AA, Amorim G, Balata P, Bastos S, Cassol M et al. Reducing the GAP between science and clinic: lessons from academia and professional practice - part A: perceptual-auditory judgment of vocal quality, acoustic vocal signal analysis and voice self-assessment. CoDAS. 2022;34(5):e20210240. https://doi.org/10.1590/2317-1782/20212021240en PMID: 35920467.

39. Van Stan JH, Roy N, Awan S, Stemple J, Hillman RE. A taxonomy of voice therapy. Am. J. Speech-Lang. Pathol. 2015;24:101-25. https://doi.org/10.1044/2015_ajslp-14-0030 PMID: 25763678.
 


Submetido em:
26/01/2023

Aceito em:
05/10/2023

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