Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20252762625
Revista CEFAC
Artigos Originais

Vocal self-perception of teachers in remote activities during the COVID-19 pandemic and in-person activities after the pandemic

Autopercepção vocal de professores nas atividades remotas durante a pandemia e presenciais após a pandemia da COVID-19  

Eliane Cristina Pereira; Lais Buchener; Roxane de Alencar Irineu; Ana Paula Dassie Leite; Perla do Nascimento Martins

Downloads: 1
Views: 797

Abstract

Purpose: to compare teachers' vocal self-perception in remote activities during the COVID-19 pandemic and in-person activities, after the pandemic.

Methods: an observational, prospective, cohort study with 121 teachers aged 18 to 59, of both sexes, who taught remotely during the pandemic (time point 1/TP1) and returned to in-person activities after the pandemic (time point 2/TP2). Data were collected online via Google Forms, and participants completed a questionnaire on sociodemographic and occupational data, as well as vocal self-assessment instruments: the Borg CR10-BR Scale (BGS-BR), the Vocal Signs and Symptoms Questionnaire (VSSQ), and the Vocal Fatigue Index (VFI). Data were statistically analyzed, comparing TP1 with TP2. Student's t-test was used to compare the results, with a 5% significance level.

Results: there was a greater self-perception of vocal effort (mean pre=1.83; post=3.30; p=0.000) and vocal symptoms (mean pre: 3.18; post: 5.38; p=0.000) at TP2. Significant VFI results were observed in the Total domain (mean TP1: 32.28; TP2: 29.32; p=0.025), Factor 1 Fatigue and Vocal Limitation (mean TP1: 14.32 and TP2: 13.04; p=0.040), and Factor 3 Physical discomfort associated with voice (mean TP1: 7.77; TP2: 6.42; p=0.000), with higher scores in remote activities during the pandemic. There were no significant differences in the other variables analyzed.

Conclusion: teachers self-reported greater perception of vocal strain and a greater number of vocal signs and symptoms during in-person teaching activities, after the pandemic. Symptoms of fatigue were more frequent in remote activities during the COVID-19 pandemic.

Keywords

Speech-Language Pathology; Faculty; Voice; Voice Disorders; Dysphonia

Resumo

Objetivo: comparar a autopercepção vocal de professores nas atividades remotas durante a pandemia e nas atividades presenciais após a pandemia da COVID-19.

Métodos: estudo observacional, prospectivo, de coorte. Participaram 121 professores, faixa etária entre 18 e 59 anos, ambos os gêneros, que realizaram atividades docentes remotas durante a pandemia (Momento 1/M1), e retornaram às atividades presenciais após a pandemia (Momento 2/M2). A coleta de dados foi realizada online pelo Google Forms e os participantes responderam a um questionário sobre dados sociodemográficos, ocupacionais e instrumentos de autoavaliação vocal: Escala Borg CR10-BR (EB-BR), Questionário de Sinais e Sintomas Vocais (QSSV) e Índice de Fadiga Vocal (IFV). Os dados foram analisados estatisticamente, comparando-se Momentos 1 e 2. Para comparação dos resultados foi utilizado teste o t de Student, com significância de 5%.

Resultados: houve maior autopercepção de esforço vocal (média de pré=1,83; pós=3,30; p=0,000) e de sintomas vocais (média pré:3,18; pós:5,38; p=0,000) no Momento 2. No IFV, resultados significantes foram observados nos domínios Total (média M1:32,28; M2:29,32; p=0,025) e no Fator 1 Fadiga e Limitação Vocal (média M1: 14,32 e M2: 13,04; p=0,040) e Fator 3 Desconforto físico associado à voz (média M1:7,77; M2:6,42; p=0,000), com maiores escores nas atividades remotas durante a pandemia. Não houve diferenças significantes nas outras variáveis analisadas.

Conclusão: professores autorrelataram mais percepção de esforço vocal e maior número de sinais e sintomas vocais nas atividades docentes presenciais após a pandemia. Sintomas de fadiga foram mais observados nas atividades remotas durante a pandemia da COVID-19.

Palavras-chave

Fonoaudiologia; Docentes; Voz; Distúrbios da Voz; Disfonia

Referências

1. Behlau M, Feijó D, Madazio G, Rehder MI, Azavedo R, Ferreira AE. Voz profissional: aspectos gerais e atuação fonoaudiológica. In: Behlau M, editor. Voz: O Livro do Especialista, vol. 2. Rio de Janeiro: Revinter; 2008. p. 287-407. ISBN-13: ‎978-8573095258

2. Nemr K, Simões-Zenari M, Almeida VCD, Martins GA, Saito IT. COVID-19 and the teacher's voice: Self-perception and contributions of speech therapy to voice and communication during the pandemic. Clinics. 2021;76:e2641. https://doi.org/ 10.6061/clinics/2021/e2641 PMID: 33787658.

3. Valente AMSL, Botelho C, Silva AMCD. Voice disorder and associated factors among public schools teachers. Rev. bras. saúde ocup. 2015;40(132):183-95. https://doi.org/10.1590/0303-7657000093814

4. Freitas CNJ, Almeida AA, Ferreira DAH, Medeiros CMA, Silva MFBL. The working conditions and schools teachers voice of public and private. Audiol., Commun. Res. 2019;24:e2151. https://doi.org/10.1590/2317-6431-2019-215

5. 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. Brasília: Ministério da Saúde; 2018. ISBN: 978-85-334-2626-9.

6. Pereira EC, Silva RM, Dassie-Leite AP, Irineu RA, Ribeiro VV, Martins PN. Impact of the COVID-19 pandemic on vocal self-perception and predictive factors in teachers. Audiol., Commun. Res. 2022;27:e2636. https://doi.org/10.1590/2317-6431-2022-2636en

7. Besser A, Lotem S, Zeigler-Hill V. Psychological stress and vocal symptoms among university professors in Israel: Implications of the shift to online synchronous teaching during the COVID-19 pandemic. J Voice. 2022;36(2):291.e9. https://doi.org/10.1016/j.jvoice.2020.05.028 PMID: 32600872.

8. Bonfim MMF, Ferreira LP, Medeiros AMD, Constantini AC, Vaz Masson ML. Voice disorder, job stress, and COVID-19 in teachers: Impacts in times of pandemic. Revista de investigación e innovación en ciencias de la salud. 2024;6(1):8-23. https://doi.org/10.46634/riics.231

9. Patjas M, Vertanen-Greis H, Pietarinen P, Geneid A. Voice symptoms in teachers during distance teaching: A survey during the COVID-19 pandemic in Finland. European Archives of Oto-Rhino-Laryngology. 2021;278:4383-90. https://doi.org/10.1007/s00405-021-06960-w PMID: 34219183.

10. Alarfaj A, Alyahya K, Alutaibi H, Alarfaj M, Alhussain F. The effect of online teaching on vocal health among Saudi teachers during COVID-19 pandemic. J Voice. 2024;38(6):1526-e1. https://doi.org/10.1016/j.jvoice.2022.04.006 PMID: 35637058.

11. Camargo MRMC, Zambon F, Moreti F, Behlau M. Translation and cross-cultural adaptation of the Brazilian version of the Adapted Borg CR10 for Vocal Effort Ratings. CoDAS. 2019;31(5):e20180112. https://doi.org/10.1590/2317-1782/20192018112 PMID: 31691744.

12. Roy N, Merril RM, Thibeault S, Parsa RA, Gray SD, Smith EM. Prevalence of voice disorders in teachers and the general population. J Speech, Language, and Hear Res. 2004;47(2):281-93. https://doi.org/10.1044/1092-4388(2004/023) PMID: 15157130.

13. Zambon F, Moreti F, Ribeiro VV, Nanjundeswaran C, Behlau M. Vocal fatigue index: Validation and cut-off values of the Brazilian version. J Voice. 2022:36(3):434-e17. https://doi.org/10.1016/j.jvoice.2020.06.018 PMID: 32693976.

14. da Silva K, Ribeiro VV, Santos ADN, Almeida SBS, Cruz PJA, Behlau M. Influence of teachers' vocal quality on students' learning and/or cognition: A scoping review. J Voice. 2025;39(4):1135.e11-11.35.e20. https://doi.org/10.1016/j.jvoice.2023.02.022 PMID: 37147140.

15. Masson MLV, Ferreira LP, Maeno M. Work-related voice disorder: A look at the past, present, and future. Rev bras saúde ocup. 2024;49:edcinq9. https://doi.org/10.1590/2317-6369/39622en2024v49edcinq9

16. de Castro Corrêa C, de Oliveira Silva B, Dias QT, Reis GDSB, Siqueira LTD. Occupational voice disorder in basic education teachers: A scoping review. Distúrb. Comun. 2025;37(1):e68494. https://doi.org/10.23925/2176-2724.2025v37i1e68494

17. Ferreira LP, De Filippis SRP, Maeno M, Giannini SPP, Zambon F, Menezes M et al. Compulsory notification of work-related voice disorder: Importance and registration procedures. Distúrb. Comun. 2025;37(1):e70061-e70061. https://doi.org/10.23925/2176-2724.2025v37i1e70061

18. Vilkman E. Occupational safety and health aspects of voice and speech professions. Folia Phoniatr Logop. 2004;56(4):220-53. https://doi.org/10.1159/000078344 PMID: 15258436.

19. Pizolato RA, Mialhe FL, Cortellazzi KL, Ambrosano GMB, Cornacchioni Rehder MIB, Pereira AC. Evaluation of risk factors for voice disorders in teachers and vocal acoustic analysis as an instrument of epidemiological assessment. Rev. CEFAC. 2013;15(4):957-66. https://doi.org/10.1590/S1516-18462013000400025

20. Fritz BF, Figueroa CS, Morales PN. Self-perception of vocal fatigue in university teachers exposed to work noise during face-to-face classes. Rev Avante. 2023;5(1):106-14. https://doi.org/10.5281/zenodo.10440399

21. Pereira EC, Silva RMD, Dassie-Leite AP, de Alencar Irineu R, Ribeiro VV, Martins PN. Impact of the COVID-19 pandemic on vocal self-perception and predictive factors in teachers. Audiol., Communic. Res. 2022;27:e2636. https://doi.org/10.1590/2317-6431-2022-2636en

22. Porto VFDA, Bezerra TT, Zambon F, Behlau M. Fatigue, effort and vocal discomfort in teachers after teaching activity. CoDAS. 2021;33(4):e20200067. https://doi.org/10.1590/2317-1782/20202020067 PMID: 34231711.

23. Santos MBP, Morais EPGD, Porto VFDA. Vocal fatigue and associated factors in university teachers in remote education. Audiol., Communic. Res. 2022;27:e2707. https://doi.org/10.1590/2317-6431-2022-2707en

24. Solomon NP. Vocal fatigue and its relation to vocal hyperfunction. Int J Speech Lang Pathol. 2008;10(4):254-66. https://doi.org/10.1080/14417040701730990 PMID: 20840041.

25. Abou-Rafée M, Zambon F, Badaró F, Behlau M. Vocal fatigue in dysphonic teachers who seek treatment. CoDAS. 2019;31(3):e20180120. https://doi.org/10.1590/2317-1782/20182018120 PMID: 31188907.

26. Arruda JS, de Castro Siqueira LMR. Metodologias ativas, ensino híbrido e os artefatos digitais: sala de aula em tempos de pandemia. Práticas Educativas, Memórias e Oralidades-Rev. Pemo. 2021;3(1):e314292-e314292. https://doi.org/10.47149/pemo.v3i1.4292

27. Camacho ACLF, Joaquim FL, Menezes HFD, Sant'Anna RM. Tutoring in distance education in times of COVID-19: Relevant guidelines. Research, Society and Development. 2020;9(5):e30953151-e30953151. https://doi.org/10.33448/rsd-v9i5.3151
 


Submetido em:
07/04/2025

Aceito em:
11/09/2025

693c1eada953951a8e1cc2b4 cefac Articles

Revista CEFAC

Share this page
Page Sections