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Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers.

ABSTRACT: This study investigates self-perceptions of voice-related handicap as a function of facemask use in the general working population during the COVID19 outbreak, using the Voice Handicap Index (VHI). Each VHI item was answered twice in a row; the first answer referred to the condition of not wearing a facemask (henceforth, the Without condition) and the second to the condition of using a facemask (henceforth, the With condition). VHI scores were collected via Google Forms (Google, Mountain View, California), targeting 2 groups of speakers of different nationalities, Portuguese (n = 261) and Spanish (n = 297). A Wilcoxon test was carried out to compare VHI scores between With and Without conditions for each group of speakers; a Mann-Whitney U test was used to compare groups within each condition. Results suggested that VHI overall scores and scores for all dimensions were higher for the With condition, for both Portuguese and Spanish speakers. When comparing groups of speakers, Spanish speakers presented higher scores for functional and emotional dimensions, for both With and Without conditions. In addition, the overall score for the Without condition was higher for Spanish speakers. No differences between groups were found for the total VHI score for the With condition. When comparing overall VHI_diff between speakers, that is, the difference in the VHI total score between With and Without conditions, no significant differences could be found. Thus, a multiple regression analysis was carried out between the VHI_diff and the independent variables of interest: age, sex, smoking habits, professional occupation, nationality, facemask type and its hours of use. The resulting model providing the highest association suggested that 2.5% of the variation in overall VHI_diff total score could be associated with sex, smoking habits, and professional level. Female smokers who use their voices during prolonged hours at work (e.g., teachers, lawyers, sales people) presented a higher VHI total score when wearing a mask. Future voice-related health interventions should address preventive strategies towards speaking behaviors leading to vocal fatigue and vocal effort as a consequence of compulsory facemask use, especially with respect to female professional voice users who smoke.

SUBMITTER: Polo N

PROVIDER: S-EPMC8403057 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:The Voice Handicap Index (VHI) is a patient-centered evaluation tool specifically designed for assessing voice-related quality of life. Although the VHI has been extensively used in patients with voice disorders, its applicability in stroke patients has not been fully established. This prospective cross-sectional study aimed to investigate the feasibility of using the VHI questionnaire in identifying stroke patients with voice problems. The study included a cohort of acute to subacute first-ever stroke patients (n = 48), with or without voice problems, as well as other non-stroke patients (n = 31) who agreed to complete the VHI questionnaire. Stroke patients with self-reported voice problems demonstrated significantly higher VHI scores and poorer life quality scores compared to the control groups. These patients also had lower Mini-Mental State Examination (MMSE), Modified Barthel Index (MBI), and Euro-QoL-5D-5L (EQ-5D-5L) scores. Spearman correlation analysis revealed an inverse association between VHI scores and EQ-5D-5L (rho = −0.77, p < 0.001), Korean Mann Assessment of Swallowing Ability (rho = −0.51, p < 0.001), and other functional parameters, including the National Institutes of Health Stroke Scale, MMSE, and MBI scores. Multiple regression analysis indicated that the VHI score was the biggest contributing factor to EQ scores. This is the first study to demonstrate that stroke patients with voice problems may experience reduced quality of life, even after controlling for other confounding factors such as dysphagia or neurological deficits. Future studies are needed whether addressing these issues by implementing the VHI may facilitate the improvement of patients’ quality of life. Highlights • The Voice Handicap Index (VHI) assesses voice-related quality of life. • VHI's applicability in stroke patients is not fully established. • Stroke patients with voice problems had higher VHI scores and poorer life quality. • Stroke patients with voice problems may experience reduced quality of life. • Future studies needed to address these issues and improve patients’ quality of life.

Project description:PurposeVoice rest is frequently prescribed after phonosurgery, but optimal type and duration for voice outcomes have not been demonstrated. Studies to date have been characterized by heterogeneity in surgical procedures and laryngeal diagnoses. We sought to analyze the effect of recommended absolute voice rest duration on outcomes of microflap surgery for benign vocal fold lesions. A secondary purpose was to identify patient factors associated with postoperative voice outcomes.MethodForty-three patients were included in this retrospective review of patients aged 18 years and above who underwent direct microlaryngoscopy with microflap for vocal fold polyp or cyst over a 5-year period at a multidisciplinary voice center. Duration of recommended postoperative absolute voice rest was classified as less than 7 days, 7 days, and more than 7 days. Demographic and vocal hygiene data and voice treatment history were collected. Outcome measures consisted of one pre- and two postoperative Voice Handicap Index (VHI) scores. Effects of recommended voice rest on outcomes were analyzed using mixed models for repeated measures. Effects of patient factors on outcomes were analyzed as exploratory measures. Stroboscopy ratings were analyzed descriptively.ResultsThirteen patients were recommended 7 days of absolute voice rest, 15 were recommended less than 7 days, and 15 were recommended more than 7 days. Postoperatively, VHI scores significantly improved for all patients. Voice rest as a continuous variable was associated with the Functional subscale score in the short term, but there was no effect on VHI total score and no longer term effect of voice rest on any outcome. Age, sex, and preoperative voice therapy were associated with at least one VHI subscale score on at least one time point.ConclusionVHI outcomes of microflap surgery for polyps and cysts do not differ by duration of recommended absolute postoperative voice rest.Supplemental materialhttps://doi.org/10.23641/asha.19178459.

Project description:Even in highly-developed countries, as many as 15-30% of the population can only understand texts written using a basic vocabulary. Their understanding of everyday texts is limited, which prevents them from taking an active role in society and making informed decisions regarding healthcare, legal representation, or democratic choice. Lexical simplification is a natural language processing task that aims to make text understandable to everyone by replacing complex vocabulary and expressions with simpler ones, while preserving the original meaning. It has attracted considerable attention in the last 20 years, and fully automatic lexical simplification systems have been proposed for various languages. The main obstacle for the progress of the field is the absence of high-quality datasets for building and evaluating lexical simplification systems. In this study, we present a new benchmark dataset for lexical simplification in English, Spanish, and (Brazilian) Portuguese, and provide details about data selection and annotation procedures, to enable compilation of comparable datasets in other languages and domains. As the first multilingual lexical simplification dataset, where instances in all three languages were selected and annotated using comparable procedures, this is the first dataset that offers a direct comparison of lexical simplification systems for three languages. To showcase the usability of the dataset, we adapt two state-of-the-art lexical simplification systems with differing architectures (neural vs. non-neural) to all three languages (English, Spanish, and Brazilian Portuguese) and evaluate their performances on our new dataset. For a fairer comparison, we use several evaluation measures which capture varied aspects of the systems' efficacy, and discuss their strengths and weaknesses. We find that a state-of-the-art neural lexical simplification system outperforms a state-of-the-art non-neural lexical simplification system in all three languages, according to all evaluation measures. More importantly, we find that the state-of-the-art neural lexical simplification systems perform significantly better for English than for Spanish and Portuguese, thus posing a question if such an architecture can be used for successful lexical simplification in other languages, especially the low-resourced ones.

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Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers.

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