This study examined the effects of vocal hygiene and behavior modification instruction on self-reported behaviors of music teachers. Subjects (N = 76) reported daily behaviors for eight weeks: water consumption, warm-up, talking over music/noise, vocal rest, nonverbal commands, and vocal problems. Subjects were in experimental group 1 or 2, or the control group. Both experimental groups received vocal hygiene instruction. Experimental group 2 also received behavior modification information designed to help teachers individually identify and correct their vocal problems. Results showed experimental group 2 significantly increased vocal rest and significantly decreased reports of vocal problems in the weeks closest to treatment. Although differences provide limited information, the indications stress the importance of behavior modification's inclusion in vocal hygiene programs. Individual variance implies that some subjects have difficulty managing vocal hygiene routines. Additional study of effects of multiple, varied treatment sessions may clarify the impact of treatments over extended periods of time.
Askren, K.A.W. (2000). Vocal attrition and the vocal educator. Unpublished master's thesis, University of Missouri— Kansas City.
2.
Baranowski, T. (1985). Methodologic issues in self-report of health behavior . Journal of School Health, 55, 179—182.
3.
Baranowski, T. (1988). Validity and reliability of self-report measures of physical activity: An information-processing perspective. Research Quarterly for Exercise andSport, 59, 314—327.
4.
Baranowski, T., Dworkin, R.J., Cieslik, C.J., Hooks, P., Clearman, D.R., Ray, L., et al. (1984). Reliability and validity of self report of aerobic activity: Family health project. Research Quarterly for Exercise andSport, 55, 309—317.
5.
Bernstorf, E.D., & Burk, K.W. (1996). Vocal integrity of elementary vocal music teachers: Personal and environmental factors. Journal of Research in Music Education, 44(4), 369—383.
6.
Broaddus-Lawrence, P.L., Treole, K., McCabe, R.B., Allen, R.L., & Toppin, L. (2000). The effects of preventive vocal hygiene education on the vocal hygiene habits and perceptual vocal characteristics of training singers. Journal of Voice, 14, 58—71.
7.
Chan, R. (1994). Does the voice improve with vocal hygiene education? A study of some instrumental voice measures in a group of kindergarten teachers . Journal of Voice, 8, 279—291.
8.
Dishman, R.K. (1982). Compliance/adherence in health-related exercise . Health Psychology, 3, 237—267.
9.
Duffy, O.M., & Hazlett, D.E. (2004). The impact of preventive voice care programs for training teachers: A longitudinal study. Journal of Voice , 18, 63—70.
10.
Gotaas, C., & Starr, C.D. (1993). Vocal fatigue among teachers. Folia Phoniatrica et Logopaedica, 45, 120—129.
11.
Hackworth, R.S. (2002). Vocal behaviors and problems reported by public school music teachers: A pilot study. Unpublished manuscript, University of Missouri—Kansas City.
12.
Hendry, K.L. (2001). Burnout and self-reported vocal health among music teachers and other educators. Dissertation Abstracts International , 62(05), 1767A. (UMI No. 3014770).
13.
Herrington-Hall, B.L., Lee, L., Stemple, J.C., Niemi, K.R., & McHone, M.M. (1988). Description of laryngeal pathologies by age, sex, and occupation in a treatment-seeking sample. Journal of Speech and Hearing Disorders, 53, 57—64.
14.
Hollon, S.D., & Bemis, K.M. (1981). Self-report and the assessment of cognitive functions . In M. Hersen & A. S. Bellack (Eds.), Behavioral assessment: A practical handbook (2nd edition) (pp. 125—174). New York: Pergamon Press.
15.
Holmberg, E.B., Hillman, R.E., Hammarberg, B., Södersten, M., & Doyle, P. (2001). Efficacy of a behaviorally based voice therapy protocol for vocal nodules. Journal of Voice, 15, 395—412. Johnson , T.S. (1985). Vocal abuse reduction program. San Diego, CA: College-Hill Press.
16.
Kaplan, C.P., Hilton, J.F., Park-Tanjasiri, S., & Perez-Stable, E.J. (2001). The effect of data collection mode on smoking attitudes and behavior in young African American and Latina women: Face-to-face interview versus self-administered questionnaires . Evaluation Review, 25, 454—473.
17.
Keffer, M.A. (1999). Enhancing dental adherence. In A. J. Goreczny & M. Hersen (Eds.), Handbook of pediatric and adolescent health psychology (pp. 287—303). Boston, MA: Allyn and Bacon.
18.
Kitch, J.A., & Oates, J. (1994). The perceptual features of vocal fatigue as self-reported by a group of actors and singers. Journal of Voice, 8, 207—214.
19.
Kreuter, M.W., Bull, F.C., Clark, E.M., & Oswald, D.L. (1999). Understanding how people process health information: A comparison of tailored and nontailored weight-loss materials. Health Psychology, 18, 487—494.
20.
Lawrence, V.L. (1983). Vocal problems of the professional user of voice . Seminars in Speech and Language, 4, 233—243.
21.
Mattiske, J.A., Oates, J.M., & Greenwood, K.M. (1998). Vocal problems among teachers: A review of prevalence, causes, prevention, and treatment. Journal of Voice, 12, 489—499.
22.
Ramig, L.O., & Verdolini, K. (1998). Treatment efficacy: Voice disorders. Journal of Speech, Language, and Hearing Research, 41, S101—S116.
23.
Rantala, L., Paavola, L., Körkkö, P., & Vilkman, E. (1998). Working-day effects on the spectral characteristics of teaching voice. Folia Phoniatrica et Logopaedica, 50, 205—211.
24.
Raphael, B.N., & Sataloff, R.T. (1991). Increasing vocal effectiveness . In R. T. Sataloff (Ed.), Professional voice: The science and art of clinical care (pp. 359—374). New York: Raven Press.
25.
Roy, N., Gray, S.D., Simon, M., Dove, H., Corbin-Lewis, K., & Stemple, J.C. (2001). An evaluation of the effects of two treatment approaches for teachers with voice disorders: A prospective randomized clinical trial. Journal of Speech, Language, and Hearing Research, 44, 286—296.
26.
Roy, N., Weinrich, B., Gray, S.D., Tanner, K., Toledo, S.W., Dove, H., et al. (2002). Voice amplification versus vocal hygiene instruction for teachers with voice disorders: A treatment outcomes study . Journal of Speech, Language, and Hearing Research, 45, 625—638.
27.
Russell, A., Oates, J., & Greenwood, K.M. (1998). Prevalence of voice problems in teachers. Journal of Voice, 12, 467—479.
28.
Sapir, S., Keidar, A., & Mathers-Schmidt, B. (1993). Vocal attrition in teachers: Survey finding. European Journal of Disorders of Communication , 28, 177—185.
29.
Sataloff, R.T. (1991). (Ed.). Professional voice: The science and art of clinical care. New York: Raven Press.
30.
Scherer, R.C., Titze, I.R., Raphael, B.N., & Wood, R.P. (1985). Vocal fatigue: Prolonged loud talking by trained voices (The Recording and Research Center research report, April, 1985). Denver, CO: The Denver Center for the Performing Arts .
31.
Scrimgeour, K., & Meyer, S.E. (2002). Effectiveness of a hearing conservation and vocal hygiene program for kindergarten children. Special Services in the Schools, 18(1—2), 133—150.
32.
Simberg, S., Laine, A., Sala, E., & Rönnemaa, A. (2000). Prevalence of voice disorders among future teachers . Journal of Voice, 14, 231—235.
33.
Smith, E., Kirchner, H.L., Taylor, M.Hoffman, H., & Lemke, J.H. (1998). Voice problems among teachers: Differences by gender and teaching characteristics. Journal of Voice, 12, 328—334.
34.
Smith, E., Lemke, J., Taylor, M., Kirchner, H.L., & Hoffman, H. (1998). Frequency of voice problems among teachers and other occupations. Journal of Voice, 12, 480—488.
35.
Titze, I.R., Lemke, J., & Montequin, D. (1997). Populations in the US workforce who rely on voice as a primary tool of trade: A preliminary report. Journal of Voice, 11, 254—259.
36.
Verbrugge, L.M. (1980). Health diaries. Medical Care, 18, 73—95.
