The Effectiveness of a Voice Care Program Among Primary School Teachers in Northeastern Malaysia

Sundram, Esther Rishma and Norsa’adah, Bachok and Mohamad, Hazama and Moy, Foong Ming and Husain, Nik Rosmawati Nik and Shafei, Mohd Nazri (2019) The Effectiveness of a Voice Care Program Among Primary School Teachers in Northeastern Malaysia. Oman Medical Journal, 34 (1). pp. 49-55. ISSN 1999-768X, DOI https://doi.org/10.5001/OMJ.2019.08.

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Official URL: https://doi.org/10.5001/OMJ.2019.08

Abstract

Objectives: We sought to determine the effectiveness of a voice care program among primary school teachers in a northeastern district in Malaysia. Methods: We conducted a randomized community trial in eight primary schools in a northeastern district in Malaysia. The self-administered and validated Malay-Voice Handicap Index-10 (M-VHI-10) questionnaire was used to assess overall voice handicap scores preintervention and eight weeks post-intervention. Teachers with a score of five or more (n = 86) were randomized into intervention (n = 41) and control groups (n = 45). The intervention group received portable voice amplifiers and vocal hygiene instruction, which was delivered by lectures and a booklet. The control group was not prescribed any intervention. Results: The sociodemographic, lifestyle, and occupational characteristics of the teachers (except maximum number of students per class) were similar between both groups. The baseline M-VHI-10 scores between both groups were also comparable. After the intervention phase, there was a significant effect observed in the total M-VHI-10 scores (p = 0.021, F-stat (df): 5.33 (1,79)) between both groups after controlling for the maximum number of students per class. Conclusions: Our results support the use of voice amplification in adjunct with vocal hygiene instruction as a prevention and treatment modality to reduce voice handicap among teachers. Our study demonstrated encouraging evidence on the low-cost voice care program as well as the success of group and workplace-based approaches in the school setting. © 2019, Oman Medical Specialty Board. All rights reserved.

Item Type: Article
Funders: Universiti Sains Malaysia (Grant no: 304/ PPSP/61313199)
Uncontrolled Keywords: Dysphonia; Hygiene; Malaysia; School Teachers; Voice
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 09 Jan 2020 01:26
Last Modified: 09 Jan 2020 01:26
URI: http://eprints.um.edu.my/id/eprint/23362

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