An Investigation of the Relationship between Adherence to Voice Therapy for Muscle Tension Dysphonia and Employment, Social Support, and Life Satisfaction

J Voice. 2021 May;35(3):386-393. doi: 10.1016/j.jvoice.2019.10.015. Epub 2019 Nov 26.


Purpose: The purpose of this study was to investigate whether a relationship exists between employment status, perception of life quality (ie, vocal impairment, health, life satisfaction, and social support), and adherence to voice therapy for persons with muscle tension dysphonia (MTD). This study extends recent work as it evaluates investigating the impact of social support and life satisfaction on adherence to voice therapy for MTD.

Method: A cross-sectional study of 45 individuals diagnosed with MTD who participated in voice therapy between January 2014 and December 2015 at the University of Arkansas for Medical Science's Voice and Swallowing Center in Little Rock, Arkansas participated in this study. Participants provided information regarding employment status and completed the Satisfaction with Life Scale and the Quality of Relationships Inventory.

Result: Sixty percent of participants completed voice therapy. Patients who completed voice therapy were more likely to report gainful employment (P = 0.038) or less confidence in a specific and significant personal relationship (P = 0.004).

Conclusion: This study discovered a moderate effect between employment status and adherence to voice therapy for MTD as well as relationship confidence and adherence.

Keywords: Adherence; Attrition; Drop out; MTD; Muscle tension dysphonia; Voice therapy.

MeSH terms

  • Cross-Sectional Studies
  • Dysphonia* / diagnosis
  • Dysphonia* / therapy
  • Employment*
  • Humans
  • Muscle Tonus
  • Personal Satisfaction
  • Social Support*
  • Voice Quality
  • Voice Training*