{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:23:23Z","timestamp":1782923003347,"version":"3.54.5"},"reference-count":20,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T00:00:00Z","timestamp":1383264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2013,11]]},"DOI":"10.1016\/j.jvoice.2013.03.012","type":"journal-article","created":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T17:15:18Z","timestamp":1374254118000},"page":"786.e1-786.e9","source":"Crossref","is-referenced-by-count":20,"title":["Voice Problems of Group Fitness Instructors: Diagnosis, Treatment, Perceived and Experienced Attitudes and Expectations of the Industry"],"prefix":"10.1016","volume":"27","author":[{"given":"Anna F.","family":"Rumbach","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2013.03.012_bib1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0021-9924(93)90007-W","article-title":"Vocal problems among aerobic instructors and aerobic participants","volume":"26","author":"Heidel","year":"1993","journal-title":"J Commun Disord"},{"key":"10.1016\/j.jvoice.2013.03.012_bib2","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0892-1997(98)80039-8","article-title":"Voice problems and risk factors among aerobics instructors","volume":"12","author":"Long","year":"1998","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2013.03.012_bib3","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/140154398434086","article-title":"Voice problems of aerobics instructors: implications for preventative training","volume":"23","author":"Newman","year":"1998","journal-title":"Logoped Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2013.03.012_bib4","doi-asserted-by":"crossref","first-page":"524.e11","DOI":"10.1016\/j.jvoice.2013.01.016","article-title":"Vocal problems of group fitness instructors: prevalence of\u00a0self-reported sensory and auditory-perceptual voice symptoms and the\u00a0need for preventative education and training","volume":"27","author":"Rumbach","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2013.03.012_bib5","series-title":"International Classification of Functioning, Disability and Health, ICF","author":"World Health Organization (WHO)","year":"2001"},{"key":"10.1016\/j.jvoice.2013.03.012_bib6","series-title":"Research Design: Qualitative, Quantitative, and Mixed Methods Approaches","author":"Creswell","year":"2009"},{"key":"10.1016\/j.jvoice.2013.03.012_bib7","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ Today"},{"key":"10.1016\/j.jvoice.2013.03.012_bib8","series-title":"Occupational Voice Loss","author":"Williams","year":"2005"},{"key":"10.1016\/j.jvoice.2013.03.012_bib9","series-title":"Program Manual\u2014Secrets to Changing the World One Class at a Time","article-title":"Creating fitness magic","author":"Les Mills International Limited","year":"2008"},{"key":"10.1016\/j.jvoice.2013.03.012_bib10","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1288\/00005537-199009000-00013","article-title":"Symptoms of vocal attrition in women army instructors and new recruits: results from a survey","volume":"100","author":"Sapir","year":"1990","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2013.03.012_bib11","doi-asserted-by":"crossref","first-page":"177","DOI":"10.3109\/13682829309041465","article-title":"Vocal attrition in teachers: survey findings","volume":"28","author":"Sapir","year":"1993","journal-title":"Eur J Disord Commun"},{"key":"10.1016\/j.jvoice.2013.03.012_bib12","series-title":"The Voice and Its Disorders","author":"Mathieson","year":"2001"},{"key":"10.1016\/j.jvoice.2013.03.012_bib13","first-page":"1","article-title":"Effects of voice disorders on patient lifestyle: preliminary results","volume":"4","author":"Smith","year":"1994","journal-title":"NCVS Status Prog Rep"},{"key":"10.1016\/j.jvoice.2013.03.012_bib14","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/S0892-1997(98)80064-7","article-title":"Functional impact of nodules: a case comparison study","volume":"12","author":"Smith","year":"1998","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2013.03.012_bib15","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S0892-1997(98)80042-8","article-title":"Spasmodic dysphonia and vocal fold paralysis: outcomes of voice problems on work-related functioning","volume":"12","author":"Smith","year":"1998","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2013.03.012_bib16","first-page":"223","article-title":"Effect of voice disorders on quality of life","volume":"4","author":"Smith","year":"1996","journal-title":"J Med Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2013.03.012_bib17","series-title":"The Voice Clinic Handbook","article-title":"Chapter 6","author":"Lieberman","year":"2000"},{"key":"10.1016\/j.jvoice.2013.03.012_bib18","series-title":"Voice Disorders and Their Management","article-title":"Chapter 7","author":"Oates","year":"2000"},{"key":"10.1016\/j.jvoice.2013.03.012_bib19","series-title":"Understanding Voice Problems: A Physiological Perspective for Diagnosis and Treatment","author":"Colton","year":"2011"},{"key":"10.1016\/j.jvoice.2013.03.012_bib20","series-title":"Voice Disorders and Their Management","author":"Freeman","year":"2000"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199713000581?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199713000581?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,10,14]],"date-time":"2018-10-14T08:53:38Z","timestamp":1539507218000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199713000581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["S0892199713000581"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2013.03.012","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2013,11]]}}}