{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:18:49Z","timestamp":1791883129468,"version":"4.3.4"},"reference-count":50,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2022,5]]},"DOI":"10.1016\/j.jvoice.2020.06.025","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T01:47:19Z","timestamp":1595900839000},"page":"437.e11-437.e20","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Epidemiological Patterns and Treatment Outcomes in a Private Practice Community Voice Clinic"],"prefix":"10.1016","volume":"36","author":[{"given":"Zo\u00eb","family":"Thijs","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristie","family":"Knickerbocker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Watts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2020.06.025_bib0001","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2016.10.002","article-title":"A systematic review of voice therapy: what \u201cEffectiveness\u201d really implies","author":"Desjardins","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0002","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.otc.2019.03.009","article-title":"Voice therapy as primary treatment of vocal fold pathology","volume":"52","author":"LeBorgne","year":"2019","journal-title":"Otolaryngol Clin North Am"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0003","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1002\/lary.22426","article-title":"Prevalence and causes of dysphonia in a large treatment-seeking population","volume":"122","author":"Cohen","year":"2012","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0004","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1002\/lary.25192","article-title":"Change in diagnosis and treatment following specialty voice evaluation: a national database analysis","volume":"125","author":"Cohen","year":"2015","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0005","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.jvoice.2017.11.019","article-title":"Characteristics of a treatment-seeking population in a private practice community voice clinic: an epidemiologic study","volume":"33","author":"Watts","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0006","unstructured":"American Speech-Language-Hearing Association. ASHA community directory. Available at:www.community.asha.org. Published 2020. Accessed February 21, 2020."},{"key":"10.1016\/j.jvoice.2020.06.025_bib0007","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1044\/1058-0360.0603.66","article-title":"The voice handicap index (VHI): development and validation","volume":"6","author":"Jacobson","year":"1997","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0008","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1044\/2016_JSLHR-S-16-0022","article-title":"Voice-related patient-reported outcome measures: a systematic review of instrument development and validation","volume":"60","author":"Francis","year":"2017","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0009","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1044\/2018_JSLHR-S-18-0118","article-title":"Intervention outcomes of two treatments for muscle tension dysphonia: a randomized controlled trial","volume":"62","author":"Watts","year":"2019","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0010","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jvoice.2004.03.003","article-title":"Psychometric evaluation of disease specific quality of life instruments in voice disorders","volume":"19","author":"Franic","year":"2005","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0011","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1002\/lary.25155","article-title":"A randomized controlled trial of stretch-and-flow voice therapy for muscle tension Dysphonia","volume":"125","author":"Watts","year":"2015","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0012","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jvoice.2014.05.008","article-title":"The effect of stretch-and-flow voice therapy on measures of vocal function and handicap","volume":"29","author":"Watts","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0013","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1044\/2015_JSLHR-S-13-0231","article-title":"A randomized controlled trial of two semi-occluded vocal tract voice therapy protocols","volume":"58","author":"Kapsner-Smith","year":"2015","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0014","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1044\/1092-4388(2003\/053)","article-title":"Three treatments for teachers with voice disorders: a randomized clinical trial","volume":"46","author":"Roy","year":"2003","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0015","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1159\/000495837","article-title":"Spectral\/Cepstral analyses of phonation in Parkinson's disease before and after voice treatment: a preliminary study","volume":"71","author":"Alharbi","year":"2019","journal-title":"Folia Phoniatr Logop"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0016","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.jcomdis.2009.12.004","article-title":"The acoustic voice quality index: toward improved treatment outcomes assessment in voice disorders","volume":"43","author":"Maryn","year":"2010","journal-title":"J Commun Disord"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0017","unstructured":"Boersma P, Weenink D. Praat: doing phonetics by computer [Computer program]. 2020."},{"key":"10.1016\/j.jvoice.2020.06.025_bib0018","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.jvoice.2008.12.014","article-title":"Toward improved ecological validity in the acoustic measurement of overall voice quality: combining continuous speech and sustained vowels","volume":"24","author":"Maryn","year":"2010","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0019","series-title":"Laryngeal Function and Voice Disorders: Basic Science to Clinical Practice","author":"Watts","year":"2019"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0020","first-page":"1609","article-title":"The value of the acoustic voice quality index as a measure of dysphonia severity in subjects speaking different languages","volume":"271","author":"Maryn","year":"2014","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0021","article-title":"Validation of the acoustic voice quality index, version 03.01, in French","author":"Pomm\u00e9e","year":"2018","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0022","article-title":"The acoustic voice quality index version 02.02 in the Finnish-speaking population","author":"Kankare","year":"2019","journal-title":"Logop Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0023","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1002\/lary.25511","article-title":"Voice disorders in the elderly: a national database study","volume":"126","author":"Roy","year":"2016","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0024","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1044\/1058-0360(2008\/08-0017)","article-title":"Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol","volume":"18","author":"Kempster","year":"2009","journal-title":"Am J speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0025","series-title":"Discovering Statistics with SPSS","author":"Field","year":"2013"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0026","doi-asserted-by":"crossref","first-page":"774.e13","DOI":"10.1016\/j.jvoice.2015.11.018","article-title":"Prevalence and voice characteristics of laryngeal pathology in an Italian voice therapy-seeking population","volume":"30","author":"Mozzanica","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0027","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1007\/s00405-016-4332-7","article-title":"Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis","volume":"274","author":"Remacle","year":"2017","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0028","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1159\/000369339","article-title":"Characteristics of a dysphonic population referred for voice assessment and\/or voice therapy","volume":"67","author":"De Bodt","year":"2016","journal-title":"Folia Phoniatr Logop"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0029","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1002\/lary.20696","article-title":"The prevalence of laryngeal pathology in a treatment-seeking population with dysphonia","volume":"120","author":"Van Houtte","year":"2010","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0030","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/S0892-1997(01)00043-1","article-title":"Shifts in relative prevalence of laryngeal pathology in a treatment-seeking population","volume":"15","author":"Coyle","year":"2001","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0031","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/0194599816639244","article-title":"Multi-institutional study of voice disorders and voice therapy referral: report from the CHEER network","volume":"155","author":"Misono","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0032","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.jvoice.2017.01.011","article-title":"Prevalence and occupation of patients presenting with dysphonia in the United States","volume":"31","author":"Benninger","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0033","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/0194599813512982","article-title":"Diagnosis change in voice-disordered patients evaluated by primary care and\/or otolaryngology: a longitudinal study","volume":"150","author":"Cohen","year":"2014","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0034","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.anl.2017.08.003","article-title":"Is voice therapy effective for the treatment of dysphonic patients with benign vocal fold lesions?","volume":"45","author":"Ogawa","year":"2018","journal-title":"Auris Nasus Larynx"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0035","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/S0892-1997(00)80017-X","article-title":"Voice handicap index change following treatment of voice disorders","volume":"14","author":"Rosen","year":"2000","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0036","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jvoice.2007.08.007","article-title":"A retrospective study concerning the psychosocial impact of voice disorders: voice handicap index change in patients with benign voice disorders after treatment (measured with the Dutch version of the VHI)","volume":"23","author":"Bouwers","year":"2009","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0037","doi-asserted-by":"crossref","first-page":"323","DOI":"10.3126\/kumj.v13i4.16831","article-title":"Acoustic analysis before and after voice therapy for laryngeal pathology","volume":"13","author":"Chhetri","year":"2015","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0038","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1044\/2018_JSLHR-S-18-0013","article-title":"Massed versus spaced practice in vocology: effect of a short-term intensive voice therapy versus a long-term traditional voice therapy","volume":"62","author":"Meerschman","year":"2019","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0039","doi-asserted-by":"crossref","first-page":"160.e7","DOI":"10.1016\/j.jvoice.2018.05.009","article-title":"Treatment effectiveness of novafon local vibration voice therapy for dysphonia treatment","volume":"34","author":"Barsties v. Latoszek","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0040","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/j.jvoice.2018.03.019","article-title":"Comparison of pitch strength with perceptual and other acoustic metric outcome measures following medialization laryngoplasty","volume":"33","author":"Rubin","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0041","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/coa.12765","article-title":"Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders","volume":"42","author":"Carding","year":"2017","journal-title":"Clin Otolaryngol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0042","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/MOO.0000000000000450","article-title":"Perspectives on voice treatment for unilateral vocal fold paralysis","volume":"26","author":"Walton","year":"2018","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0043","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.cger.2018.01.010","article-title":"Voice disorders in the elderly","volume":"34","author":"Kost","year":"2018","journal-title":"Clin Geriatr Med"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0044","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jvoice.2017.05.022","article-title":"Voice-specialized speech-language pathologist's criteria for discharge from voice therapy","volume":"32","author":"Gillespie","year":"2018","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0045","doi-asserted-by":"crossref","first-page":"334","DOI":"10.3109\/17549507.2013.783110","article-title":"The implementation of evidence-based practice in the management of adults with functional voice disorders: a national survey of speech-language pathologists","volume":"15","author":"Chan","year":"2013","journal-title":"Int J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0046","doi-asserted-by":"crossref","first-page":"776.e1","DOI":"10.1016\/j.jvoice.2014.12.011","article-title":"Selection of voice therapy methods. Results of an online survey","volume":"29","author":"Burg","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0047","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.jvoice.2012.11.007","article-title":"Quantifying component parts of indirect and direct voice therapy related to different voice disorders","volume":"27","author":"Gartner-Schmidt","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0048","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1177\/0194599816679941","article-title":"Factors influencing likelihood of voice therapy attendance","volume":"156","author":"Misono","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0049","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.jvoice.2008.12.009","article-title":"Patient perceptions of voice therapy adherence","volume":"24","author":"van Leer","year":"2010","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2020.06.025_bib0050","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jvoice.2006.09.009","article-title":"A review of patient adherence to the recommendation for voice therapy","volume":"22","author":"Portone","year":"2008","journal-title":"J Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199720302435?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199720302435?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:37:28Z","timestamp":1760211448000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199720302435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":50,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["S0892199720302435"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2020.06.025","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epidemiological Patterns and Treatment Outcomes in a Private Practice Community Voice Clinic","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2020.06.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}