{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T22:11:47Z","timestamp":1771971107525,"version":"3.50.1"},"reference-count":55,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["2UL1TR001425-05A1"],"award-info":[{"award-number":["2UL1TR001425-05A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2023,9]]},"DOI":"10.1016\/j.jvoice.2021.04.016","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T02:29:14Z","timestamp":1623119354000},"page":"802.e15-802.e23","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Voice Acoustics and Vocal Effort in Mask-Wearing Healthcare Professionals: A Comparison Pre- and Post-Workday"],"prefix":"10.1016","volume":"37","author":[{"given":"Victoria S.","family":"McKenna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulsi H.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney L.","family":"Kendall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca J.","family":"Howell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee L.","family":"Gustin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2021.04.016_bib0001","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/S0892-1997(97)80002-1","article-title":"Populations in the U.S. workforce who rely on voice as a primary tool of trade: a preliminary report","volume":"11","author":"Titze","year":"1997","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0002","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1044\/1092-4388(2004\/023)","article-title":"Prevalence of voice disorders in teachers and the general population","volume":"47","author":"Roy","year":"2004","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0003","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/irv.12745","article-title":"Medical masks vs N95 respirators for preventing COVID-19 in healthcare workers: A systematic review and meta-analysis of randomized trials","volume":"14","author":"Bartoszko","year":"2020","journal-title":"Influenza Other Respir Viruses"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0004","doi-asserted-by":"crossref","first-page":"2371","DOI":"10.1121\/10.0002279","article-title":"Acoustic effects of medical, cloth, and transparent face masks on speech signals","volume":"148","author":"Corey","year":"2020","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fpsyg.2014.00587","article-title":"The perceptual significance of high-frequency energy in the human voice","volume":"5","author":"Monson","year":"2014","journal-title":"Front Psychol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0006","doi-asserted-by":"crossref","first-page":"686","DOI":"10.3766\/jaaa.19.9.4","article-title":"Speech understanding using surgical masks: A problem in health care?","volume":"19","author":"Mendel","year":"2008","journal-title":"J Am Acad Audiol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0007","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1038\/sj.bdj.4800710a","article-title":"Dental care for children and young people who have a hearing impairment","volume":"189","author":"Champion","year":"2000","journal-title":"Br Dent J"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0008","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1080\/15459620903404803","article-title":"Diminished speech intelligibility associated with certain types of respirators worn by healthcare workers","volume":"7","author":"Radonovich","year":"2009","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0009","article-title":"Effect of wearing a face mask on vocal self-perception during a pandemic","author":"Ribeiro","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0010","doi-asserted-by":"crossref","first-page":"127.e1","DOI":"10.1016\/j.jvoice.2015.02.007","article-title":"Vocal performance of group fitness instructors before and after instruction: changes in acoustic measures and self-ratings","volume":"30","author":"Dallaston","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0011","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jvoice.2006.10.001","article-title":"Acoustic measures and self-reports of vocal fatigue by female teachers","volume":"22","author":"Laukkanen","year":"2008","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0012","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/14015430600654654","article-title":"Occupational voice complaints and objective acoustic measurements\u2014do they correlate?","volume":"31","author":"Lehto","year":"2006","journal-title":"Logoped Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0013","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/S0892-1997(02)00106-6","article-title":"Voice changes during work","volume":"16","author":"Rantala","year":"2002","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0014","article-title":"Vocal fatigue in prospective vocal professionals","author":"Anand","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0015","first-page":"220","article-title":"Voice characteristics and recovery patterns in indian adult males after vocal loading","volume":"29","author":"Boominathan","year":"2010","journal-title":"J India Inst Speech Hear"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0016","doi-asserted-by":"crossref","first-page":"e177","DOI":"10.1016\/j.jvoice.2011.07.016","article-title":"Vocal impact of a prolonged reading task at two intensity levels: objective measurements and subjective self-ratings","volume":"26","author":"Remacle","year":"2012","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0017","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/S0892-1997(05)80245-0","article-title":"Objective measures of voice production in normal subjects following prolonged voice use","volume":"9","author":"Stemple","year":"1995","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0018","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1159\/000052687","article-title":"The effects of post-loading rest on acoustic parameters with special reference to gender and ergonomic factors","volume":"53","author":"Vintturi","year":"2001","journal-title":"Folia Phoniatr Logop"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0019","doi-asserted-by":"crossref","first-page":"261.e13","DOI":"10.1016\/j.jvoice.2014.07.012","article-title":"Design of a clinical vocal loading test with long-time measurement of voice","volume":"29","author":"Whitling","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0020","doi-asserted-by":"crossref","first-page":"388.e33","DOI":"10.1016\/j.jvoice.2016.09.019","article-title":"A review of vocal loading tasks in the voice literature","volume":"31","author":"Fujiki","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0021","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jvoice.2017.03.008","article-title":"Vocal change patterns during a teaching day: Inter- and intra-subject variability","volume":"32","author":"Remacle","year":"2018","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0022","doi-asserted-by":"crossref","first-page":"825","DOI":"10.3109\/02699200903242988","article-title":"Estimating dysphonia severity in continuous speech: Application of a multi-parameter spectral\/cepstral model","volume":"23","author":"Awan","year":"2009","journal-title":"Clin Linguist Phon"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0023","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/j.jvoice.2014.05.005","article-title":"Quantifying the cepstral peak prominence, a measure of dysphonia","volume":"28","author":"Heman-Ackah","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0024","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.jvoice.2016.07.005","article-title":"The interaction of surface hydration and vocal loading on voice measures","volume":"31","author":"Fujiki","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4172\/2472-5005.1000103","article-title":"The effect of a vocal loading task on vocal function before and after 24 hours of thickened liquid use","volume":"1","author":"Gorham Rowan","year":"2016","journal-title":"J Speech Pathol Ther"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0026","article-title":"Vocal function differences before and after sorority recruitment","author":"Sandage","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0027","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1044\/2019_JSLHR-19-00057","article-title":"Toward a consensus description of vocal effort, vocal load, vocal loading, and vocal fatigue","volume":"63","author":"Hunter","year":"2020","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0028","first-page":"815","article-title":"The relationship between physiological mechanisms and the self-perception of vocal effort","volume":"62","author":"McKenna","year":"2019","journal-title":"JSLHR"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0029","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1121\/1.5055234","article-title":"The relationship between acoustical and perceptual measures of vocal effort","volume":"144","author":"McKenna","year":"2018","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0030","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.jvoice.2013.09.007","article-title":"Aerodynamic and acoustic features of vocal effort","volume":"28","author":"Rosenthal","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0031","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1044\/1092-4388(2011\/10-0274)","article-title":"Effects of voice therapy on relative fundamental frequency during voicing offset and onset in patients with vocal hyperfunction","volume":"54","author":"Stepp","year":"2011","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0032","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1177\/000348941312200305","article-title":"Acoustic correlate of vocal effort in spasmodic dysphonia","volume":"122","author":"Eadie","year":"2013","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0033","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1002\/lary.22482","article-title":"Position of the hyoid and larynx in people with muscle tension dysphonia","volume":"122","author":"Lowell","year":"2012","journal-title":"The Laryngoscope"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0034","first-page":"169","article-title":"Formant frequency changes following manual circumalaryngeal therapy for functional dysphonia: evidence of laryngeal lowering?","volume":"9","author":"Roy","year":"2001","journal-title":"J Med Speech-Lang Pathol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0035","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/S0892-1997(97)80031-8","article-title":"Pattern recognition in muscle misuse voice disorders: how I do it","volume":"11","author":"Morrison","year":"1997","journal-title":"J Voice Off J Voice Found"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0036","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.jvoice.2014.09.023","article-title":"Review on laryngeal palpation methods in muscle tension dysphonia: Validity and reliability issues","volume":"29","author":"Khoddami","year":"2015","journal-title":"J Voice Off J Voice Found"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0037","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1080\/17549500701885577","article-title":"Assessment and treatment of musculoskeletal tension in hyperfunctional voice disorders","volume":"10","author":"Roy","year":"2008","journal-title":"Int J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0038","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0132193","article-title":"On short-time estimation of vocal tract length from formant frequencies","volume":"10","author":"Lammert","year":"2015","journal-title":"PLOS ONE"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0039","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1249\/00005768-198205000-00012","article-title":"Psychophysical bases of perceived exertion","volume":"14","author":"Borg","year":"1982","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0040","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5271\/sjweh.1815","article-title":"Psychophysical scaling with applications in physical work and the perception of exertion","volume":"16","author":"Borg","year":"1990","journal-title":"Scand J Work Environ Health"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0041","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/j.jvoice.2013.04.001","article-title":"Voice function differences following resting breathing versus submaximal exercise","volume":"27","author":"Sandage","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0042","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.jvoice.2017.02.002","article-title":"Vocal loading and environmental humidity effects in older adults","volume":"31","author":"Sundarrajan","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0043","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.jvoice.2015.08.016","article-title":"Laryngeal desiccation challenge and nebulized isotonic saline in healthy male singers and nonsingers: Effects on acoustic, aerodynamic, and self-perceived effort and dryness measures","volume":"30","author":"Tanner","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0044","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1177\/0003489417728088","article-title":"Validation of an algorithm for semi-automated estimation of voice relative fundamental frequency","volume":"126","author":"Lien","year":"2017","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0045","first-page":"1283","article-title":"The relationship between relative fundamental frequency and a kinematic estimate of laryngeal stiffness in healthy adults","volume":"59","author":"McKenna","year":"2016","journal-title":"JSLHR"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0046","first-page":"341","article-title":"Praat, a system for doing phonetics by computer","volume":"5","author":"Boersma","year":"2001","journal-title":"Glot Int"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0047","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1109\/TASSP.1977.1162929","article-title":"Normalization of vowels by vocal-tract length and its application to vowel identification","volume":"25","author":"Wakita","year":"1977","journal-title":"IEEE Trans Acoust Speech Signal Process"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0048","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A guideline of selecting and reporting intraclass correlation coefficients for reliability research","volume":"15","author":"Koo","year":"2016","journal-title":"J Chiropr Med"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0049","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0892-1997(99)80036-8","article-title":"Effects of prolonged oral reading on F0, SPL, subglottal pressure and amplitude characteristics of glottal flow waveforms","volume":"13","author":"Vilkman","year":"1999","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0050","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.jvoice.2015.04.005","article-title":"Effects of adventitious acute vocal trauma: Relative fundamental frequency and listener perception","volume":"30","author":"Heller Murray","year":"2016","journal-title":"J Voice"},{"issue":"4","key":"10.1016\/j.jvoice.2021.04.016_bib0051","doi-asserted-by":"crossref","first-page":"647.e1","DOI":"10.1016\/j.jvoice.2018.11.015","article-title":"Vocal fatigue\u2014do young speech-language pathologists practice what they preach?","volume":"34","author":"Joseph","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0052","doi-asserted-by":"crossref","first-page":"841.e5","DOI":"10.1016\/j.jvoice.2014.03.006","article-title":"Teachers\u2019 voice use in teaching environments: A field study using ambulatory phonation monitor","volume":"28","author":"Lyberg-\u00c5hlander","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0053","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1177\/0003489415589363","article-title":"Average ambulatory measures of sound pressure level, fundamental frequency, and vocal dose do not differ between adult females with phonotraumatic lesions and matched control subjects","volume":"124","author":"Van Stan","year":"2015","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0054","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1080\/14015430310018892","article-title":"Measurement of vocal doses in speech: experimental procedure and signal processing","volume":"28","author":"\u0160vec","year":"2003","journal-title":"Logoped Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2021.04.016_bib0055","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1044\/1092-4388(2003\/072)","article-title":"Vocal dose measures: quantifying accumulated vibration exposure in vocal fold tissues","volume":"46","author":"Titze","year":"2003","journal-title":"J Speech Lang Hear Res"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089219972100151X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089219972100151X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:43:40Z","timestamp":1760211820000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S089219972100151X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":55,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S089219972100151X"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.04.016","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Voice Acoustics and Vocal Effort in Mask-Wearing Healthcare Professionals: A Comparison Pre- and Post-Workday","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.04.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}