{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:54:23Z","timestamp":1788357263715,"version":"build-2803163510"},"reference-count":26,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100008532","name":"Universidade Federal do Rio Grande do Norte","doi-asserted-by":"publisher","award":["55 84 3342\\u20139738"],"award-info":[{"award-number":["55 84 3342\\u20139738"]}],"id":[{"id":"10.13039\/501100008532","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":[[2025,11]]},"DOI":"10.1016\/j.jvoice.2023.06.017","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T16:07:42Z","timestamp":1691597262000},"page":"1701.e23-1701.e29","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Vocal Fatigue, Dysphonia Risk, and Associated Factors in Male Brazilian Evangelical Pastors"],"prefix":"10.1016","volume":"39","author":[{"given":"Mical P.F.","family":"de Lima Macedo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa T.D.","family":"Siqueira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana F.","family":"Godoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2023.06.017_bib1","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jvoice.2017.08.014","article-title":"Vocal aspects of Brazilian evangelical pastors","volume":"32","author":"Martins","year":"2018","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib2","article-title":"Is cepstral peak prominence a measure of vocal fatigue in temple priests: a pilot study","author":"Fernando","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.jvoice.2008.01.002","article-title":"A preliminary investigation of the vocal behaviors and characteristics of female pastors","volume":"23","author":"Middleton","year":"2009","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib4","first-page":"407","article-title":"Analysis of the vocal health of the preachers of the seventh-day adventist churches","volume":"13","author":"Neto","year":"2009","journal-title":"Int Arch Otorhinolaryngol"},{"key":"10.1016\/j.jvoice.2023.06.017_bib5","unstructured":"Viola I.C., M\u00e4rtz M.L.W. A Voz do Religioso [The Voice of the Religious]. In: Motta L, Amorim GO, Raize T, Dragone MLS, Almeia AA, eds. Voz Profissional: Produ\u00e7\u00e3o Cient\u00edfica Da Fonoaudiologia Brasileira [Professional Voice: Scientific Production of Brazilian Speech- Language Therapy]. 1st ed. S\u00e3o Paulo; 2014: 12\u201326."},{"key":"10.1016\/j.jvoice.2023.06.017_bib6","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1007\/s00508-009-1163-1","article-title":"Prevalence and risk factors for voice problems in priests","volume":"121","author":"Ho\u010devar-Bolte\u017ear","year":"2009","journal-title":"Wien Klin Wochenschr"},{"key":"10.1016\/j.jvoice.2023.06.017_bib7","doi-asserted-by":"crossref","first-page":"389.e11","DOI":"10.1016\/j.jvoice.2014.08.015","article-title":"Prevalence of voice problems in priests and some risk factors contributing to them","volume":"29","author":"Hagelberg","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib8","doi-asserted-by":"crossref","first-page":"692","DOI":"10.23925\/2176-2724.2017v29i4p692-701","article-title":"Auditory-perceptive analysis and self-perception of the voice in evangelical pastors An\u00e1lisis","volume":"29","author":"Souza","year":"2017","journal-title":"Dist\u00farbios da Comun"},{"key":"10.1016\/j.jvoice.2023.06.017_bib9","first-page":"2","article-title":"Vocal fatigue in dysphonic teachers who seek treatment","volume":"31","author":"Abou-Raf\u00e9e","year":"2019","journal-title":"Codas"},{"key":"10.1016\/j.jvoice.2023.06.017_bib10","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1080\/14417040701730990","article-title":"Vocal fatigue and its relation to vocal hyperfunction","volume":"10","author":"Solomon","year":"2008","journal-title":"Int J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2023.06.017_bib11","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S0892-1997(05)80291-7","article-title":"The perceptual features of vocal fatigue as self-reported by a group of actors and singers","volume":"8","author":"Kitch","year":"1994","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib12","first-page":"1","article-title":"Vocal risk in preachers: talkativeness, vocal loudness, and knowledge about vocal health and hygiene","volume":"30: 1-6","author":"Lobo","year":"2018","journal-title":"CoDAS"},{"key":"10.1016\/j.jvoice.2023.06.017_bib13","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.2023.06.017_bib14","first-page":"12","article-title":"Snowball sampling","volume":"7","author":"Johnson","year":"2005","journal-title":"Encycl Biostat"},{"key":"10.1016\/j.jvoice.2023.06.017_bib15","doi-asserted-by":"crossref","first-page":"434.e17","DOI":"10.1016\/j.jvoice.2020.06.018","article-title":"Vocal fatigue index: validation and cut-off values of the Brazilian version","volume":"36","author":"Zambon","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib16","article-title":"Brazilian Dysphonia Screening Tool (Br-DST): an instrument based on voice self-assessment items","author":"Oliveira","year":"2021","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib17","unstructured":"Dancey C., Reidy J. Estat\u00edstica Sem Matem\u00e1tica Para Psicologia [Statistics Without Mathematics For Psychology]. Penso. Porto Alegre; 2013."},{"key":"10.1016\/j.jvoice.2023.06.017_bib18","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jvoice.2019.08.015","article-title":"Vocal fatigue in prospective vocal professionals","volume":"35","author":"Anand","year":"2021","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib19","unstructured":"Muniz P. do N., Brasolotto A. A voz dos l\u00edderes religiosos: interven\u00e7\u00e3o fonoaudiol\u00f3gica a pastores evang\u00e9licos. [The voice of religious leaders: speech therapy intervention with evangelical pastors]. In: Ferreira LP, Giannini SPP, Silva MA de AE, eds. Dist\u00farbio de Voz Relacionado Ao Trabalho: Pr\u00e1ticas Fonoaudiol\u00f3gicas [Work-Related Voice Disorder: Speech Therapy Practices]. 1st ed. S\u00e3o Paulo: Roca; 2015."},{"key":"10.1016\/j.jvoice.2023.06.017_bib20","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jvoice.2014.09.012","article-title":"Vocal Fatigue Index (VFI): development and validation","volume":"29","author":"Nanjundeswaran","year":"2015","journal-title":"J Voice"},{"issue":"2","key":"10.1016\/j.jvoice.2023.06.017_bib21","doi-asserted-by":"crossref","first-page":"256.e7","DOI":"10.1016\/j.jvoice.2016.06.005","article-title":"Comparative analysis of characteristics of voice use amidst clergy","volume":"31","author":"Reed","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib22","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.jvoice.2015.05.016","article-title":"Effect of noise on vocal loudness and pitch in natural environments: an accelerometer (Ambulatory Phonation Monitor) study","volume":"30","author":"Yiu","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib23","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0892-1997(97)80024-0","article-title":"The intermediate layer: a morphologic study of the elastin and hyaluronic acid constituents of normal human vocal folds","volume":"11","author":"Hammond","year":"1997","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib24","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1044\/jshr.3303.601","article-title":"Glottal closure and perceived breathiness during phonation in normally speaking subjects","volume":"33","author":"Sodersten","year":"1990","journal-title":"J Speech Hear Res"},{"key":"10.1016\/j.jvoice.2023.06.017_bib25","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.jvoice.2013.04.013","article-title":"Evaluation of the effectiveness of a voice training program for teachers","volume":"27","author":"Pizolato","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2023.06.017_bib26","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.jvoice.2019.11.016","article-title":"Long-term effects of a voice training program for teachers on vocal and mental health","volume":"35","author":"Nusseck","year":"2021","journal-title":"J Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199723001923?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199723001923?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:04:45Z","timestamp":1768395885000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199723001923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S0892199723001923"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2023.06.017","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vocal Fatigue, Dysphonia Risk, and Associated Factors in Male Brazilian Evangelical Pastors","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2023.06.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Voice Foundation. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}