{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:25:51Z","timestamp":1777620351420,"version":"3.51.4"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>PURPOSE: To verify the effect of two approaches of vocal training in Speech Language Pathology and Audiology students, a direct and an indirect approach.METHODS: Participants were 25 female Speech Language Pathology and Audiology students divided into two groups: direct training with vocal exercises, DTG (n=13); and indirect training with vocal orientations, ITG (n=12). The training sessions were conducted by the same speech language pathologist in six weekly sessions of 30 minutes. Both groups underwent multidimensional voice assessment, pre- and post-training: vocal self-assessment; Vocal Symptoms Scale (VSS); auditory perceptual analysis of sustained vowel and connected speech; acoustic analysis of voice through the Vocal Range Profile (VRP) and Speech Range Profile (SRP); and Group Climate Questionnaire, only at the end of training.RESULTS: The DTG showed changes in auditory perceptual analysis of vowel, which was less diverted after training; and expansion of the voice range in the VRP and SRP, which proves best vocal performance. However, the ITG showed no changes in any of the parameters evaluated. In Group Climate, the ITG obtained the highest conflict score in comparison to the DTG, probably because the indirect approach did not favor exchange in the group and did not allow a better quality interaction.CONCLUSION: The direct approach provided greater benefits to students than the indirect approach, with significant change in voice quality, and can serve as inspiration to Speech Language Pathology and Audiology courses to prevent dysphonia.<\/jats:p>","DOI":"10.1590\/2317-1782\/20152014232","type":"journal-article","created":{"date-parts":[[2015,9,19]],"date-time":"2015-09-19T23:18:21Z","timestamp":1442704701000},"page":"384-391","source":"Crossref","is-referenced-by-count":18,"title":["Effect of direct and indirect voice training in Speech-Language Pathology and Audiology students"],"prefix":"10.1590","volume":"27","author":[{"given":"Andr\u00e9ia Cristina Muznlinger dos","family":"Santos","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio de V\u00e1rzea Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina de Menezes","family":"Borrego","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara","family":"Behlau","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Fonoaudiologia e educa\u00e7\u00e3o: uma parceria necess\u00e1ria","first-page":"82:87","volume-title":"O ensino superior e a fonoaudiologia no Brasil","author":"Stival N","year":"2010"},{"key":"ref2","series-title":"Voz o livro do especialista II","first-page":"311","volume-title":"Voz profissional: Aspectos gerais e atua\u00e7\u00e3o Fonoaudiol\u00f3gica","author":"Behlau M","year":"2010"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1590\/S1516-18462010005000048","article-title":"Termos descritivos da pr\u00f3pria voz: compara\u00e7\u00e3o entre respostas apresentadas por fonoaudi\u00f3logos e n\u00e3o-fonoaudi\u00f3logos","volume":"12","author":"Bicalho AD","year":"2010","journal-title":"Rev CEFAC."},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.jvoice.2008.12.011","article-title":"The objective vocal quality, vocal risk factors, vocal complaints, and corporal pain in Dutch female students training to be speech-language pathologists during the 4 years of study","volume":"24","author":"Van Lierde K","year":"2010","journal-title":"J Voice."},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.jvoice.2006.07.003","article-title":"Voice problems of future speech-language pathologists","volume":"21","author":"Gottliebson RO","year":"2007","journal-title":"J Voice."},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jvoice.2009.11.004","article-title":"The impact of vocal warm-up exercises on the objective vocal quality in female students training to be Speech Language Pathologists","volume":"25","author":"Van Lierde K","year":"2011","journal-title":"J Voice."},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.jvoice.2011.11.003","article-title":"The impact of a voice counseling procedure to select students with normal vocal characteristics for starting a Master Program in Speech Language Pathology a pilot study","volume":"26","author":"Van Lierde K","year":"2012","journal-title":"J Voice."},{"issue":"4","key":"ref8","first-page":"361","article-title":"Interven\u00e7\u00f5es vocais diretas e indiretas em professores revis\u00e3o sistem\u00e1tica da literatura","volume":"18","author":"Anhaia TC","year":"2013","journal-title":"ACR."},{"key":"ref9","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.jcomdis.2011.07.003","article-title":"Comparing voice-therapy and vocal-hygiene treatments in dysphonia using a limited multidimensional evaluation protocol","volume":"44","author":"Rodr\u00edguez-Parra MJ","year":"2011","journal-title":"J Commun Dis."},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0892-1997(02)00070-X","article-title":"Phonetogram Changes for trained singers over a nine-month period of vocal training","volume":"16","author":"LeBorgne WD","year":"2012","journal-title":"J Voice."},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1590\/S1516-18462010005000109","article-title":"Interven\u00e7\u00e3o fonoaudiol\u00f3gica para consultores em um servi\u00e7o de teleatendimento bem-estar vocal","volume":"12","author":"Moreira TC","year":"2010","journal-title":"Rev CEFAC."},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"815e1","DOI":"10.1016\/j.jvoice.2012.04.005","article-title":"The effectiveness of a voice training program for telemarketers","volume":"26","author":"Oliveira AG","year":"2012","journal-title":"J Voice."},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"816e1","DOI":"10.1016\/j.jvoice.2012.04.008","article-title":"Preliminary data on prevention and treatment of voice problems in student teachers","volume":"26","author":"Nanjundeswaran C","year":"2012","journal-title":"J Voice."},{"issue":"6","key":"ref14","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jvoice.2006.07.002","article-title":"Vocal problems among teachers evaluation of a preventive voice program","volume":"21","author":"Bovo R","year":"2007","journal-title":"J Voice."},{"issue":"2","key":"ref15","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1590\/S1516-18462011000200019","article-title":"Atendimento fonoaudiol\u00f3gico em grupo","volume":"13","author":"Ara\u00fajo MLB","year":"2011","journal-title":"Rev CEFAC."},{"issue":"31","key":"ref16","first-page":"1","article-title":"Abordagens grupais em Sa\u00fade Coletiva a vis\u00e3o de usu\u00e1rios e de profissionais de enfermagem","volume":"10","author":"Camargo AM","year":"2012","journal-title":"Rev Bras Ci\u00eanc Sa\u00fade."},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1590\/S1516-18462011005000131","article-title":"Grupo terap\u00eautico em Fonoaudiologia revis\u00e3o de literatura","volume":"14","author":"Ribeiro VV","year":"2012","journal-title":"Rev CEFAC."},{"key":"ref18","series-title":"Advances in group Psychotherapy Inter-grating research and practice","first-page":"159","volume-title":"The clinical application of a group climate measure","author":"MacKenzie KR","year":"1983"},{"issue":"2","key":"ref19","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jvoice.2010.12.003","article-title":"The.effectiveness of group voice therapy a group climate perspective","volume":"26","author":"Law T","year":"2012","journal-title":"J Voice."},{"issue":"5","key":"ref20","first-page":"483","article-title":"VoiSS a patient-derived Voice Symptom Scale","volume":"54","author":"Deary IJ","year":"2003","journal-title":"J Psychosom Res."},{"key":"ref21","article-title":"Cross-Cultural adaptation, validation, and cutoff values of the brazilian version of the Voice Symptom Scale - VoiSS","author":"Moreti F","year":"2014","journal-title":"J Voice"},{"key":"ref22","series-title":"Clinical Examination of Voice","author":"Hirano M","year":"1981"},{"key":"ref23","article-title":"Perfil de extens\u00e3o de fala e de voz na cl\u00ednica vocal","author":"Moraes MC","year":"2010","journal-title":"Anais"},{"key":"ref24","series-title":"Voz: O Livro do Especialista - Volume II","first-page":"410","volume-title":"Aperfei\u00e7oamento vocal e tratamento fonoaudi\u00f3logo das disfonias","author":"Behlau M","year":"2010"},{"key":"ref25","series-title":"Muito al\u00e9m do ninho de mafagafos um guia de exerc\u00edcios pr\u00e1ticos para aprimorar sua comunica\u00e7\u00e3o","author":"Faria DM","year":"2011"},{"key":"ref26","series-title":"Voz: O Livro do Especialista - Volume I","author":"Behlau M","year":"2008"},{"issue":"2","key":"ref27","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jvoice.2009.08.005","article-title":"Review of the impact of voice training on the vocal quality of professional voice users: implications for vocal health and recommendations for further research","volume":"25","author":"Hazlett DE","year":"2011","journal-title":"J 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