Download PDF
Semin Speech Lang 2021; 42(01): 019-031
DOI: 10.1055/s-0040-1722755
Review Article

Enhancing Adherence to Voice Therapy via Social Cognitive Strategies

Eva van Leer
1   Department of Communication Sciences and Disorders, Georgia State University, Atlanta, Georgia
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Treatment adherence is a challenge in behavioral voice therapy. Patients commonly encounter difficulties with practicing and implementing target voice techniques outside of the clinic. Several mobile support strategies have been shown to improve adherence. These strategies are driven by social cognitive theory, which provides a theoretical but practical framework for understanding adherence behavior and solving adherence problems. Key features of the theory include (1) its model of triadic asymmetrical reciprocal causation, (2) the concept of human agency, and (3) the constructs of self-efficacy and goal commitment. The purpose of this article is to (1) explain voice therapy adherence within the framework of social cognitive theory, (2) illustrate three broad categories of adherence problems, and (3) provide examples of strategies to address each. With this exemplified knowledge, the clinician can diagnose factors that underlie patients' adherence problems and develop individualized solutions. Given the significant role adherence plays in behavioral interventions, this information holds substantial clinical relevance.

Keywords

voice therapy - adherence - social cognitive theory - self-efficacy - mobile health

Disclosures

E.v.L. receives salary from Georgia State University. She has nothing to disclose.




Publication History

Article published online:
17 February 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Bosworth HB, Weinberger M, Oddone EZ. Patient Treatment Adherence: Concepts, Interventions and Management. 1st ed.. Lawrence Erlbaum Associates; 2006: 3
    CrossrefGoogle Scholar
  • 2 Verdolini-Marston K, Burke MK, Lessac A, Glaze L, Caldwell E. Preliminary study of two methods of treatment for laryngeal nodules. J Voice 1995; 9 (01) 74-85
    CrossrefPubMedGoogle Scholar
  • 3 Gillespie AI, Yabes J, Rosen CA, Gartner-Schmidt JL. Efficacy of conversation training therapy for patients with benign vocal fold lesions and muscle tension dysphonia compared to historical matched control patients. J Speech Lang Hear Res 2019; 62 (11) 4062-4079
    CrossrefPubMedGoogle Scholar
  • 4 Behrman A. Facilitating behavioral change in voice therapy: the relevance of motivational interviewing. Am J Speech Lang Pathol 2006; 15 (03) 215-225
    CrossrefPubMedGoogle Scholar
  • 5 Dejonckere PH, Lebacq J. Plasticity of voice quality: a prognostic factor for outcome of voice therapy?. J Voice 2001; 15 (02) 251-256
    CrossrefPubMedGoogle Scholar
  • 6 Hapner E, Portone-Maira C, Johns III MM. A study of voice therapy dropout. J Voice 2009; 23 (03) 337-340
    CrossrefPubMedGoogle Scholar
  • 7 Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Education: Theory, Research, and Practice. John Wiley & Sons; 2008
    Google Scholar
  • 8 DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW. Patient adherence and medical treatment outcomes: a meta-analysis. Med Care 2002; 40 (09) 794-811
    CrossrefPubMedGoogle Scholar
  • 9 Dishman RK. Advances in Exercise Adherence. Human Kinetics Publishers; 1994
    Google Scholar
  • 10 van Leer E, Connor NP. Patient perceptions of voice therapy adherence. J Voice 2010; 24 (04) 458-469
    CrossrefPubMedGoogle Scholar
  • 11 van Leer E, Connor NP. Predicting and influencing voice therapy adherence using social-cognitive factors and mobile video. Am J Speech Lang Pathol 2015; 24 (02) 164-176
    CrossrefPubMedGoogle Scholar
  • 12 van Leer E, Connor NP. Use of portable digital media players increases patient motivation and practice in voice therapy. J Voice 2012; 26 (04) 447-453
    CrossrefPubMedGoogle Scholar
  • 13 van Leer E, Pfister RC, Zhou X. An iOS-based Cepstral Peak Prominence Application: Feasibility for Patient Practice of Resonant Voice. J Voice. Published online 2016. Accessed September 28, 2016. http://www.sciencedirect.com/science/article/pii/S0892199715002799
    PubMedGoogle Scholar
  • 14 van Leer E, Porcaro N, Lewis B. Effect of an iOS-based App on voice therapy adherence and motivation. Am J Speech Lang Pathol 2020 (in press)
    PubMedGoogle Scholar
  • 15 Bandura A, Walters RH. Social Learning Theory. Vol 1. Prentice-Hall Englewood Cliffs; NJ: 1977
    Google Scholar
  • 16 Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol 2001; 52 (01) 1-26
    CrossrefPubMedGoogle Scholar
  • 17 Bandura A. The primacy of self-regulation in health promotion. Appl Psychol 2005; 54 (02) 245-254
    CrossrefPubMedGoogle Scholar
  • 18 Horvath AO, Greenberg LS. The Working Alliance: Theory, Research, and Practice. Vol 173. John Wiley & Sons; 1994
    Google Scholar
  • 19 Locke EA, Latham GP. Goal setting theory. Motiv Theory Res. Published online 1994:13–29
    PubMedGoogle Scholar
  • 20 Pajares F. Self-efficacy beliefs in academic settings. Rev Educ Res 1996; 66 (04) 543-578
    CrossrefPubMedGoogle Scholar
  • 21 Francis JJ, O'Connor D, Curran J. Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework. Implement Sci 2012; 7 (01) 35
    CrossrefPubMedGoogle Scholar
  • 22 Maes S, Karoly P. Self-regulation assessment and intervention in physical health and illness: a review. Appl Psychol 2005; 54 (02) 267-299
    CrossrefPubMedGoogle Scholar
  • 23 Lajoie SP. Metacognition, self regulation, and self-regulated learning: a rose by any other name?. Educ Psychol Rev 2008; 20 (04) 469-475
    CrossrefPubMedGoogle Scholar
  • 24 Perry CL, Baranowski T, Parcel GS. How individuals, environments, and health behavior interact: Social learning theory. Published online 1990
    PubMedGoogle Scholar
  • 25 van Leer E, Hapner ER, Connor NP. Transtheoretical model of health behavior change applied to voice therapy. J Voice 2008; 22 (06) 688-698
    CrossrefPubMedGoogle Scholar
  • 26 Skinner BF. Behaviorism at fifty. Science 1963; 140 (3570): 951-958
    CrossrefPubMedGoogle Scholar
  • 27 McLeod S. Skinner-operant conditioning. Retrieved From. Published online 2015
    PubMedGoogle Scholar
  • 28 Van Leer E. The role of social-cognitive factors in voice therapy adherence and outcomes. Published online 2010
    PubMedGoogle Scholar
  • 29 Bandura A. Representing personal determinants in causal structures. Published online 1984
    PubMedGoogle Scholar
  • 30 Klein HJ, Wesson MJ, Hollenbeck JR, Alge BJ. Goal commitment and the goal-setting process: conceptual clarification and empirical synthesis. J Appl Psychol 1999; 84 (06) 885-896
    CrossrefPubMedGoogle Scholar
  • 31 Bandura A. Toward a psychology of human agency. Perspect Psychol Sci 2006; 1 (02) 164-180
    CrossrefPubMedGoogle Scholar
  • 32 Bandura A. Self-efficacy. Corsini Encycl Psychol. Published online 2010:1–3
    PubMedGoogle Scholar
  • 33 Bandura A. Regulation of cognitive processes through perceived self-efficacy. Dev Psychol 1989; 25 (05) 729
    CrossrefPubMedGoogle Scholar
  • 34 Bandura A, Locke EA. Negative self-efficacy and goal effects revisited. J Appl Psychol 2003; 88 (01) 87-99
    CrossrefPubMedGoogle Scholar
  • 35 Bordin ES. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy (Chic) 1979; 16 (03) 252
    CrossrefPubMedGoogle Scholar
  • 36 Gelso CJ, Hayes JA. The Psychotherapy Relationship: Theory, Research, and Practice. John Wiley & Sons Inc; 1998
    Google Scholar
  • 37 Campbell A, Hemsley S. Outcome Rating Scale and Session Rating Scale in psychological practice: Clinical utility of ultra-brief measures. Clin Psychol 2009; 13 (01) 1-9
    CrossrefPubMedGoogle Scholar
  • 38 Hettema J, Steele J, Miller WR. Motivational interviewing. Annu Rev Clin Psychol 2005; 1: 91-111
    CrossrefPubMedGoogle Scholar
  • 39 Duncan BL, Miller SD, Sparks JA. et al. The Session Rating Scale: Preliminary psychometric properties of a “working” alliance measure. J Brief Ther 2003; 3 (01) 3-12
    PubMedGoogle Scholar
  • 40 Horvath AO, Greenberg LS. Development and validation of the Working Alliance Inventory. J Couns Psychol 1989; 36 (02) 223
    CrossrefPubMedGoogle Scholar
  • 41 Portone C, Johns III MM, Hapner ER. A review of patient adherence to the recommendation for voice therapy. J Voice 2008; 22 (02) 192-196
    CrossrefPubMedGoogle Scholar
  • 42 Richard M, Christina MF, Deborah LS, Rubio N, Kennon MS. Intrinsic motivation and exercise adherence. Int J Sport Psychol 1997; 28 (04) 335-354
    PubMedGoogle Scholar
  • 43 Stemple JC, Lee L, D'Amico B, Pickup B. Efficacy of vocal function exercises as a method of improving voice production. J Voice 1994; 8 (03) 271-278
    CrossrefPubMedGoogle Scholar
  • 44 Titze IR. Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings. J Speech Lang Hear Res 2006; 49 (02) 448-459
    CrossrefPubMedGoogle Scholar