​​Paper Presentation - Predictors of Satisfaction with Voice Teletherapy in Patients with Dysphonia Objective(s)

The need for physical distancing during the COVID-2019 pandemic necessitated shifting to teletherapy to safely provide voice therapy. There has been limited assessments of patient perceptions of voice teletherapy. We hypothesized that technology familiarity, access, and platform function would predict increased satisfaction with teletherapy. Methods: Adults with dysphonia who received at least one session of voice teletherapy from 4/1/2020-1/1/2021 completed an electronic or mail-in survey including demographic questions and two validated questionnaires: The Telehealth Usability Questionnaire (TUQ) and the Technology Familiarity Score (TFS). Visit, diagnostic, and demographic information were extracted from the medical record for analysis. Results: We examined patient satisfaction and associated factors for 136 participants. 88% were at least somewhat satisfied with voice teletherapy and 90% would participate again. Mean satisfaction score on the TUQ was higher (mean difference 2.13 95% Confidence Interval [CI] [0.75 -3.5, p<0.003]) in employed patients and lower (mean difference= -5.24 95 CI [-10.0 -0.5, p<0.04]) in patients accessing teletherapy via cellphone. For patients who experienced both therapy modalities: patients with technical issue(s) were more likely to prefer in person therapy (OR 2.56 [1.1-6.12], p<0.03); patients accessing teletherapy from home (vs. other locations) were more likely to prefer teletherapy (OR 8.27 [1.57–152.6], p<0.045). Conclusion: Participants have a high level of satisfaction with voice teletherapy and are likely to use this service again. Site of appointment and employment status impact satisfaction scores. Technological difficulties and internet connection issues influence preference for teletherapy.

Alexandra Schenck, BM, MS, CCC-SLP

Alexandra Schenck, BM, MS, CCC-SLP, is a speech language pathologist at the University of Wisconsin Health Voice and Swallow Clinics. She specializes in the assessment and treatment of adults with voice and upper airway disorders. She graduated with her Master's in Speech-Language Pathology at Northwestern University and completed her clinical fellow in the Department of Otolaryngology at the University of Washington Medical Center.  Prior to this, Alex received her Bachelor of Music in Vocal Performance at the Bob Cole Conservatory of Music and her Artist Diploma in Operatic Performance at the Academy of Vocal Arts. She has performed at opera companies and music festivals across the country and internationally. Alex's research interests include voice and auditory feedback, voice symptoms in people with Ehlers Danlos syndrome, and efficacy of voice teletherapy.  

Financial Disclosure: Ms. Schenck has no financial relationships to disclose. 

Non-Financial Disclosure: Ms. Schenck has no non-financial relationships to disclose.