Analyzing adherence risk in voice clients : a speech language pathologist’s guide
MetadataShow full item record
Across the literature it is seen that when trying to enact change in a patient’s everyday life there is always some degree of adherence risk. In the field of voice therapy this risk is particularly high. Traditional comparisons of therapy techniques focus only on change achieved as opposed to the ways in which each therapy protocol was carried out. This type of focus minimizes the amounts of adherence risk present in each therapy technique. This risk can have a fundamental impact on the success of therapy. A comparison of the types of adherence risk that exists and the ways they can be minimized is useful for the treatment of voice disorders. This report serves to address issues of adherence risk in voice by examining relevant research outside the field of speech language pathology. It contains information regarding the most commonly seen adherence risks encountered, research on how those risks were addressed in the fields of medicine and physical therapy, and how those techniques can be adapted for clinical use. A comparative analysis of the types of risks present in the most common therapy protocols and how those risks can be minimized is also included. Tables are included in order to provide the speech language pathologist (SLP) with a user-friendly guide on the possible ways to determine adherence risks present in their client and possible ways to address this risk. Sample dialogue is also provided. Adherence risk is a key component in voice therapy that is often not being considered when choosing and implementing therapy protocols. There are many factors that make up adherence risk including personality characteristics, motivation, expectations for therapy, ease of use of the technique/instructions, client understanding of implementation, and the nature of the disorder itself. It is useful to look at how such factors are addressed. We’re asking our clients to do many things that will change their daily lives: behaviorally, diet-wise, it may even impact the way they feel about themselves. How do we ask them this and expect that it’ll actually get done?