@article{ba7ddcc707a24f9380cc010723038ff0,
title = "Identifying Knowledge Gaps in Clinicians Who Evaluate and Treat Vocal Performing Artists in College Health Settings",
abstract = "Objective: The goal of this study was to identify knowledge gaps in clinicians who evaluate and treat performing artists for illnesses and injuries that affect vocal function in college health settings. Study Design: This pilot study utilized a web-based cross-sectional survey design incorporating common clinical scenarios to test knowledge of evaluation and management strategies in the vocal performing artist. Methods: A web-based survey was administered to a purposive sample of 28 clinicians to identify the approach utilized to evaluate and treat vocal performing artists in college health settings, and factors that might affect knowledge gaps and influence referral patterns to voice specialists. Results: Twenty-eight clinicians were surveyed, with 36% of respondents incorrectly identifying appropriate vocal hygiene measures, 56% of respondents failing to identify symptoms of vocal fold hemorrhage, 84% failing to identify other indications for referral to a voice specialist, 96% of respondents acknowledging unfamiliarity with the Voice Handicap Index and the Singers Voice Handicap Index, and 68% acknowledging unfamiliarity with the Reflux Symptom Index. Conclusion: The data elucidated specific knowledge gaps in college health providers who are responsible for evaluating and treating common illnesses that affect vocal function, and triaging and referring students experiencing symptoms of potential vocal emergencies. Future work is needed to improve the standard of care for this population.",
keywords = "Clinician knowledge gap, College health, Performing arts medicine, Vocal performing artist, Voice complaint",
author = "Leah McKinnon-Howe and Jayme Dowdall",
note = "Funding Information: We would like to thank Michelle Beauchesne, DNSc RN, CPNP, FAAN, FNAP, FAANP, Associate Professor, School of Nursing and Doctor of Nursing Practice Program Director, Northeastern University, and Susan Jo Roberts, DNSc, ANP, FAAN, Professor, School of Nursing, Northeastern University, for their generous support and guidance during this project. We would also like to thank Sandra Dunphy, MLS, Research and Instruction Librarian, Northeastern University Libraries, and Rebekka Lee, ScD, Research Associate, Harvard T.H. Chan School of Public Health, for their research and analysis support. This work was conducted with support from Harvard Catalyst I The Harvard Clinical and Translational Science Center ( National Center for Research Resources and the National Center for Advancing Translational Sciences , National Institutes of Health Award UL1 TR001102 ) and financial contributions from Harvard University and its affiliated academic health-care centers. Content is solely the responsibility of the authors and does not necessarily represent the official views of Harvard Catalyst and of Harvard University and its affiliated academic health-care centers with a National Institutes of Health. Funding Information: We would like to thank Michelle Beauchesne, DNSc RN, CPNP, FAAN, FNAP, FAANP, Associate Professor, School of Nursing and Doctor of Nursing Practice Program Director, Northeastern University, and Susan Jo Roberts, DNSc, ANP, FAAN, Professor, School of Nursing, Northeastern University, for their generous support and guidance during this project. We would also like to thank Sandra Dunphy, MLS, Research and Instruction Librarian, Northeastern University Libraries, and Rebekka Lee, ScD, Research Associate, Harvard T.H. Chan School of Public Health, for their research and analysis support. This work was conducted with support from Harvard Catalyst I The Harvard Clinical and Translational Science Center (National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health Award UL1 TR001102) and financial contributions from Harvard University and its affiliated academic health-care centers. Content is solely the responsibility of the authors and does not necessarily represent the official views of Harvard Catalyst and of Harvard University and its affiliated academic health-care centers with a National Institutes of Health. Publisher Copyright: {\textcopyright} 2018 The Voice Foundation",
year = "2018",
month = may,
doi = "10.1016/j.jvoice.2017.05.021",
language = "English (US)",
volume = "32",
pages = "385.e7--385.e15",
journal = "Journal of Voice",
issn = "0892-1997",
publisher = "Elsevier Inc.",
number = "3",
}