Evidence map›Paper›PMID 40603208›Full record

ArticleJournal of voice : official journal of the Voice Foundation2025

Between Necessity and Feasibility: A Qualitative Study on How Clinicians Navigate Bedside Voice Assessment.

Adrián Castillo-Allendes, Jeff Searl, Thea Knowles, Megan Hodgman, Camila Salas-Pohl, Eric J Hunter

Abstract read
In one paragraph

Article in Journal of voice : official journal of the Voice Foundation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Low-cost contact microphones for bedside voice assessment: proof of concept.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adrián Castillo-AllendesDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan; Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa. Electronic address: casti208@msu.edu.
Jeff SearlDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan.
Thea KnowlesDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan.
Megan HodgmanRomney Institute of Public Service and Ethics, Brigham Young University, Provo, Provo, Utah.
Camila Salas-PohlEscuela de Fonoaudiología, Universidad Andrés Bello, Santiago, Santiago, Chile.
Eric J HunterDepartment of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa.

Funding

Protecting Teachers’ Voices: Investigating Risk Factors, Conducting Cost AnalysisR01DC012315 · NIDCD · UNIVERSITY OF UTAH · PI HUNTER, ERIC J · 2013 to 2025
$5.5M
NIDCD NIH HHS R01 DC012315
6 · The paper itself

Abstract

objectiveThis study aims to provide critical insights into how speech-language pathologists (SLPs) approach bedside voice assessment in medical settings, highlighting assessment strategies, practical barriers, and the feasibility of integrating objective tools into routine care.

methodsTwenty-five SLPs with experience in voice, swallowing, or upper airway disorders participated in semi-structured interviews conducted via Zoom. A hybrid inductive-deductive thematic analysis was applied to examine clinicians' perceptions of bedside voice assessment. Coding focused on assessment practices, barriers, research-practice translation, and the patient-centered role of voice in recovery.

findingsTen themes were identified across four domains: (1) clinical prioritization, (2) practical strategies, (3) research-practice gaps, and (4) patient-centered care. Clinicians consistently reported that swallowing takes precedence over voice assessment in medical care contexts due in part to workflow demands and risk prioritization. Limited access to instrumental tools and environmental constraints often led clinicians to rely on informal perceptual methods, non-standardized digital tools, and patient-reported outcomes. While these methods were practical, concerns were raised about their validity, particularly in complex inpatient populations. Many SLPs expressed frustration with the limited feasibility of implementing research-backed tools. Still, they emphasized the significance of voice for patients' emotional well-being and identity, describing vocal recovery as a marker of broader rehabilitation progress.

conclusionsDespite systemic and logistical constraints, clinicians recognize voice assessment as critical to holistic patient care. Current practices are shaped by necessity rather than preference. Bridging the gap between research and practice-through portable tools, validated protocols, and clinician-researcher collaboration-is essential to ensure voice assessments are both feasible and meaningful in medical contexts.

Indexed as

Bedside evaluationClinical feasibilityPatient-centered careQualitative researchSpeech-language pathologyVoice assessment

Identifiers

PMID40603208
PMCPMC12234125

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.