Evidence map›Paper›PMID 40609491›Full record

SynthesisJournal of communication disorders

Bibliometric analysis, systematic review of literature, and meta-analysis on the effect of amplification on voice production among teachers.

Lady Catherine Cantor-Cutiva, Karol Acevedo, Marco Guzman, Juan Carlos Gonzalez, Felipe Enrique Cerda Sandoval, Catalina Smith, Isidora Behm, Eric Hunter

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of communication disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Lady Catherine Cantor-CutivaDepartment of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City, TN, USA.
Karol AcevedoEscuela de Fonoaudiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile. Electronic address: karol.acevedo.encalada@gmail.com.
Marco GuzmanDepartment of Communication Sciences and Disorders, Universidad de los Andes, Chile.
Juan Carlos GonzalezEscuela de Fonoaudiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile.
Felipe Enrique Cerda SandovalDepartamento de Fonoaudiología, Escuela Ciencias de la Salud. Pontificia Universidad Católica de Chile, Chile.
Catalina SmithDepartment of Communication Sciences and Disorders, Universidad de los Andes, Chile.
Isidora BehmDepartment of Communication Sciences and Disorders, Universidad de los Andes, Chile.
Eric HunterDepartment of Communication Sciences and Disorders, The University of Iowa, IA, USA.

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

backgroundTeaching is identified as a high-risk profession for developing voice disorders due to the significant vocal demands placed on educators. This can lead to symptoms such as vocal fatigue, adversely affecting their quality of life. One common intervention is the provision of voice amplification systems, which have been reported to reduce vocal strain by enabling teachers to speak at lower volumes, thereby potentially improving voice quality and minimizing vocal fold damage. Despite these benefits, various factors such as adoption rates, technical issues, and the need for proper use and training can influence the effectiveness of these systems. This study systematically reviews the literature and conducts a meta-analysis to determine the impact of voice amplification on teachers' vocal function.

methodsThe results reported in this manuscript are based on a bibliometric analysis and systematic literature review using seven databases, selecting 20 relevant publications from an initial pool of 462, and performing a meta-analysis to compare vocal metrics with and without amplification.

resultsThe meta-analysis indicated that voice amplification systems tend to positively affect fundamental frequency, sound pressure level (SPL), and phonation time percentage; however, these effects were not statistically significant. The analysis also suggests no significant publication bias, though the quality of the included publications varied: 15 % were rated as strong, 25 % as moderate, and 60 % as weak. CONCLUSION AND RECOMMENDATIONS: The study concludes that voice amplification systems show potential benefits for teachers' vocal health. However, their implementation should be part of a broader strategy that includes education, training, and regular monitoring to maximize their effectiveness.

Indexed as

School TeachersVoice DisordersVoice QualityVoice TrainingBibliometricsHumansAmplificationOccupational healthTeachersVoice

Identifiers

PMID40609491
PMCPMC12284958

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.