ArticleEuropean 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 Surgery2026
The impact of remote voice training on patient compliance and treatment efficacy.
Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo compare compliance and efficacy between remote interactive voice training and traditional face-to-face therapy by using propensity-score matching (PSM) .
methodsPatients who received voice training at Sun Yat-sen Memorial Hospital from January 2019 to June 2022 were retrospectively enrolled. Cases treated in 2019 and 2021 (traditional voice training) were merged into a “traditional group”, whereas those treated in 2022 (remote voice training) constituted the “remote group”. PSM was performed to analyze efficacy. Compare the compliance rate and voice indicators (VHI, Jitter, Shimmer) between two groups.
resultsA total of 179 patients were included in the matching, with 125 in the traditional group and 54 in the remote group. After PSM, 89 patients in the traditional group and 51 in the remote group were analysed. In the traditional group, residence significantly impacted compliance (p values < 0.001), but not in the remote group. In the efficacy analysis, there were no statistically significant differences in the improvements of VHI, Jitter, and Shimmer between the two groups.
conclusionsRemote interactive voice training significantly improves compliance among non-local residents, with efficacy outcomes appearing comparable within the limits of the study design, providing a scalable telemedicine model for voice rehabilitation.
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