ArticleLaryngoscope investigative otolaryngology2026
Family-Involved Hybrid Voice Therapy for Pediatric Vocal Fold Nodules in School-Aged Children: Clinical Outcomes and Socioeconomic Associations.
Article in Laryngoscope investigative otolaryngology, 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
Objectives: To evaluate the effectiveness of a family-involved hybrid voice therapy program in children with vocal fold nodules using multidimensional voice outcomes (objective acoustic, auditory-perceptual, and parent-reported measures) and to examine whether family socioeconomic opportunity is associated with baseline burden or posttreatment outcomes. Methods: This prospective single-arm pre-post observational study included children with vocal fold nodules confirmed by fiberoptic or videolaryngoscopic examination. Participants completed a 12-week hybrid voice therapy program consisting of 12 weekly sessions alternating face-to-face and synchronous online delivery (six in-person, six online). Caregivers received structured vocal hygiene education and were trained to support standardized Vocal Function Exercises with daily home practice (5-10 min/day) monitored using an exercise diary. Pre- and posttreatment assessments included acoustic measures (jitter, shimmer, cepstral peak prominence smoothed [CPPs], maximum phonation time [MPT], noise-to-harmonics ratio [NHR]), auditory-perceptual evaluation (CAPE-V), and parent-reported impact (pVHI-10). Family socioeconomic opportunity was assessed using the 20-item Family Socioeconomic Opportunity Questionnaire (FSOQ; score range 0-60). Results: Thirty-nine children completed the program (mean age, 8.36 years). Significant pre- to posttreatment improvements were observed across outcomes, including increased CPPs and MPT and decreased NHR, jitter, and shimmer. CAPE-V scores decreased from 34.46 ± 10.12 to 7.64 ± 4.76 ( Conclusion: A 12-week family-involved hybrid voice therapy program was associated with substantial improvements in acoustic, perceptual, and parent-reported outcomes in children with vocal fold nodules. Family socioeconomic opportunity was associated with baseline subjective burden but not with posttreatment outcomes. Controlled studies with longer follow-up are warranted. Level of Evidence: Level 3.
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