title: Self-assessment and readiness for change in dysphonic patients.
abstract: OBJECTIVE
  To examine whether there is an association between vocal self-assessment and readiness for change in dysphonic patients.
  
  
  METHODS
  151 patients with vocal complaints and diagnosis of dysphonia, between 18 and 65 years of age, 47 men and 104 women treated at the voice clinic of a public institution participated in the study. Four self-assessment instruments were applied, including the Voice-Related Quality of Life (V-RQOL), the Voice Handicap Index (VHI) and the Voice Symptom Scale (VoiSS), and the use of URICA-VOICE instrument to verify the patients stage of readiness for change. All instruments were applied immediately before the start of vocal therapy. The variables were correlated and compared using inferential statistics.
  
  
  RESULTS
  Most patients were in the contemplation stage (76.2%, n = 115), 22 (14.6%) were in the pre-contemplation stage and 14 (9.3%) in the action stage. There was a negative correlation between the score in URICA-VOICE and the socio-emotional domain and total score V-RQOL. There was a positive correlation between the score URICA-VOICE and full social, emotional and functional VHI, as well as between the score URICA-VOICE and full fields, limitation and emotional VoiSS. Only the social-emotional domain V-RQOL and emotional in VoiSS values showed statistically significant differences between the motivational stages.
  
  
  CONCLUSIONS
  There is association between vocal self-assessment and readiness for change in dysphonic patients. Patients with major impact on quality of life in voice in V-RQOL and higher frequency of vocal symptoms mentioned in the VoiSS show greater readiness for change.
authors.affiliation: Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.
authors.forename: Leonardo Wanderley
authors.initials: LW
authors.lastname: Lopes
authors.affiliation: Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.
authors.forename: Eveline Gonçalves
authors.initials: EG
authors.lastname: Vilela
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D055154:Dysphonia / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D011788:Quality of Life; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014833:Voice Quality; D055815:Young Adult