Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Voice and Swallowing Clinics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.
J Voice. 2012 May;26(3):330-5. doi: 10.1016/j.jvoice.2011.05.009. Epub 2011 Aug 23.
Understanding health information-seeking behaviors (HISBs) within a particular patient demographic group is an important part of effective clinical outreach and education efforts. Although the community of classically trained singers has long been recognized by specialized health care providers, no studies have yet addressed the processes by which they search for voice-related health information, and little is known about how they use and access medical care. An electronic questionnaire focusing on HISB and voice-related health care issues was administered to 151 self-identified classically trained singers and 49 nonsinger controls. Outcomes of interest were tested for association with groups of singers and controls, followed by tests of association between demographic variables (age, gender, insurance status) with each outcome of interest. Results showed significant differences in specialty care access including point of first contact (P=0.0085), gender-associated delay of treatment initiation (P=0.0324), and use of home remedies for vocal problems (P≤0.0001). Significant differences in HISB were noted as well, including history of having undertaken an information search (P≤0.0001), likelihood of having concerns about information quality (P≤0.0001), and difficulty knowing where to find information (P≤0.0001). Differences were influenced by singing status, age, and gender. The insights provided by these data may inform decision-making processes regarding patient care, patient education, and clinical outreach to the target population.
了解特定患者群体的健康信息寻求行为(HISB)是有效临床外展和教育工作的重要组成部分。尽管受过传统训练的歌唱家群体长期以来一直受到专门医疗保健提供者的认可,但迄今为止,尚无研究探讨他们搜索与声音相关的健康信息的过程,也很少了解他们如何使用和获得医疗保健。我们向 151 名自我认同的古典歌唱家以及 49 名非歌唱家对照组发放了一份重点关注 HISB 和与声音相关的医疗保健问题的电子问卷。我们对感兴趣的结果进行了分组检验,然后对人口统计学变量(年龄、性别、保险状况)与每个感兴趣的结果之间的关联进行了检验。结果表明,在专科医疗保健的获取方面存在显著差异,包括首次接触点(P=0.0085)、与性别相关的治疗启动延迟(P=0.0324)以及使用家庭疗法治疗声音问题(P≤0.0001)。在 HISB 方面也存在显著差异,包括曾经进行过信息搜索的历史(P≤0.0001)、对信息质量的关注程度(P≤0.0001)以及难以找到信息的情况(P≤0.0001)。这些差异受到歌唱状态、年龄和性别的影响。这些数据提供的见解可能为患者护理、患者教育以及针对目标人群的临床外展决策提供参考。