Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy; Department of Otolaryngology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Auris Nasus Larynx. 2023 Jun;50(3):450-457. doi: 10.1016/j.anl.2022.08.009. Epub 2022 Aug 23.
Teachers have an increased prevalence of voice disorders. The present study aimed to investigate the impact of remote teaching on perceived voice fatigue among Italian teachers of all grades during the lockdown due to the COVID-19 pandemic.
s The participants were 195 female teachers (M=48.77; SD=9.61) in primary, secondary, and high schools. They completed the Vocal Fatigue Index (VFI) through an online survey. The tool includes 19 items grouped into three dimensions: tiredness of voice and avoidance of voice use (TA); physical discomfort (PD); and improvement of symptoms with rest (IS). The participants reported their perceived voice fatigue during remote teaching. They were also asked to provide data about voice fatigue as perceived in previous classroom teaching. The data were analyzed through two sets of independent one-way ANOVAs, with voice fatigue subscales as criterion variables and school grade as a between-subjects factor.
The teachers involved in the study reported higher voice fatigue scores than vocally healthy adults from the general population. Primary school teachers showed higher voice fatigue during remote teaching than both secondary and high school teachers, specifically for the TA and PD dimensions, whereas no difference emerged for IS. The VFI scores of primary school teachers were similar to those of dysphonic individuals.
The results of the study confirm that primary school teachers are more vulnerable to developing voice disorders and suggest the need for specific vocal health interventions in case of prolonged remote work.
教师中嗓音障碍的发生率较高。本研究旨在调查 COVID-19 大流行期间,远程教学对意大利各级教师感知嗓音疲劳的影响。
参与者为 195 名女性中小学教师(M=48.77;SD=9.61)。她们通过在线调查完成了嗓音疲劳指数(VFI)。该工具包含 19 个项目,分为三个维度:嗓音疲劳和嗓音回避(TA);身体不适(PD);休息后症状改善(IS)。参与者报告了远程教学期间的感知嗓音疲劳。还要求他们提供之前课堂教学中感知到的嗓音疲劳数据。通过两组独立的单向方差分析对数据进行了分析,以嗓音疲劳子量表作为因变量,学校年级作为组间因素。
与一般人群中的健康嗓音成年人相比,参与研究的教师报告的嗓音疲劳得分更高。与中学和高中教师相比,小学教师在远程教学期间的嗓音疲劳更高,特别是在 TA 和 PD 维度,而 IS 维度则没有差异。小学教师的 VFI 评分与发音障碍者相似。
研究结果证实,小学教师更容易出现嗓音障碍,并表明在需要长时间远程工作的情况下,需要进行特定的嗓音健康干预。