Journal of voice : official journal of the Voice Foundation · 2025
The Use of a Text-to-Speech Application as a Communication Aid During Medically Indicated Voice Rest: A Feasibility and Satisfaction Study.
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Bakia Shaimaa Ahmed Saleh, Mostafa Heba Ashour, Anter Amr Abdelsalam
Аннотация
OBJECTIVES: To evaluate the impact of a text-to-speech (TTS) application on patient-reported communication confidence, adherence to voice rest, and perceived difficulty during a medically prescribed period of voice rest.
STUDY DESIGN: Prospective randomized controlled trial.
METHODS: Sixty-two adult patients (mean age, 36.4 years) requiring 1 week of voice rest for laryngeal pathology were randomized into a control group (no support) or an intervention group (TTS app support). Baseline demographic and diagnostic variables were recorded. Outcomes included self-reported communication confidence, frequency of breaking voice rest, difficulty maintaining silence, and contextual adherence. App satisfaction and usability were assessed in the intervention group. Statistical comparisons employed t tests, χ² or Fisher's exact tests, and odds ratios with 95% Confidence Intervals.
RESULTS: Groups were demographically and clinically comparable at baseline (P > 0.05). The intervention group reported significantly higher communication confidence (P < 0.0001), better adherence to voice rest (P = 0.0012), and lower perceived difficulty (P < 0.01). Full adherence (no voice use in any setting) was more common in the intervention group (25.8% vs 3.2%; P = 0.003). The TTS group reported less frequent voice use at home, work, and social settings (all P ≤ 0.001). App satisfaction was high (mean score, 4.2/5), and 94% of users would recommend it.
CONCLUSIONS: Use of a TTS application significantly improved communication confidence, adherence, and perceived ease of maintaining voice rest. This inexpensive intervention might be very helpful for patients who are experiencing medically prescribed voice rest.
STUDY DESIGN: Prospective randomized controlled trial.
METHODS: Sixty-two adult patients (mean age, 36.4 years) requiring 1 week of voice rest for laryngeal pathology were randomized into a control group (no support) or an intervention group (TTS app support). Baseline demographic and diagnostic variables were recorded. Outcomes included self-reported communication confidence, frequency of breaking voice rest, difficulty maintaining silence, and contextual adherence. App satisfaction and usability were assessed in the intervention group. Statistical comparisons employed t tests, χ² or Fisher's exact tests, and odds ratios with 95% Confidence Intervals.
RESULTS: Groups were demographically and clinically comparable at baseline (P > 0.05). The intervention group reported significantly higher communication confidence (P < 0.0001), better adherence to voice rest (P = 0.0012), and lower perceived difficulty (P < 0.01). Full adherence (no voice use in any setting) was more common in the intervention group (25.8% vs 3.2%; P = 0.003). The TTS group reported less frequent voice use at home, work, and social settings (all P ≤ 0.001). App satisfaction was high (mean score, 4.2/5), and 94% of users would recommend it.
CONCLUSIONS: Use of a TTS application significantly improved communication confidence, adherence, and perceived ease of maintaining voice rest. This inexpensive intervention might be very helpful for patients who are experiencing medically prescribed voice rest.