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Impact on quality of life in teachers after educational actions for prevention of voice disorders: a longitudinal study

Raquel Aparecida Pizolato1, Maria Inês Beltrati Cornacchioni Rehder2, Marcelo de Castro Meneghim1, Glaucia Maria Bovi Ambrosano1, Fábio Luiz Mialhe1 and Antonio Carlos Pereira1*

Author Affiliations

1 Departament of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas- UNICAMP, PO. BOX 52, 13414-903, Piracicaba, SP, Brazil

2 CEFAC- Graduate Center for Health and Education, São Paulo, SP, Brazil

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Health and Quality of Life Outcomes 2013, 11:28  doi:10.1186/1477-7525-11-28

Published: 27 February 2013



Voice problems are more common in teachers due to intensive voice use during routine at work. There is evidence that occupational disphonia prevention programs are important in improving the quality voice and consequently the quality of subjects’ lives.


To investigate the impact of educational voice interventions for teachers on quality of life and voice.


A longitudinal interventional study involving 70 teachers randomly selected from 11 public schools, 30 to receive educational intervention with vocal training exercises and vocal hygiene habits (experimental group) and 40 to receive guidance on vocal hygiene habits (control group control). Before the process of educational activities, the Voice-Related Quality of Life instrument (V-RQOL) was applied, and 3 months after conclusion of the activities, the subjects were interviewed again, using the same instrument. For data analysis, Prox MIXED were applied, with a level of significance α < 0.05. Results: Teachers showed significantly higher domain and overall V-RQOL scores after preventive intervention, in both control and experimental groups. Nevertheless, there was no statistical difference in scores between the groups.


Educational actions for vocal health had a positive impact on the quality of life of the participants, and the incorporation of permanent educational actions at institutional level is suggested.

Occupational health; Teachers; Voice training; Quality of life; Questionnaire study