Rationale/Objective: The Voice Handicap Index (VHI) is a selfassessment tool that evaluates the patient’s reaction and perception to a vocal disorder. This study aimed to establish, validate and assess the reliability of the Filipino translation of the Voice Handicap Index 10 (FVHI-10). Methods: The VHI-10 was translated and adapted to the Filipino language and culture with the help of the Sentro ng Wikang Filipino- University of the Philippines Manila. A self-assessment of voice quality and FVHI-10 were performed by the patients and their GRBAS scale scoring was rated by a speech language pathologist. The Spearman’s correlation between the FVHI-10 and the self-assessment and GRBAS scale scores was obtained to test for validity. To evaluate the reliability of the FVHI-10, testing through determining internal consistency was conducted through the use of Chronbach α coefficient, inter-item correlation, item-total correlation and Cronbach α coefficient if tool item was deleted. Results: Fifty five individuals participated in the study (29 males, 26 females, age range: 30-55 years) with the diagnosis of voice disorder based on complaints of hoarseness or dysphonia and laryngoscopic findings. Convergent validity was confirmed with moderate to strong correlation between the FVHI-10 and self-assessment (r=-.893, p<.05) and GRBAS scale scores (r=.427, p<.05). Reliability as measured through internal consistency was confirmed (Cronbach α=.874) (average ρ<.5) (corrected item-total correlation>0.3) (average interitem correlation=.15-.85). Conclusion The FVHI-10 was determined to be a valid and reliable instrument that can be utilized in the assessment of Filipino patients with voice disorders.
Dysphonia ; Voice Disorders ; Quality of Life

Background: The use of the International Classification of Functioning, Disability, and Health (ICF) framework is advocated in Speech-Language Pathology (SLP) clinical practice. As using the ICF leads to improved quality of life in relation to communication and swallowing compared to the medical model, SLP practitioners are encouraged to adopt the ICF framework in their practice. However, there is a lack of ICF-related literature in the Philippines that can serve as a guide for SLP practitioners. Objectives: The study aimed to identify and describe available international literature and extract key ideas that can serve as a guide for SLP practitioners as they adopt ICF into their practice. Methodology: The York Framework for scoping reviews was utilized. The review consisted of five stages: (1) identifying research questions, (2) identifying relevant literature, (3) identifying eligible literature, (4) data charting, and (5) summarizing and extracting themes. Results: The majority of the articles collated were research studies from developed countries. The ICF was applied equally across all age groups and focused on activities and participation rather than health conditions. Thematic analysis showed that ICF was applied in assessment, intervention, and health care service delivery. Conclusion Gaps exist in using ICF-based tools in the SLP clinical practice and in the social understanding of the ICF. SLP practitioners are encouraged to learn and adapt the identified ICF-related themes in their practice as it facilitates a holistic understanding of their patient's functioning, disability, and evidence-based clinical decisions, thus, contributing to effective diagnostic and therapeutic processes.
Speech-Language Pathology ; Health

Background: Wellness programs can be implemented in a university setting and may include varied elements such as physical activity, occupational balance, and vocal health. However, there is limited information that highlights and synthesizes why and how these programs work. Therefore, this study aimed to understand effective programs on physical activity, occupational balance, and vocal health for university constituents in relation to the implementation contexts, mechanisms, and outcomes (CMO). Methodology: Guided by the Health Belief Model in the context of a realist review design, the researchers conducted an iterative search among seven peer-reviewed electronic databases in the health and education fields using a predetermined set of eligibility criteria. Results: The search identified 6564 records, of which programs from 20 records contributed to data synthesis. Nine CMO statements were created, with physical activity programs accounting for most configurations. Key themes identified were tailored and individualized interventions, medium-term incentivization, lifestyle education programs utilizing information and communications technology, interdisciplinary multi-component programs, use of self-monitoring strategies, social support, and shared experiences among employees and students. Analysis of the mechanisms of these effective university programs revealed processes and structures that were consistent with elements of the Health Belief Model. Conclusion Effective university-based PA programs result from a health-supporting culture among staff and students, utilizing self-based, technological, and social approaches that target and address individual and organizational behaviors in physical activity, occupational balance, and vocal health. This realist review provides practical information that may guide the development of university-based programs and policies targeting these areas of wellness.
Exercise ; Work-Life Balance