| Abstract | Purpose: This study aimed to investigate Chinese parents’ perceptions of pediatric voice disorders to determine their level of health literacy and knowledge gaps to understand the
determinants of initiating voice therapy for children with dysphonia.
Method: A cross-sectional survey was conducted in three voice clinics in Chengdu, China, from October 1, 2021, to October 1, 2022. Impairment of children’s quality of life as perceived by parents was assessed using the pediatric Voice-Related Quality-of-Life (pVRQOL) scale.
Results: Overall, 206 parents whose children were recommended voice therapy were recruited (Mean ± SD age, 35. 0 ± 4.62 years; male/female = 1:3). When otolaryngologists recommended that their children with dysphonia initiate voice therapy, most participants had positive responses (n = 176, 85.4%). The mean pVRQOL score was 40.8 in the accept group and 37.6 in the reject group (difference, 1.7; 95% CI, −4.98 1.69). Participants who had a more influential work status, had an only-child, had children with shorter-term voice symptoms, and visited specialized hospitals were more likely to have negative practices related to children’s voice therapy (P < 0.05).
Conclusions: This study represents an important first step in understanding Chinese parents’ perceptions of and motivations for initiating voice therapy for their children with dysphonia. Initiation of treatment as re- commended in pediatric populations depends on multiple factors, such as the duration of voice symptoms, family structure, and hospital type. It is imperative to promote public health care education on voice therapy among parents, as health care literacy is the primary driving factors in decision-making.
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