Outcomes of a Community of Practice on Quebec Speech Language Pathologists’ Voice Assessment Practices and Professional Identity

Resultados de una comunidad de práctica sobre las prácticas de evaluación de la voz y la identidad profesional de los logopedas de Quebec


In a context where different protocols for recommended practices in clinical voice assessment exist, while there are gaps in the literature regarding the evidence base supporting assessment procedures and measures, clinicians from regions where a strong community holding expertise in clinical and scientific voice practices lack can struggle to confidently develop their voice assessment practices. In an effort to improve voice assessment practices and strengthen professional identity among speech-language pathologists in Quebec, Canada, a community of practice (CoP) was established, with the aim of promoting knowledge sharing, implementing change in clinical practice, and improving professional identity. Thirty-nine participants took part in the CoP activities conducted over a four-month period, including virtual meetings and in-person workshops. Participants had a high rate of attendance (> 74% participation rate in virtual meetings), and were highly satisfied with their participation and intended to remain involved after the project’s end. Statistically significant changes in voice assessment practices were observed post-CoP, regarding probability of performing assessments (p < .001), and perceived importance of assessment for evaluative purposes (p <.001), as well as improvements in assessment specific confidence, specifically for procedure of auditory-perceptual assessment (p < .001) and purpose of aerodynamic assessment (p = .05). Moreover, there was an increase in professional identity post-CoP (p < .001) and participants felt they made significant learnings. The present study highlighted the need to involve SLPs in future research to identify assessments that are relevant to the specific evaluative objectives of SLPs working with voice, and suggests CoPs are an efficient tool for that purpose.


Download data is not yet available.

Citado por


Ingrid Verduyckt
Lyne Defoy
Vincent Martel-Sauvageau


Roy N, Barkmeier-Kraemer J, Eadie T, Sivasankar MP, Mehta D, Paul D, et al. Evidence-Based Clinical Voice Assessment: A Systematic Review. American Journal of Speech-Language Pathology. 2013;22(2):212-26. doi: https://doi.org/10.1044/1058-0360(2012/12-0014)

Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. European Archives of Oto-Rhino-Laryngology. 2001;258(2):77-82. doi: https://doi.org/10.1007/s004050000299

Behrman A. Common Practices of Voice Therapists in the Evaluation of Patients. Journal of Voice. 2005;19(3):454-69. doi: https://doi.org/10.1016/j.jvoice.2004.08.004

Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. doi: https://doi.org/10.1044/2018_AJSLP-17-0009

Mattei A, Desuter G, Roux M, Lee BJ, Louges MA, Osipenko E, et al. International consensus (ICON) on basic voice assessment for unilateral vocal fold paralysis. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1s):S11-s5. doi: https://doi.org/10.1016/j.anorl.2017.12.007

Roy N. Assessment and treatment of musculoskeletal tension in hyperfunctional voice disorders. Int J Speech Lang Pathol. 2008;10(4):195-209. doi: https://doi.org/10.1080/17549500701885577

Estes CM, Johnson AM. Practical Considerations for Instrumental Acoustic and Aerodynamic Assessment of Voice: Discussion Points From an Open Forum of Clinicians. Perspectives of the ASHA Special Interest Groups. 2023;8(6):1354-62. doi: https://doi.org/10.1044/2023_PERSP-23-00039

Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71-2. doi: https://doi.org/10.1136/bmj.312.7023.71

https://www.asha.org [Internet]. Rockville: ASHA AS-L-HA; 2023. Evidence-Based Practice (EBP) . Available from: https://www.asha.org/research/ebp/

Speech-Language & Audiology Canada (SAC). Official Statement on Evidence-Based Speech-Language Pathology Practice in Schools [press release]. 22 june 2021. Available from: https://www.sac-oac.ca

Fitzgerald A. Professional identity: A concept analysis. Nursing Forum [Internet]. 2020;Apr 6;55(3):447–72. doi: http://dx.doi.org/10.1111/nuf.12450

Holmes C, McDonald F, Jones M, Ozdemir V, Graham JE. Standardization and omics science: technical and social dimensions are inseparable and demand symmetrical study. Omics. 2010;14(3):327-32. doi: https://doi.org/10.1089/omi.2010.0022

Almklov PG, Rosness R, Størkersen K. When safety science meets the practitioners: Does safety science contribute to marginalization of practical knowledge? Safety Science. 2014;67:25-36. doi: https://doi.org/10.1016/j.ssci.2013.08.025

Arcand, L. La communauté de pratique un outil pertinent : résumé des connaissances adaptées au contexte de la santé publique, Institut national de santé publique du Québec. Canada. 2018. Available from: https://policycommons.net/artifacts/2052225/la-communaute-de-pratique-un-outil-pertinent/2805316/

Lof GL. Science-based practice and the speech-language pathologist. International Journal of Speech-Language Pathology. 2011;13(3):189-96. doi: https://doi.org/10.3109/17549507.2011.528801

Lemire N. Animer un processus de transfert des connaissances bilan des connaissances et outil d'animation / [auteures [...]. Montréal. 2009.

Li LC, Grimshaw JM, Nielsen C, Judd M, Coyte PC, Graham ID. Evolution of Wenger's concept of community of practice. Implementation Science. 2009;4(1):11. doi: https://doi.org/10.1186/1748-5908-4-11

https://www.asha.org [Internet]. Rockville: ASHA AS-L-HA; 2023. About Special Interest Group 3, Voice and Upper Airway Disorders [cited 2023 15th of July]. Available from: https://www.asha.org/sig/03/about-sig-3/

Wenger E, McDermott R, Snyder W. Cultivating Communities of Practice: A Guide to Managing Knowledge. Boston: Harvard Business School; 2002.

Renaud L, Caron Bouchard M, Gaudreault-Perron J, Gayraud H. Communauté de pratique dans le domaine de la promotion de la santé : analyse du sentiment d’appartenance et des pratiques de leadership. Communiquer Revue de communication sociale et publique. 2017;19:29-45. doi: https://doi.org/10.4000/communiquer.2147

Ranmuthugala G, Plumb JJ, Cunningham FC, Georgiou A, Westbrook JI, Braithwaite J. How and why are communities of practice established in the healthcare sector? A systematic review of the literature. BMC Health Services Research. 2011;11(1):273. doi: https://doi.org/10.1186/1472-6963-11-273

Bandura A. Self-efficacy: The exercise of control. New York: Freeman/Times Books/ Henry Holt & Co; 1997..

Holland K, Middleton L, Uys L. Professional confidence: A concept analysis. Scandinavian Journal of Occupational Therapy. 2012;19(2):214-24. doi: https://doi.org/10.3109/11038128.2011.583939

Pasupathy R, Bogschutz RJ. An Investigation of Graduate Speech-Language Pathology Students' SLP Clinical Self-Efficacy. Contemporary Issues in Communication Science and Disorders. 2013;40(Fall):151-9. doi: https://doi.org/10.1044/cicsd_40_F_151

Tremblay D-G. Les communautés de pratique: quels sont les facteurs de succès. Revue internationale sur le travail et la société. 2005;3(2):692-722.

Mishra P, Pandey CM, Singh U, Gupta A, Sahu C, Keshri A. Descriptive statistics and normality tests for statistical data. Ann Card Anaesth. 2019;22(1):67-72. doi: https://doi.org/10.4103/aca.ACA_157_18

Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. London: McGraw-Hill Education; 2020. doi: https://doi.org/10.4324/9781003117445

Desjardins M, Halstead L, Cooke M, Bonilha HS. A Systematic Review of Voice Therapy: What “Effectiveness” Really Implies. Journal of Voice. 2017;31(3):392.e13-.e32. doi: https://doi.org/10.1016/j.jvoice.2016.10.002

Speyer R. Effects of voice therapy: a systematic review. Journal of Voice. 2008;22(5):565-80. doi: https://doi.org/10.1016/j.jvoice.2006.10.005

Kenny C. Assessment practices of Irish speech and language therapists in the evaluation of voice disorders. Logopedics Phoniatrics Vocology. 2017;42(1):12-21. doi: https://doi.org/10.3109/14015439.2015.1121291

McAlister S, Yanushevskaya I. Voice assessment practices of speech and language therapists in Ireland. Clinical Linguistics & Phonetics. 2020;34(1-2):29-53. doi: https://doi.org/10.1080/02699206.2019.1610798

Patel RR, Ternström S. Quantitative and Qualitative Electroglottographic Wave Shape Differences in Children and Adults Using Voice Map-Based Analysis. J Speech Lang Hear Res. 2021;64(8):2977-95. doi: https://doi.org/10.1044/2021_JSLHR-20-00717

Herbst CT. Electroglottography - An Update. J Voice. 2020;34(4):503-26. doi: https://doi.org/10.1016/j.jvoice.2018.12.014

Cheyne HA, Nuss RC, Hillman RE. Electroglottography in the pediatric population. Arch Otolaryngol Head Neck Surg. 1999;125(10):1105-8. doi: https://doi.org/10.1001/archotol.125.10.1105

Ramig LO, Dromey C. Aerodynamic mechanisms underlying treatment-related changes in vocal intensity in patients with Parkinson disease. J Speech Hear Res. 1996;39(4):798-807. doi: https://doi.org/10.1044/jshr.3904.798

Vaca M, Cobeta I, Mora E, Reyes P. Clinical Assessment of Glottal Insufficiency in Age-related Dysphonia. Journal of Voice. 2017;31(1):128.e1-.e5. doi: https://doi.org/10.1016/j.jvoice.2015.12.010

Mayes RW, Jackson-Menaldi C, DeJonckere PH, Moyer CA, Rubin AD. Laryngeal Electroglottography as a Predictor of Laryngeal Electromyography. Journal of Voice. 2008;22(6):756-9. doi: https://doi.org/10.1016/j.jvoice.2007.03.005

Ramírez DAM, Jiménez VMV, López XH, Ysunza PA. Acoustic Analysis of Voice and Electroglottography in Patients With Laryngopharyngeal Reflux. Journal of Voice. 2018;32(3):281-4. doi: https://doi.org/10.1016/j.jvoice.2017.05.009

Albudoor N, Peña ED. Factors influencing US speech and language therapists’ use of technology for clinical practice. International Journal of Language & Communication Disorders. 2021;56(3):567-82. doi: https://doi.org/10.1111/1460-6984.12614

Oates J. Auditory-perceptual evaluation of disordered voice quality: pros, cons and future directions. Folia Phoniatr Logop. 2009;61(1):49-56. doi: https://doi.org/10.1159/000200768

Kreiman J, Gerratt BR. Perceptual assessment of voice quality: Past, present, and future. Perspectives on Voice and Voice Disorders. 2010;20(2):62-7. doi: https://doi.org/10.1044/vvd20.2.62

Barnett S, Jones SC, Bennett S, Iverson D, Bonney A. Perceptions of family physician trainees and trainers regarding the usefulness of a virtual community of practice. J Med Internet Res. 2013;15(5):e92. doi: https://doi.org/10.2196/jmir.2555

Barnett S, Jones SC, Caton T, Iverson D, Bennett S, Robinson L. Implementing a virtual community of practice for family physician training: a mixed-methods case study. J Med Internet Res. 2014;16(3):e83. doi: https://doi.org/10.2196/jmir.3083

Grol R, Wensing M. Implementation of Change in Healthcare. In: Wensing M, Grol R, Grimshaw J, editors. Improving Patient Care. Hoboken: John Wiley & Sons Ltd; 2020. p. 1-20. doi: https://doi.org/10.1002/9781119488620.ch1

Mehta D, Hillman RE. Use of aerodynamic measures in clinical voice assessment. Perspectives on voice and voice disorders. 2007;17(3):14-8 doi: https://doi.org/10.1044/vvd17.3.14

Pillot-Loiseau C. Pression sous-glottique et débit oral d'air expiré comme aides à la pose du diagnostic de dysodie; implications pour la rééducation vocale. Entretiens d'orthophonie. 2011;32-45. Available from: https://shs.hal.science/halshs-00609092/

Lim KH, Ward LM, Benbasat I. An Empirical Study of Computer System Learning: Comparison of Co-Discovery and Self-Discovery Methods. Information Systems Research. 1997;8(3):254-72. doi: https://doi.org/10.1287/isre.8.3.254

Neufeld D, Fang Y, Wan Z. Community of Practice Behaviors and Individual Learning Outcomes. Group Decision and Negotiation. 2013;22(4):617-39. doi: https://doi.org/10.1007/s10726-012-9284-8

Cook JM, O’Donnell C, Dinnen S, Coyne JC, Ruzek JI, Schnurr PP. Measurement of a model of implementation for health care: toward a testable theory. Implementation Science. 2012;7(1):1-15 doi: https://doi.org/10.1186/1748-5908-7-59

Hajian S. Transfer of learning and teaching: A review of transfer theories and effective instructional practices. IAFOR Journal of education. 2019;7(1):93-111. doi: https://doi.org/10.22492/ije.7.1.06

Correia AMR. Virtual communities of practice: Investigating motivations and constraints in the processes of knowledge creation and transfer. Electronic Journal of Knowledge Management. 2010;8(1):11-20. Available from: https://academic-publishing.org/index.php/ejkm/article/view/885

Fahey R, Vasconcelos AC, Ellis D. The impact of rewards within communities of practice: a study of the SAP online global community. Knowledge Management Research & Practice. 2007;5(3):186-98. doi: https://doi.org/10.1057/palgrave.kmrp.8500140

Ikioda F, Kendall S, Brooks F, De Liddo A, Buckingham Shum S. Factors That Influence Healthcare Professionals’ Online Interaction in a Virtual Community of Practice. Social Networking. 2013;02:174-84. doi: https://doi.org/10.4236/sn.2013.24017

McLoughlin C, Patel KD, O’Callaghan T, Reeves S. The use of virtual communities of practice to improve interprofessional collaboration and education: findings from an integrated review. Journal of interprofessional care. 2018;32(2):136-42 doi: https://doi.org/10.1080/13561820.2017.1377692

Jackson BN, Purdy SC, Cooper-Thomas HD. Role of Professional Confidence in the Development of Expert Allied Health Professionals: A Narrative Review. J Allied Health. 2019;48(3):226-32. Available from: https://tinyurl.com/yutyqxcp

Grimm P. Social Desirability Bias. In: Wiley International Encyclopedia of Marketing. Hoboken: John Wiley & Sons Ltd; 2010. doi: https://doi.org/10.1002/9781444316568.wiem02057

van Mersbergen M, Ostrem J, Titze IR. Preparation of the speech-language pathologist specializing in voice: an educational survey. J Voice. 2001;15(2):237-50. doi: https://doi.org/10.1016/S0892-1997(01)00024-8

Procter T, Codino J, Rubin A. Finding Voice: A Survey of Clinical Fellows and Early Career Clinicians Specializing in Voice and Voice Disorders. Perspectives of the ASHA Special Interest Groups. 2021;6(5):1073-84. doi: https://doi.org/10.1044/2021_PERSP-21-00115

Rumbach AF, Dallaston K, Hill AE. Student perceptions of factors that influence clinical competency in voice. Int J Speech Lang Pathol. 2021;23(2):124-34. doi: https://doi.org/10.1080/17549507.2020.1737733

OOAQ. Pourquoi consulter un orthophoniste? [internet]. n.d. cited 2023. Available from: https://www.ooaq.qc.ca/consulter/orthophoniste/pourquoi-consulter-orthophoniste/


Download data is not yet available.