Supporting the Therapeutic Voice: Outcomes of an Online Vocal Health Education Program for Music Therapists

Background: Music therapists are professional voice users who rely extensively on both singing and speech in clinical practice, putting them at risk for developing voice disorders. Although vocal health education has been shown to reduce the incidence of voice problems among other professional voice users such as educators and singers, there is limited evidence concerning their effectiveness for music therapists. Objective: This study aims to evaluate the impact of a 4-week online vocal health education program for music therapists by examining changes in self-perceived knowledge, confidence, awareness, practice, and overall vocal health. It also explores participants’ experiences of the program, including motivations, perceived benefits, and challenges. Methods: A convergent parallel-mixed methods design was employed. Seven music therapists enrolled, and six completed all components of the program, which comprised 4 weekly 1-hour online sessions integrating theoretical content with practical exercises. Quantitative data was collected through pre- and post-program 14-item surveys and analyzed using descriptive and inferential statistics. Qualitative data from a post-program focus group was analyzed thematically. Results: Mean scores increased on 12 of 14 survey items, indicating perceived improvements in vocal health knowledge, awareness, and confidence. The largest gains were in regular use of vocal warm-ups, understanding of vocal health strategies and recovery techniques, and confidence in managing fatigue. Slight increases in reported discomfort and fatigue were noted following the program. Thematic analysis revealed three overarching themes: (i) rationale for participation, (ii) program reflections and experiences, and (iii) recommendations for future program delivery. Conclusion: Findings suggest that a brief online vocal health education program is well-received and beneficial in enhancing music therapists’ awareness, confidence, and self-reported vocal health practices. Larger longitudinal studies are warranted to examine long-term effects on vocal health and to inform the development of specialized training within music therapy education and professional development.