Abstract
Treatment adherence is a challenge in behavioral voice therapy. Patients commonly
encounter difficulties with practicing and implementing target voice techniques outside
of the clinic. Several mobile support strategies have been shown to improve adherence.
These strategies are driven by social cognitive theory, which provides a theoretical
but practical framework for understanding adherence behavior and solving adherence
problems. Key features of the theory include (1) its model of triadic asymmetrical
reciprocal causation, (2) the concept of human agency, and (3) the constructs of self-efficacy
and goal commitment. The purpose of this article is to (1) explain voice therapy adherence
within the framework of social cognitive theory, (2) illustrate three broad categories
of adherence problems, and (3) provide examples of strategies to address each. With
this exemplified knowledge, the clinician can diagnose factors that underlie patients'
adherence problems and develop individualized solutions. Given the significant role
adherence plays in behavioral interventions, this information holds substantial clinical
relevance.
Keywords
voice therapy - adherence - social cognitive theory - self-efficacy - mobile health
