David Nono, Ernest Mwebesa, Godfrey Bagenda, Isaac Okullo, Charles Mugisha Rwenyonyi, Simon Williams
Assessment of the knowledge, attitude and practices of the informed consent process in oral healthcare among dental students in Makerere University Dental Hospital, Uganda
BMC medical education
multicausal nature voice disorders required evaluated systematically different ways determine exact nature disorder given importance voice teachers present study designed investigate causal relationship vocal fatigue index vfi voicerelated quality life vrqol mediating role dysphonia severity index dsi among teachers voice complaints analytical noninterventional study examined 57 male 122 female teachers voice complaint study used dsi vrqol vfi acoustic data extracted using praat software statistical analysis performed using spss direct indirect path testing proposed research model performed using path analysis bootstrapping respectively model fit indices showed proposed model data fit cfi 0998 gfi 0996 rmsea 0072 moreover subtests vfi significant direct relationship vrqol dsi measured using proposed model significant relationship vrqol therefore indirect path present model including tiredness voice vrqol dsi physical discomfort vrqol dsi improvement symptoms rest vrqol dsi show significant relationship vocal fatigue directly affects vrqol however affect indirectly dsi therefore concluded although dsi vrqol correlated causal relationship dsi acoustic parameter cannot appropriate mediator relationship vfi vrqol