Voice Handicap Index PDF unveils a wealth of details about this significant software for evaluating voice-related high quality of life. It supplies an in depth exploration of the index, from its origins and utility to interpretation, and the way it may be utilized in numerous settings. This complete useful resource delves into the nuances of this very important evaluation, promising to light up its sensible use in speech-language pathology, audiology, and communication issues analysis.
This information will stroll you thru the Voice Handicap Index PDF, exploring its construction, parts, and significance. We’ll study how the index can inform therapy plans and consider the effectiveness of remedy and rehabilitation. The accompanying examples and tables will make clear the sensible utility of the VHI in real-world settings, empowering you to know and make the most of this precious useful resource.
Overview of Voice Handicap Index (VHI)
The Voice Handicap Index (VHI) is a extensively used software for assessing the affect of voice issues on an individual’s high quality of life. It isn’t simply concerning the technical elements of the voice; it is about how the voice downside impacts each day dwelling. This index helps healthcare professionals perceive the affected person’s expertise past the medical prognosis.This instrument supplies a structured strategy to understanding the affected person’s perspective and figuring out areas the place help and intervention could also be most helpful.
It helps quantify the subjective expertise of getting a voice dysfunction, providing a precious lens past purely goal measurements.
Understanding the Goal and Software of the VHI
The VHI goals to measure the diploma to which a voice downside impacts an individual’s life. It focuses on how the voice situation impacts their each day actions, relationships, and general well-being. Clinicians use this knowledge to tailor therapy plans, perceive affected person wants, and monitor progress. It is a very important software for each prognosis and administration of voice issues.
Elements of the VHI
The VHI consists of two important subscales: a bodily subscale and a social/emotional subscale. These subscales provide a complete image of the voice handicap, acknowledging the multifaceted nature of the affect. The bodily subscale examines points associated to bodily discomfort and limitations, whereas the social/emotional subscale delves into the affect on relationships, vanity, and emotional well-being.
- Bodily Subscale: This part explores the bodily results of the voice downside. Examples embody points like ache, fatigue, and problem talking. It considers how the bodily elements of the voice dysfunction have an effect on the affected person’s each day actions and interactions.
- Social/Emotional Subscale: This subscale addresses the affect of the voice downside on social interactions and emotional well-being. It probes how the voice dysfunction impacts an individual’s relationships, self-confidence, and social participation. This facet acknowledges the substantial psychological affect of a voice dysfunction.
The VHI Scoring System
The VHI makes use of a standardized scoring system. Responses are sometimes on a 5-point scale, starting from “under no circumstances” to “extraordinarily.” Every merchandise inside the subscales receives a rating primarily based on the participant’s response. Greater scores usually point out a larger affect on the affected person’s life. This scoring system permits for quantifiable knowledge evaluation, making it simpler to trace progress and tailor interventions.
Reliability and Validity of the VHI
The VHI has demonstrated good reliability and validity throughout numerous research. Which means that the software constantly measures what it intends to measure and that totally different folks utilizing the VHI will get comparable outcomes. Its robust psychometric properties make it a trusted instrument within the area of voice care. Outcomes might be in comparison with set up developments and consider the effectiveness of therapy methods.
Comparability of VHI Variations
A desk evaluating totally different variations of the VHI, together with the unique and revised variations, will help exhibit the evolution of the software and its diversifications. It additionally illustrates how the instrument has refined its strategy over time to raised deal with the wants of sufferers.
| Characteristic | Unique VHI | Revised VHI |
|---|---|---|
| Focus | Broader vary of voice-related points | Extra particular give attention to voice-related difficulties |
| Variety of Gadgets | Unique variety of objects | Modified/up to date merchandise rely |
| Scoring System | Detailed scoring system rationalization | Clarification of revised scoring methodology |
| Reliability and Validity | Particulars on the preliminary research | Findings from subsequent analysis |
VHI PDF Interpretation
Understanding your Voice Handicap Index (VHI) rating could be a precious software in your journey to raised vocal well being. The VHI supplies a structured option to quantify the affect of voice issues in your each day life. Decoding the outcomes entails understanding the size and its connection to your particular state of affairs.Decoding the VHI is like having a personalised report card on your voice.
Every rating displays the diploma to which your voice impacts your each day life, from communication and social interactions to skilled and private well-being. This understanding is essential for each you and your healthcare supplier to develop an efficient therapy plan.
Understanding Rating Ranges
The VHI is a standardized questionnaire, leading to a numerical rating. This rating, starting from 0 to 100, supplies insights into the severity of your voice handicap. Scores nearer to 0 point out minimal affect, whereas scores nearer to 100 counsel a big voice handicap. This is not only a quantity; it is a reflection of your lived expertise.
Significance of Completely different Rating Ranges
A rating beneath 20 sometimes signifies a minimal voice handicap, with solely delicate or negligible affect on each day life. People on this vary may expertise occasional discomfort however not vital limitations. Scores between 20 and 40 counsel a reasonable handicap, probably impacting each day actions to a slight diploma. Scores between 40 and 60 point out a noticeable voice handicap, affecting communication, social interactions, and probably work or private life.
Scores above 60 normally level to a big handicap, impacting practically each facet of each day life.
Medical Implications of VHI Scores
A low VHI rating usually signifies a minor voice downside, which could not necessitate intensive therapy. Reasonable scores warrant a extra in-depth evaluation to pinpoint the supply of the issue and tailor therapy methods. Excessive scores emphasize the crucial want for complete analysis and personalised therapy, probably involving a multidisciplinary strategy. The VHI rating is not a prognosis, however it supplies essential info to information prognosis and therapy planning.
Utilizing VHI Scores in Therapy Planning
VHI scores function an important benchmark in therapy planning. A affected person with a low VHI rating may profit from easy voice workouts and life-style changes. A affected person with a reasonable rating may want extra intensive remedy, probably together with speech remedy and vocal hygiene strategies. Excessive scores demand an intensive analysis to find out essentially the most acceptable therapy technique.
This may contain a mix of medical interventions, remedy, and life-style adjustments.
Relationship Between VHI Scores and Potential Diagnoses
The VHI rating, in itself, doesn’t diagnose a particular situation. Nevertheless, it may well provide clues about potential diagnoses. For instance, a excessive rating together with different signs may counsel a vocal twine dysfunction, or vocal nodules. A radical medical analysis by a healthcare skilled is important to verify the prognosis and decide essentially the most acceptable therapy.
| VHI Rating Vary | Potential Prognosis Issues |
|---|---|
| 0-20 | Minimal voice handicap, occasional discomfort, probably no vital therapy wanted. |
| 20-40 | Reasonable voice handicap, potential affect on each day actions. Contemplate additional evaluation. |
| 40-60 | Noticeable voice handicap, impacting communication, social interplay, and probably work or private life. Additional analysis is important. |
| 60-80 | Important voice handicap, impacting practically each facet of each day life. Requires a complete evaluation and personalised therapy plan. |
| 80-100 | Extreme voice handicap, drastically impacting all elements of each day life. Pressing medical analysis is extremely really helpful. |
VHI PDF Software in Completely different Settings: Voice Handicap Index Pdf
The Voice Handicap Index (VHI) PDF, a precious software for assessing voice-related high quality of life, finds purposes throughout numerous healthcare settings. Its versatility stems from its skill to quantify the affect of voice issues on each day life, enabling personalised interventions and a deeper understanding of the affected person’s expertise. This versatility permits clinicians to tailor therapy plans to particular wants and empowers sufferers to actively take part of their restoration journey.The VHI’s structured format, simply accessible as a PDF, permits for handy and standardized evaluation.
This ease of use transcends scientific settings, making it a strong software for analysis and understanding the complicated interaction between voice and general well-being. Its numerical scoring system supplies a quantifiable measure of the affect of voice issues, enabling comparisons throughout totally different populations and facilitating the analysis of therapy efficacy.
VHI in Speech-Language Pathology
Speech-language pathologists (SLPs) make the most of the VHI to achieve a complete understanding of a affected person’s voice-related considerations past the target measures of vocal perform. This permits them to handle not simply the physiological elements of the voice, but additionally the emotional and social ramifications of a voice dysfunction. The VHI supplies a patient-centered perspective, enabling SLPs to design focused interventions that deal with the precise wants and challenges skilled by every particular person.
For instance, a person experiencing vital social anxiousness as a result of a voice tremor can profit from therapies that deal with each the voice dysfunction and the related psychological affect.
VHI in Audiology
Audiologists, usually concerned in managing voice issues as a part of their observe, use the VHI to judge the affect of voice issues on general high quality of life. They’ll determine sufferers experiencing vital voice-related misery, and deal with potential underlying auditory points which may contribute to voice issues. As an illustration, listening to loss may result in vocal pressure, thus affecting the affected person’s general well-being.
The VHI allows a holistic strategy, acknowledging the multi-faceted nature of communication issues.
VHI in Communication Problems Analysis
The VHI is a precious software for analysis into communication issues. Researchers can use the VHI to evaluate the effectiveness of various therapy approaches or to match the affect of varied voice issues on high quality of life throughout totally different populations. As an illustration, researchers may evaluate the VHI scores of sufferers with vocal nodules to these with different voice issues, permitting for a extra nuanced understanding of the precise challenges related to every kind of dysfunction.
This detailed understanding will help inform the event of extra focused and efficient remedies.
VHI in Assessing Voice-Associated High quality of Life
The VHI performs an important position in assessing the general affect of voice issues on a person’s high quality of life. This consists of their skill to take part in social actions, keep relationships, and carry out each day duties. By offering a standardized measure of voice-related high quality of life, the VHI helps clinicians determine sufferers who may have extra help and assets.
It facilitates a extra holistic strategy to care, contemplating not simply the bodily elements of the voice, but additionally the broader affect on the affected person’s life.
VHI Software in Completely different Healthcare Settings
| Healthcare Setting | VHI Software |
|---|---|
| Speech-Language Pathology Clinics | Assessing voice-related high quality of life, tailoring interventions, and monitoring therapy progress. |
| Audiology Practices | Evaluating the affect of voice issues, figuring out sufferers requiring extra help, and probably detecting underlying auditory points. |
| Communication Problems Analysis | Assessing therapy effectiveness, evaluating the affect of various voice issues, and figuring out patterns of voice-related misery. |
| Hospitals and Medical Facilities | Assessing voice-related high quality of life for sufferers present process voice-related surgical procedures or remedies, evaluating the affect of various therapy approaches, and monitoring progress post-intervention. |
| Voice Facilities | Offering a complete evaluation of voice-related high quality of life for sufferers with various voice situations, monitoring the effectiveness of various interventions, and facilitating patient-centered care. |
VHI PDF and Associated Measures
The Voice Handicap Index (VHI) is a precious software for assessing the affect of voice issues on an individual’s high quality of life. Understanding the way it compares to different measures and its strengths and weaknesses is essential for a complete evaluation. This part delves into the intricacies of the VHI, highlighting its place within the broader panorama of voice analysis.The VHI, whereas extensively used, is just not the only voice evaluation software.
Evaluating it to others supplies a clearer image of its strengths and limitations, and informs one of the best strategy for particular affected person instances. Its correlation with different measures supplies a validation of its scientific utility. Choosing the proper mixture of instruments is essential for acquiring a holistic understanding of the voice situation and its results on each day life.
Evaluating VHI to Different Voice Evaluation Instruments
The VHI focuses on the subjective expertise of the voice dysfunction. Different instruments usually delve into goal measures like acoustic evaluation (measuring vocal depth, pitch, and different traits) or aerodynamic evaluation (assessing airflow and stress). Every strategy gives distinctive insights, and a complete analysis usually requires combining a number of strategies. As an illustration, a excessive VHI rating may correlate with diminished vocal depth as measured by acoustic evaluation.
Strengths and Limitations of the VHI
The VHI’s power lies in its skill to seize the affected person’s perspective on how their voice situation impacts their each day life. This subjective viewpoint is invaluable for understanding the affect past goal measurements. A limitation is that it is primarily based on self-report, which might be influenced by temper or different components. Subsequently, utilizing it alongside goal measures supplies a extra balanced image.
Correlation Between VHI and Different Voice Measures
Research have proven correlations between VHI scores and numerous voice measures, together with acoustic analyses and perceptual evaluations. For instance, increased VHI scores continuously correspond to decrease perceived vocal high quality scores. This correlation means that the VHI successfully captures the connection between perceived voice issues and their affect on high quality of life.
Significance of Utilizing A number of Evaluation Instruments
Utilizing a mix of evaluation instruments supplies a extra full image of the voice downside. This strategy avoids relying solely on subjective experiences or goal measurements, permitting for a extra nuanced understanding of the state of affairs. As an illustration, combining VHI with acoustic analyses helps clinicians perceive each the affected person’s subjective expertise and the target elements of their voice.
Comparability of VHI to the Voice Aerodynamic Profile
| Characteristic | VHI | Voice Aerodynamic Profile |
|---|---|---|
| Focus | Subjective affect on high quality of life | Goal measures of airflow and stress |
| Knowledge Assortment | Self-reported questionnaire | Instrumental measurements |
| Strengths | Straightforward to manage, captures affected person perspective | Gives detailed goal knowledge |
| Limitations | Subjectivity, potential for bias | Requires specialised tools and experience |
| Medical Use | Figuring out severity of voice downside and affect on each day life | Evaluating vocal perform and effectivity, diagnosing potential underlying points |
The Voice Aerodynamic Profile, for instance, measures how a lot air is pushed out throughout phonation. It is a highly effective software to know the bodily mechanisms of voice manufacturing. The VHI, however, supplies a precious perception into how these bodily mechanisms affect a affected person’s on a regular basis life. Each provide essential items of knowledge to assist healthcare suppliers create efficient therapy plans.
VHI PDF and Voice Problems
The Voice Handicap Index (VHI) is a precious software for understanding the affect of voice issues on an individual’s each day life. It isn’t simply concerning the medical elements; it is about how the voice downside impacts their social interactions, emotional well-being, and general high quality of life. This understanding is essential for efficient therapy planning and monitoring.The VHI’s skill to quantify the subjective expertise of voice issues permits clinicians to achieve a complete view past goal measures like vocal fold examination.
It helps determine the nuances of a voice dysfunction’s affect, which are sometimes missed by purely bodily assessments. This holistic strategy ensures that therapy methods are tailor-made to handle the affected person’s particular wants and considerations.
Relationship Between VHI and Completely different Voice Problems
The VHI is delicate to varied voice issues, reflecting the varied methods these situations have an effect on people. The severity and sort of voice dysfunction can strongly affect the VHI rating. As an illustration, people with vocal nodules may expertise problem with communication and social interactions, which may result in increased VHI scores. Conversely, these with delicate voice tremor may expertise much less affect on each day life, leading to decrease scores.
This relationship highlights the significance of contemplating the subjective expertise alongside goal measures.
Examples of VHI Scores Correlating with Particular Voice Issues
VHI scores can correlate with particular voice issues in a number of methods. A excessive VHI rating usually signifies vital difficulties in social conditions and work efficiency. As an illustration, a affected person with laryngopharyngeal reflux may expertise a excessive VHI rating because of the persistent hoarseness and discomfort. Equally, these with vocal fold paralysis could report difficulties with clear speech and vocal projection, resulting in increased VHI scores.
These correlations enable clinicians to attach particular voice points with their perceived affect on each day life.
Utilizing VHI to Monitor Therapy Progress
Monitoring VHI scores over time supplies precious perception into the effectiveness of therapy. A decline in VHI scores suggests enchancment within the affected person’s perceived voice-related high quality of life. For instance, a affected person present process speech remedy for vocal twine nodules may see a lower in VHI scores as their voice improves, demonstrating the therapy’s constructive affect. This monitoring permits clinicians to adapt therapy methods primarily based on noticed progress.
Figuring out Sufferers Who May Profit from Particular Remedies
The VHI will help determine sufferers who’re more likely to profit from particular voice remedy approaches. People with excessive VHI scores and particular vocal complaints could also be extra appropriate candidates for sure therapies, similar to voice rehabilitation or laryngeal surgical procedure. For instance, a affected person experiencing extreme vocal fatigue as a result of extreme use may profit from vocal hygiene and voice relaxation strategies.
The VHI helps to focus on therapy methods primarily based on the person’s particular wants.
Differentiating Between Varied Kinds of Voice Problems
The VHI can help in differentiating between numerous kinds of voice issues. By contemplating the VHI rating alongside different diagnostic info, clinicians can achieve a extra complete understanding of the affected person’s voice downside. As an illustration, a affected person with a excessive VHI rating and a historical past of vocal abuse could have a distinct dysfunction than somebody with a decrease VHI rating and a historical past of reflux.
This nuanced strategy helps to personalize therapy plans.
VHI PDF and Voice Remedy
The Voice Handicap Index (VHI) is a strong software for understanding the affect of voice issues on each day life. It goes past simply measuring the bodily elements of a voice downside, delving into the emotional and social penalties. This understanding is essential for tailoring efficient voice remedy.Voice remedy is considerably enhanced when it is personalised. By utilizing VHI scores, therapists can achieve a deeper perception right into a affected person’s distinctive expertise and regulate their strategy accordingly.
This is not nearly adjusting workouts; it is about understanding the precise challenges and anxieties that the affected person faces, and the way these challenges have an effect on their high quality of life.
How VHI Scores Inform Remedy Methods
VHI scores present a roadmap for therapists, illuminating the precise areas the place a affected person wants help. A excessive rating within the bodily area, for instance, may point out the necessity for workouts specializing in vocal manufacturing and mechanics. Conversely, a excessive rating within the social area may sign the necessity for methods addressing communication anxieties and social interplay. This individualized strategy is essential to maximizing the effectiveness of therapy.
Creating Customized Therapy Plans
Utilizing VHI scores, therapists can develop personalised therapy plans. The plan can incorporate methods to handle the precise voice points recognized by the scores. For instance, a affected person with a excessive rating within the emotional area may profit from cognitive behavioral remedy (CBT) strategies to handle stress and anxiousness associated to their voice. The plan might be tailor-made to particular person wants and preferences, making the method extra participating and efficient.
Incorporating VHI Knowledge into Remedy Periods
VHI knowledge might be built-in into each stage of remedy. Earlier than beginning remedy, the VHI can be utilized to know the affected person’s considerations and expectations. Throughout periods, the VHI can be utilized as a benchmark to observe progress and regulate methods as wanted. After periods, the VHI will help to judge the affect of remedy on the affected person’s high quality of life.
Measuring the Effectiveness of Voice Remedy
The VHI is a precious software for measuring the effectiveness of voice remedy. By monitoring VHI scores earlier than, throughout, and after remedy, therapists can objectively assess the affect of their interventions. A lower in VHI scores over time means that the remedy is efficient in enhancing the affected person’s voice-related high quality of life. This permits for changes and refinements within the therapy plan as wanted.
VHI-Based mostly Therapy Suggestions for Completely different Voice Problems
| Voice Dysfunction | VHI Focus Areas | Therapy Suggestions |
|---|---|---|
| Vocal Nodules | Bodily (vocal manufacturing/mechanics), Emotional (stress/anxiousness) | Vocal hygiene, rest strategies, communication methods |
| Laryngopharyngeal Reflux (LPR) | Bodily (vocal fatigue), Social (communication challenges) | Dietary modifications, life-style adjustments, voice relaxation, vocal workouts |
| Spasmodic Dysphonia | Bodily (vocal management), Emotional (worry/embarrassment) | Rest workouts, biofeedback, cognitive restructuring |
| Vocal Paralysis | Bodily (vocal high quality/loudness), Social (communication difficulties) | Speech remedy, voice prosthetics, different communication methods |
This desk supplies a place to begin for therapy suggestions, however every affected person’s wants and responses will differ. Therapists ought to adapt these suggestions primarily based on the person’s particular VHI scores and scientific presentation.
VHI PDF and Voice Rehabilitation
The Voice Handicap Index (VHI) is a precious software in voice rehabilitation, providing insights into the affect of voice issues on an individual’s each day life. By monitoring adjustments in VHI scores all through the rehabilitation course of, clinicians can achieve a nuanced understanding of how efficient interventions are. This understanding permits for tailor-made changes and improved outcomes for sufferers.The VHI’s skill to quantify the subjective expertise of voice issues makes it a strong metric for monitoring progress and evaluating the effectiveness of therapy.
This goal measurement allows a extra exact evaluation of the affect of voice rehabilitation, offering precious knowledge to information remedy changes.
Monitoring Voice Rehabilitation Progress
VHI scores can function a dependable indicator of progress throughout voice rehabilitation. Monitoring VHI scores over time reveals patterns in enchancment or decline, providing clinicians and sufferers precious suggestions on the effectiveness of the therapy plan. A constant lower in VHI scores suggests constructive progress, whereas a plateau or improve could sign the necessity for changes to the remedy program.
This steady monitoring permits for well timed intervention and prevents setbacks.
Evaluating Voice Rehabilitation Workouts
The VHI can be utilized to evaluate the affect of particular voice rehabilitation workouts. By evaluating VHI scores earlier than and after implementing explicit workouts, clinicians can decide which workouts are simplest in lowering voice handicap. This data-driven strategy permits for a extra focused and personalised voice rehabilitation program, optimizing the usage of time and assets.
Adapting Voice Rehabilitation Packages
VHI knowledge permits for dynamic changes to voice rehabilitation packages. For instance, if a affected person exhibits a slower enchancment charge in sure areas, this system might be modified to include extra workouts specializing in these particular areas. By adapting this system in response to the affected person’s distinctive wants, the remedy turns into more practical and tailor-made to provide the very best outcomes.
Figuring out People Needing Extra Assist
VHI scores will help determine people who could require additional help throughout voice rehabilitation. Sufferers who exhibit a excessive VHI rating or who present little enchancment after a sure interval could profit from extra remedy periods or consultations with specialists. Early identification of those people ensures they obtain the suitable stage of help and prevents them from falling behind.
Frequent Voice Rehabilitation Workouts and Potential VHI Influence
| Train | Potential Influence on VHI Scores |
|---|---|
| Vocal warm-ups (e.g., buzzing, lip trills) | Probably improves vocal perform and reduces pressure, resulting in decrease VHI scores. |
| Resonance workouts (e.g., altering vocal tone) | Can enhance vocal high quality and management, leading to a discount of VHI scores. |
| Respiratory workouts | Improved breath management can result in higher vocal manufacturing, reducing VHI scores. |
| Articulation and phonation workouts | These workouts improve vocal readability and management, probably reducing VHI scores. |
| Voice relaxation and avoidance of vocal overuse | Important to permit vocal cords to recuperate, contributing to diminished voice handicap. |
Illustrative Examples of VHI PDF Knowledge
Let’s dive into the sensible utility of the Voice Handicap Index (VHI) PDF studies. Understanding these studies is essential to efficient voice remedy and rehabilitation. These studies aren’t simply numbers; they’re precious instruments for each clinicians and sufferers. They provide insights into the affect of voice issues on each day life.
Instance VHI PDF Report, Voice handicap index pdf
This instance report showcases a affected person’s VHI outcomes. The report particulars the affected person’s responses to questions assessing their voice-related difficulties. This detailed evaluation permits clinicians to know the precise areas the place the affected person experiences essentially the most challenges. Completely different sections of the report cowl numerous elements of voice handicap, offering a complete overview.
Interpretation of the Knowledge
The information offered within the VHI PDF report sometimes consists of scores for various domains, similar to social/emotional, bodily, and practical elements of voice. Excessive scores in any of those domains point out a big affect of the voice dysfunction on the affected person’s life. An in depth interpretation would contain inspecting the scores in every area and their potential correlations. This might contain trying on the particular questions the affected person answered and their causes for choosing explicit solutions.
Clinicians would then use this info to tailor their strategy to the affected person’s wants.
Use in Medical Observe
The VHI PDF report is a useful software for voice therapists. It supplies a baseline measurement of the affected person’s voice-related handicap. It helps in monitoring the progress of the affected person over time. This knowledge is important for creating personalised therapy plans and assessing the effectiveness of remedy. By understanding the precise areas the place a affected person struggles, clinicians can goal their interventions successfully.
Parts of the Instance VHI PDF
The VHI PDF report normally includes a number of sections. The primary part usually consists of demographic details about the affected person. That is adopted by a abstract of the general VHI rating, which represents the mixed rating throughout all domains. The report will seemingly comprise a breakdown of scores for particular person domains, providing insights into particular challenges. The report may additionally embody a desk with the uncooked knowledge or graphs displaying the outcomes, permitting for a visible illustration of the affected person’s handicap.
Typical VHI PDF Report Abstract
“Affected person offered with a VHI whole rating of 42, indicating a reasonable voice handicap. Scores for the bodily area have been comparatively excessive, suggesting vital bodily discomfort. The practical area confirmed reasonable affect, highlighting challenges in each day actions. The social/emotional area exhibited a decrease rating, indicating a considerably decrease stage of social or emotional misery associated to the voice situation. This means the necessity for a give attention to managing the bodily and practical elements of the voice dysfunction. Additional analysis and remedy suggestions can be developed primarily based on these outcomes.”