{"id":"https://openalex.org/W7127089255","doi":"https://doi.org/10.1016/j.jvoice.2026.01.023","title":"\u201cSinging-it-Safe\u201d: Using the Behavior Change (COM-B) Model to Understand Australian Conservatorium Singing Students\u2019 Vocal Health Behaviors","display_name":"\u201cSinging-it-Safe\u201d: Using the Behavior Change (COM-B) Model to Understand Australian Conservatorium Singing Students\u2019 Vocal Health Behaviors","publication_year":2026,"publication_date":"2026-02-01","ids":{"openalex":"https://openalex.org/W7127089255","doi":"https://doi.org/10.1016/j.jvoice.2026.01.023","pmid":"https://pubmed.ncbi.nlm.nih.gov/41633850"},"language":"en","primary_location":{"id":"doi:10.1016/j.jvoice.2026.01.023","doi":"https://doi.org/10.1016/j.jvoice.2026.01.023","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvoice.2026.01.023","pdf_url":"https://www.jvoice.org/article/S0892-1997(26)00025-1/pdf","source":{"id":"https://openalex.org/S15409311","display_name":"Journal of Voice","issn_l":"0892-1997","issn":["0892-1997","1873-4588"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Voice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.jvoice.org/article/S0892-1997(26)00025-1/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114045986","display_name":"Timothea Lau","orcid":"https://orcid.org/0000-0002-4361-1800","observed_orcids":["https://orcid.org/0000-0002-4361-1800"]},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Timothea Lau","raw_affiliation_strings":["The University of Sydney, Rm 2081, Conservatorium of Music C41, Sydney 2006,\u00a0New South Wales,\u00a0Australia. Electronic address: timothea.lau@sydney.edu.au"],"raw_orcid":"https://orcid.org/0000-0002-4361-1800","affiliations":[{"raw_affiliation_string":"The University of Sydney, Rm 2081, Conservatorium of Music C41, Sydney 2006,\u00a0New South Wales,\u00a0Australia. Electronic address: timothea.lau@sydney.edu.au","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001593395","display_name":"Jane Bickford","orcid":"https://orcid.org/0000-0001-6080-4279","observed_orcids":["https://orcid.org/0000-0001-6080-4279"]},"institutions":[{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Jane Bickford","raw_affiliation_strings":["Flinders Medical Centre (7E:544), GPO Box 2100, Adelaide 5001, South Australia,\u00a0Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Flinders Medical Centre (7E:544), GPO Box 2100, Adelaide 5001, South Australia,\u00a0Australia","institution_ids":["https://openalex.org/I2802931750"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067548811","display_name":"Helen F. Mitchell","orcid":"https://orcid.org/0000-0002-3852-3419","observed_orcids":["https://orcid.org/0000-0002-3852-3419"]},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Helen F. Mitchell","raw_affiliation_strings":["The University of Sydney, Rm 2081, Conservatorium of Music C41, Sydney 2006,\u00a0New South Wales,\u00a0Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Sydney, Rm 2081, Conservatorium of Music C41, Sydney 2006,\u00a0New South Wales,\u00a0Australia","institution_ids":["https://openalex.org/I129604602"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5114045986"],"corresponding_institution_ids":["https://openalex.org/I129604602"],"apc_list":{"value":3650,"currency":"USD","value_usd":3650},"apc_paid":{"value":3650,"currency":"USD","value_usd":3650},"fwci":4.159,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.89032477,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10863","display_name":"Voice and Speech Disorders","score":0.7612000107765198,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10863","display_name":"Voice and Speech Disorders","score":0.7612000107765198,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14034","display_name":"Musicians\u2019 Health and Performance","score":0.15119999647140503,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11425","display_name":"Diverse Music Education Insights","score":0.07760000228881836,"subfield":{"id":"https://openalex.org/subfields/1210","display_name":"Music"},"field":{"id":"https://openalex.org/fields/12","display_name":"Arts and Humanities"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vocal-health","display_name":"vocal health","score":0.7429999709129333},{"id":"https://openalex.org/keywords/voice-students","display_name":"vocal students","score":0.9129999876022339},{"id":"https://openalex.org/keywords/com-b-model","display_name":"COM-B model","score":0.7519999742507935},{"id":"https://openalex.org/keywords/vocal-hygiene","display_name":"vocal hygiene","score":0.5730000138282776},{"id":"https://openalex.org/keywords/voice-teachers","display_name":"voice teachers","score":0.777999997138977},{"id":"https://openalex.org/keywords/barriers-to-help-seeking","display_name":"help-seeking barriers","score":0.7400000095367432},{"id":"https://openalex.org/keywords/occupational-voice-use","display_name":"occupational voice use","score":0.5130000114440918},{"id":"https://openalex.org/keywords/multidisciplinary-collaboration","display_name":"multidisciplinary collaboration","score":0.6330000162124634}],"concepts":[{"id":"https://openalex.org/C44819458","wikidata":"https://www.wikidata.org/wiki/Q27939","display_name":"Singing","level":2,"score":0.870199978351593},{"id":"https://openalex.org/C2909265923","wikidata":"https://www.wikidata.org/wiki/Q106776480","display_name":"Voice Training","level":2,"score":0.6150000095367432},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5972999930381775},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.46880000829696655},{"id":"https://openalex.org/C2780336059","wikidata":"https://www.wikidata.org/wiki/Q215558","display_name":"Vocal folds","level":3,"score":0.46720001101493835},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42340001463890076},{"id":"https://openalex.org/C173988693","wikidata":"https://www.wikidata.org/wiki/Q678132","display_name":"Phonation","level":2,"score":0.41499999165534973},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3718999922275543},{"id":"https://openalex.org/C37692320","wikidata":"https://www.wikidata.org/wiki/Q33226","display_name":"Speech-Language Pathology","level":2,"score":0.36410000920295715},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3571000099182129},{"id":"https://openalex.org/C14262774","wikidata":"https://www.wikidata.org/wiki/Q4880695","display_name":"Behavior change","level":2,"score":0.3379000127315521},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.33239999413490295},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.31360000371932983},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.30140000581741333},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.2980000078678131},{"id":"https://openalex.org/C1602351","wikidata":"https://www.wikidata.org/wiki/Q381370","display_name":"Health belief model","level":4,"score":0.2874999940395355},{"id":"https://openalex.org/C20766975","wikidata":"https://www.wikidata.org/wiki/Q7390","display_name":"Human voice","level":2,"score":0.28139999508857727},{"id":"https://openalex.org/C2780009028","wikidata":"https://www.wikidata.org/wiki/Q2593013","display_name":"Voice therapy","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C86772948","wikidata":"https://www.wikidata.org/wiki/Q1413287","display_name":"Social skills","level":2,"score":0.26179999113082886},{"id":"https://openalex.org/C110269972","wikidata":"https://www.wikidata.org/wiki/Q184872","display_name":"Recreation","level":2,"score":0.2599000036716461},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.2554999887943268},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.2533000111579895}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jvoice.2026.01.023","doi":"https://doi.org/10.1016/j.jvoice.2026.01.023","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvoice.2026.01.023","pdf_url":"https://www.jvoice.org/article/S0892-1997(26)00025-1/pdf","source":{"id":"https://openalex.org/S15409311","display_name":"Journal of Voice","issn_l":"0892-1997","issn":["0892-1997","1873-4588"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Voice","raw_type":"journal-article"},{"id":"pmid:41633850","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41633850","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of voice : official journal of the Voice Foundation","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.jvoice.2026.01.023","doi":"https://doi.org/10.1016/j.jvoice.2026.01.023","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvoice.2026.01.023","pdf_url":"https://www.jvoice.org/article/S0892-1997(26)00025-1/pdf","source":{"id":"https://openalex.org/S15409311","display_name":"Journal of Voice","issn_l":"0892-1997","issn":["0892-1997","1873-4588"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Voice","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/4","score":0.5,"display_name":"Quality education"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/4","score":0.6989401578903198,"display_name":"Quality education"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127089255.pdf","grobid_xml":"https://content.openalex.org/works/W7127089255.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W2001525455","https://openalex.org/W2017000182","https://openalex.org/W2053269497","https://openalex.org/W2129660502","https://openalex.org/W2136608905","https://openalex.org/W2804822770"],"related_works":[],"abstract_inverted_index":{"Musicians":[0],"are":[1,28],"a":[2,210,230],"high-risk":[3],"population":[4],"susceptible":[5],"to":[6,31,56,65,82,153,168,173,196,214,238,244],"various":[7],"occupation-related":[8],"health":[9,50,59,74,87,162,176,202,216,219,232],"issues.":[10],"Conservatorium":[11,41],"singing":[12,42],"students'":[13,84],"risk":[14],"of":[15,35,71,78,229],"vocal":[16,49,58,73,86,136,144,161,175,215,222,231,247],"injury":[17],"increases":[18],"as":[19],"more":[20,189],"time":[21],"is":[22,81,192],"spent":[23],"practising":[24,101],"and":[25,37,51,69,98,119,138,147,159,185,221],"performing.":[26],"Singers":[27],"particularly":[29],"vulnerable":[30],"the":[32,54,67,122,207,227,242],"negative":[33,72],"effects":[34],"social":[36],"recreational":[38],"voice":[39,96,107,183],"use.":[40],"students":[43,186,198,240],"have":[44],"demonstrated":[45],"little":[46],"awareness":[47],"on":[48],"well-being.":[52],"Understanding":[53],"barriers":[55],"good":[57],"will":[60,225],"allow":[61],"for":[62,129,209,235],"targeted":[63],"strategies":[64],"minimize":[66],"development":[68],"continuation":[70],"habits.":[75],"The":[76],"aim":[77],"this":[79],"study":[80,205],"investigate":[83],"current":[85],"behaviors.":[88,163],"A":[89],"qualitative":[90],"design":[91,228],"was":[92],"used.":[93],"Vocal":[94],"teachers,":[95],"students,":[97],"independent":[99],"accredited":[100],"speech":[102],"pathologists":[103],"who":[104],"specialized":[105],"in":[106,109,135,143,155,179,199],"participated":[108],"iterative":[110],"semi-structured":[111],"interviews.":[112],"Data":[113],"were":[114,166],"transcribed":[115],"verbatim,":[116],"analyzed":[117],"thematically,":[118],"interpreted":[120],"through":[121],"Capability,":[123],"Opportunity,":[124],"Motivation,":[125],"Behavior":[126,130],"(COM-B)":[127],"Model":[128],"Change.":[131],"Students'":[132],"limited":[133],"knowledge":[134],"anatomy":[137],"physiology":[139],"hindered":[140],"their":[141,149,180,246],"engagement":[142],"hygiene":[145],"practices":[146],"articulate":[148],"concerns.":[150],"This":[151,204],"contributed":[152],"hesitation":[154],"seeking":[156],"professional":[157],"help":[158],"passive":[160],"Voice":[164],"teachers":[165,184],"committed":[167],"student":[169],"well-being":[170],"but":[171],"struggled":[172],"make":[174],"concepts":[177],"accessible":[178],"teaching.":[181],"Both":[182],"reported":[187],"that":[188],"formal":[190],"support":[191],"needed":[193],"within":[194],"conservatoria":[195],"aid":[197],"accessing":[200],"relevant":[201],"professionals.":[203],"provided":[206],"foundation":[208],"collaborative,":[211],"multidisciplinary":[212],"approach":[213],"education":[217,233],"from":[218],"professionals":[220],"teachers.":[223],"Results":[224],"inform":[226],"program":[234],"conservatorium":[236],"singers":[237],"provide":[239],"with":[241],"skills":[243],"manage":[245],"health.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-09-23T05:00:35.095934","created_date":"2026-02-03T00:00:00"}
