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Self-perception and listener perceptions at long-term follow-up of a gender-affirming voice training program for transgender women

Clara Leyns (UGent) , Liese Bostyn (UGent) and Evelien D'haeseleer (UGent)
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Abstract
Introduction: Many transgender individuals find their voice often not matching their gender identity. By using gender-affirming voice training, voice and communication specialists help transgender women find a voice that aligns with their gender identity. Short-term outcomes of voice training programs showed progress in listener perception, self-perception, and satisfaction of transgender women's voices. While some long-term results have been reported, most of these studies were retrospective. This prospective study examines the long-term effects, 3 months and 1 year after gender-affirming voice training in transgender women, on satisfaction, self-perception, and listeners' perception. Methods and materials: Thirty transgender women followed a 10-week gender-affirming voice training program consisting of pitch elevation and articulation-resonance training. Self-perception and satisfaction of the transgender women were measured by the Trans Women Voice Questionnaire and a visual analogue scale where they had to score their current and ideal voice. Thirty nine listeners rated the trans women's voice samples by using a visual analogue scale ranging from very masculine to very feminine. Immediately after training, 3 months and 1 year after training, measurements were performed. Results and discussion: Concerning self-perception and satisfaction of the voice, the effects observed immediately after training remained stable in the follow-up period. Thus, 3 months and 1 year after training, the participants perceived the voice-related impact on their daily life equal to the impact just after training discharge. Significant decreases in femininity ratings of listeners' perceptions were reported immediately after training and 3 months after training, although still being in the gender-ambiguous zone. No significant changes were reported between the 3 months and 1 year follow-up. Future studies should implement longer follow-up periods and qualitative components.

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MLA
Leyns, Clara, et al. “Self-Perception and Listener Perceptions at Long-Term Follow-up of a Gender-Affirming Voice Training Program for Transgender Women.” JOURNAL OF VOICE, 2025, doi:10.1016/j.jvoice.2024.10.032.
APA
Leyns, C., Bostyn, L., & D’haeseleer, E. (2025). Self-perception and listener perceptions at long-term follow-up of a gender-affirming voice training program for transgender women. JOURNAL OF VOICE. https://doi.org/10.1016/j.jvoice.2024.10.032
Chicago author-date
Leyns, Clara, Liese Bostyn, and Evelien D’haeseleer. 2025. “Self-Perception and Listener Perceptions at Long-Term Follow-up of a Gender-Affirming Voice Training Program for Transgender Women.” JOURNAL OF VOICE. https://doi.org/10.1016/j.jvoice.2024.10.032.
Chicago author-date (all authors)
Leyns, Clara, Liese Bostyn, and Evelien D’haeseleer. 2025. “Self-Perception and Listener Perceptions at Long-Term Follow-up of a Gender-Affirming Voice Training Program for Transgender Women.” JOURNAL OF VOICE. doi:10.1016/j.jvoice.2024.10.032.
Vancouver
1.
Leyns C, Bostyn L, D’haeseleer E. Self-perception and listener perceptions at long-term follow-up of a gender-affirming voice training program for transgender women. JOURNAL OF VOICE. 2025;
IEEE
[1]
C. Leyns, L. Bostyn, and E. D’haeseleer, “Self-perception and listener perceptions at long-term follow-up of a gender-affirming voice training program for transgender women,” JOURNAL OF VOICE, 2025.
@article{01JMYYHFXWS90A5KP5QTYYRGHW,
  abstract     = {{Introduction: Many transgender individuals find their voice often not matching their gender identity. By using gender-affirming voice training, voice and communication specialists help transgender women find a voice that aligns with their gender identity. Short-term outcomes of voice training programs showed progress in listener perception, self-perception, and satisfaction of transgender women's voices. While some long-term results have been reported, most of these studies were retrospective. This prospective study examines the long-term effects, 3 months and 1 year after gender-affirming voice training in transgender women, on satisfaction, self-perception, and listeners' perception.

Methods and materials: Thirty transgender women followed a 10-week gender-affirming voice training program consisting of pitch elevation and articulation-resonance training. Self-perception and satisfaction of the transgender women were measured by the Trans Women Voice Questionnaire and a visual analogue scale where they had to score their current and ideal voice. Thirty nine listeners rated the trans women's voice samples by using a visual analogue scale ranging from very masculine to very feminine. Immediately after training, 3 months and 1 year after training, measurements were performed.

Results and discussion: Concerning self-perception and satisfaction of the voice, the effects observed immediately after training remained stable in the follow-up period. Thus, 3 months and 1 year after training, the participants perceived the voice-related impact on their daily life equal to the impact just after training discharge. Significant decreases in femininity ratings of listeners' perceptions were reported immediately after training and 3 months after training, although still being in the gender-ambiguous zone. No significant changes were reported between the 3 months and 1 year follow-up. Future studies should implement longer follow-up periods and qualitative components.}},
  author       = {{Leyns, Clara and Bostyn, Liese and D'haeseleer, Evelien}},
  issn         = {{0892-1997}},
  journal      = {{JOURNAL OF VOICE}},
  language     = {{eng}},
  pages        = {{10}},
  title        = {{Self-perception and listener perceptions at long-term follow-up of a gender-affirming voice training program for transgender women}},
  url          = {{http://doi.org/10.1016/j.jvoice.2024.10.032}},
  year         = {{2025}},
}

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