Objective: Voice feminization is gender-affirming care frequently sought out by transgender women. Due to mulitple barriers to receiving in-person services, telerehabilitation is an increasingly favored mode of getting voice feminization therapy. Improved intervention outcomes, therapy attendance, and compliance with home exercise programs with telerehabilitation in transgender women led to the conception of this research topic. The purpose of this investigation was to determine the effect of telerehabilitation on average speaking fundamental frequency and self-perception of vocal feminity in transgender women. Method: In this A-B-A design, four transgender women aged 18 to 55 received voice feminization therapy two times a week for four weeks via the Zoom video platform. All four participants indentified increasing their speaking pitch as their primary goal. The voice feminization protocol adapted traditional voice therapy techniques and integrated them with voice production, vocal hygiene education, and speech tasks. Results: The results of this investigation demonstrated increased average speaking fundamental frequency and statistically significant improvement in the Trans Woman Voice Questionnaire scores across four participants. Conclusion: The findings contribute to the small body of research on tele-speech therapy, voice feminization, and the use of telerehabilitation in gender-affirming voice care.
