Assessing the Effects of Patient Self-Rating of Voice Quality on Voice Therapy Attendance and Outcomes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- NYU Langone Health
- Enrollment
- 42
- Locations
- 2
- Primary Endpoint
- Change of voice handicap perception across the 3 groups
Study Overview
Brief Summary
The purpose of this study is to assess the effects of incorporating educational online modules into voice therapy. One of the main reasons that voice therapy fails is lack of participation and engagement from the patient's side. The researchers hope to learn if increasing patient engagement via educational online modules during this waiting period between evaluation and first therapy session is useful in increasing understanding of the therapeutic framework of voice therapy.
Detailed Description
Attendance and adherence are established as consistent challenges in voice therapy. Specific logistical and psychological factors linked to these challenges include the interval between evaluation and initiation of treatment and components of patient motivation. The authors propose a novel online education module involving patient self-ratings of voice quality to be completed at various time points throughout the therapeutic process, including during the waiting period between initial evaluation and first treatment session. The authors hypothesize that completion of this module will increase patient understanding of the conceptual framework of therapy, provide opportunities for inclusion of patient-driven acoustic goals and establish skills in auditory and kinesthetic awareness, which are foundational to behavioral voice therapy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age >18 years
- •English-speaking
- •Have access to technology, including Internet
- •Diagnosed with dysphonia with a recommended treatment of voice therapy.
- •Willingness to complete all clinical/research assessments
- •Ability to give informed consent
Exclusion Criteria
- •Patients who undergo surgical intervention during the course of therapy Contraindications for participation in voice therapy
- •Diagnosis of Parkinson's Disease or other neurodegenerative, progressive disorder (e.g., ALS)
- •Previous training in acoustic-perceptual voice quality rating, for example a speech language pathology student
- •Visual impairments that would prevent the completion of an online module.
- •Those with self-reported moderate-profound hearing loss or deafness that would preclude them from participating in the study
- •Inability to give informed consent
Outcomes
Primary Outcomes
Change of voice handicap perception across the 3 groups
Time Frame: Baseline (Day 1) visit, 8 - 10 week visit
Will be measured by Voice Handicap Index -10 (VHI-10), a patient reported outcome measure used to record the patient's perception of impairment or handicap due to a voice problem. A score of over 10 is considered to be abnormal. The scores in all three groups will be compared and analyzed.
Change of Online education module acceptance across the 3 groups
Time Frame: Baseline Visit (Day 1), Last day of visit (up to 4 months from baseline)
Will be measured by attendance data (number of sessions recommended versus attended, number of no shows) using the standard patient data collected according to standard of care process.
Secondary Outcomes
- Change of perceived effectiveness of voice therapy(Baseline (Day 1) visit, 8 - 10 week visit)
- Change of perceptual voice ratings(Baseline (Day 1) visit, 8 - 10 week visit)
- Change of patient's perception on voice therapy(Baseline (Day 1) visit, 8 - 10 week visit)