Intensive Versus Traditional Voice Therapy

Not Applicable

Completed

• Conditions: Dysphonia
• Interventions: Behavioral: Intensive Voice Therapy; Behavioral: Weekly Voice Therapy

• Registration Number: NCT03129880
• Lead Sponsor: University of Wisconsin, Madison

Brief Summary

The purpose of this study is to determine if there are differences in treatment outcomes between traditional voice therapy, performed weekly for a maximum of 6 weeks versus intensive voice therapy, consisting of 4-6 therapy sessions performed within one day.

Detailed Description

The goal of voice therapy is optimal long-term vocal quality and communication function with minimal recurrence. Traditional voice therapy for dysphonia typically consists of one to two therapy sessions each week with a single clinician for about 8 weeks. Another approach of voice therapy is intensive short-term therapy also known as "boot camp." This approach, borrows from the disciplines of neurobiology, exercise physiology, motor learning, and psychotherapy which describe desirable learning and behavior changes influenced by practice that involves high-intensity overload, variability, and specificity of training. A few studies have showed that "Boot Camp" model of intensive therapy resulted in comparable gains in voice quality and vibratory mechanics and may promote better patient satisfaction and attendance.

While such findings support the notion that intensive voice therapy may enhance voice therapy outcomes, no study to date has examined patient response to the "Boot Camp" approach to voice therapy. The investigators will compare the outcomes of traditional, weekly voice therapy and intensive voice therapy with multiple sessions in one day.

Study Timeline

• Study Start: 2016-03-13
• Study First Submitted: 2017-04-18
• Study First Submitted QC: 2017-04-21
• Study First Posted: 2017-04-26
• Primary Completion: 2024-03-12
• Study Completion: 2024-03-12
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-15
• Last Update Posted: 2024-05-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

• Diagnosed with a Voice disorder
• Diagnosed with benign vocal fold lesions and/or hyper-function
• First/primary propose treatment modality is voice therapy
• Patients who are appropriate for either standard of care treatment modality (traditional or intensive voice therapy)
• Willingness to participate in either standard of care treatment modality
• All races
• Males and females
• English speaking

Exclusion Criteria

• Younger than 18
• Inability or unwillingness to participate in one of the standard of care treatment modalities
• Laryngeal Surgery or procedures during course of study
• Prisoners

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intensive Voice Therapy	Intensive Voice Therapy	Participants are randomized to receiving multiple sessions of voice therapy in one day
Weekly Voice Therapy	Weekly Voice Therapy	Participants are randomized to receiving weekly voice therapy sessions

Primary Outcome Measures

Name	Time	Method
Self-efficacy and readiness scale Changes	Baseline compared to Immediately post voice therapy	Pre to Post difference in participant's self-efficacy for voice practice and healthy voice technique between therapy groups and within subsets of subjects - readiness ruler of 0 (not at all) to 10 (extremely)
Self-efficacy and readiness scale Change	Baseline compared to 12 weeks post voice therapy	Pre to Post difference in participant's self-efficacy for voice practice and healthy voice technique between therapy groups and within subsets of subjects - readiness ruler of 0 (not at all) to 10 (extremely)

Trial Locations

Locations (1)

University of Wisconsin-Madison Voice and Swallow Clinic; 🇺🇸 Madison, Wisconsin, United States