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Here, My Voice 2 Voice Lessons Pilot

Not Applicable
Completed
Conditions
Hearing Loss
Interventions
Behavioral: Voice lessons
Registration Number
NCT05336747
Lead Sponsor
University of Southern California
Brief Summary

Active music engagement has been shown to provide unique benefits for both pediatric and adult cochlear implant (CI) users. Here, My Voice 2 (HMV 2) project will build upon the 2021 pilot program and provide personalized voice lessons to members of the hard-of-hearing (HOH) community in order to support the (re)discovery of their voice as a tool of self-expression. Over the course of 12 weeks, participants from the HOH community will partner with students from USC's Thornton School of Music to practice expressive vocal techniques in one-on-one individual lessons. At the conclusion of the lessons, HLAA will host a communal session with a recital in which each team will present what they have worked on. Data will be collected via self-assessment surveys, vocal assessment measures, and interviews at the beginning, middle, and end of the program, as well as a 3 month follow-up. This data will be quantified/coded using qualitative coding, as appropriate, and the findings will be published in relevant conferences and journals. The data will also be used to evaluate the merits of this program to improve the format in future iterations.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Adults, English speaking, who experience profound hearing loss and use cochlear implants or/and hearing aids.
  • Ability to use voice without discomfort and without causing any health issues.
  • Ability to commit one hour a week over a 12-week period and an additional 10 min period of daily training.
Exclusion Criteria
  • People with medical conditions such as tracheostomy, which makes using voice difficult and potentially threatens their health
  • People taking part in other training programs for vocal, musical or auditory skills in the same time period

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Voice Lessons "Here, My Voice 2" ProgramVoice lessonsVoice Lessons "Here, My Voice 2" Program
Voice Lessons "Here, My Voice 3" ProgramVoice lessonsVoice Lessons "Here, My Voice 3" Program
Primary Outcome Measures
NameTimeMethod
Change in Goldsmiths Musical Sophistication Index (Gold MSI)Change between baseline and 1 week post voice lessons

The Goldsmiths Musical Sophistication Index measures musical attitudes, behaviours, and skills

Change in Auditory SkillsChange between baseline and 1 week post voice lessons

Speech and music perceptual abilities via TeamHearing software.

Change in Quality of Life in Neurological Disorders (Neuro-QoL) QuestionnaireChange between baseline and 1 week post voice lessons

The specific domains assessed in Neurological Disorders (Neuro-QoL) Questionnaire will include: ability to participate in social roles and activities, positive affect and well-being, and satisfaction with social roles and activities.

Change in Self EsteemChange between baseline and 1 week post voice lessons

The Rosenberg Self Esteem Scale is a10-item self-reported questionnaire designed to measure self-esteem. It includes 10 statements related to a person's feelings of self-worth or self-acceptance. A four-point scale ranging from "strongly agree" to "strongly disagree" is used to answer the questions (Rosenberg Self-Esteem Scale, n.d). The RSES is a reliable instrument as indicated by its Guttman scale coefficient of reproducibility of 0.92, which indicates excellent internal consistency. Test-retest reliability has correlations of 0.85 and 0.88 over a 2-week period, which indicates appropriate stability. The validity of the RSES is demonstrated by its concurrent, predictive, and constructive validity using known groups. The RSES correlates significantly with other measures of self-esteem such as the Coopersmith Self-Esteem Inventory as well as with the predicted direction of measures of depression and anxiety (Rosenberg, 2006).

Change in Vocal ConfidenceChange between baseline and 1 week post voice lessons

Vocal confidence will be measured using a questionnaire developed by USC's Bionic Ear Lab researchers combined with Singing Voice Handicap Index (SVHI) to measure levels of self-esteem as well as physical and emotional experiences related to singing.

Change in Vocal Skills of Audio Recordings of ParticipantsChange between baseline and 1 week post voice lessons

Pitch matching, interval matching, and rhythm matching abilities will be rated automatically for accuracy by Praat speech analysis software and additional characteristics of vocal quality and singing accuracy (melodic contour, diction, tempo, tone, phrasing, and breath) will be rated by voice teachers on a Likert-type scale (0-5 with higher being more accurate).

Secondary Outcome Measures
NameTimeMethod
Change in Goldsmiths Musical Sophistication Index (Gold MSI)Change between 1 week post voice lessons and 3 months post voice lessons

The Goldsmiths Musical Sophistication Index measures musical attitudes, behaviours, and skills

Engagement of the participantsUp to 12 weeks

Voice teachers will keep a teaching log reflecting upon participants' attendance, motivation, and engagement.These notes will be compiled and coded following the program to qualitatively track vocal progress of participants throughout the study.

Change in Auditory SkillsChange between 1 week post voice lessons and 3 months post voice lessons

Speech and music perceptual abilities via TeamHearing software

Change in Quality of Life in Neurological Disorders (Neuro-QoL) QuestionnaireChange between 1 week post voice lessons and 3 months post voice lessons

The specific domains assessed in Neurological Disorders (Neuro-QoL) Questionnaire will include: ability to participate in social roles and activities, positive affect and well-being, and satisfaction with social roles and activities.

Change in Vocal Skills of Audio Recordings of ParticipantsChange between 1 week post voice lessons and 3 months post voice lessons

Pitch matching, interval matching, and rhythm matching abilities will be rated automatically for accuracy by Praat speech analysis software and additional characteristics of vocal quality and singing accuracy (melodic contour, diction, tempo, tone, phrasing, and breath) will be rated by voice teachers on a Likert-type scale (0-5 with higher being more accurate)

Changes in Music Experience UCMLQ QuestionnaireChange between baseline and 1 week post voice lessons

University of Canterbury Music Listening Questionnaire (UCMLQ) questionnaire will measure participants music experience with Hearing Aids or/and Cochlear Implants

Participation motivation, experience, and goalsUp to 14 weeks

Semi-structured interviews will be used to assess participant motivation and quality of experience within the program. Responses will be qualitatively coded and compared from baseline to the end of the program.

Changes in Vocal Skills of ParticipantsUp to 12 weeks

Voice teachers will keep a teaching log reflecting upon student progress and which techniques, vocal warm-ups, or other learning methods proved most effective during lessons. These notes will be compiled and coded following the program to qualitatively track vocal progress of participants throughout the study.

Changes in Vocal ConfidenceChange between 1 week post voice lessons and 3 months post voice lessons

Vocal confidence will be measured using a questionnaire developed by USC's Bionic Ear Lab researchers combined with Singing Voice Handicap Index (SVHI) to measure levels of self-esteem as well as physical and emotional experiences related to singing.

Change in Self EsteemChange between 1 week post voice lessons and 3 months post voice lessons

The Rosenberg Self Esteem Scale is a10-item self-reported questionnaire designed to measure self-esteem. It includes 10 statements related to a person's feelings of self-worth or self-acceptance. A four-point scale ranging from "strongly agree" to "strongly disagree" is used to answer the questions (Rosenberg Self-Esteem Scale, n.d). The RSES is a reliable instrument as indicated by its Guttman scale coefficient of reproducibility of 0.92, which indicates excellent internal consistency. Test-retest reliability has correlations of 0.85 and 0.88 over a 2-week period, which indicates appropriate stability. The validity of the RSES is demonstrated by its concurrent, predictive, and constructive validity using known groups. The RSES correlates significantly with other measures of self-esteem such as the Coopersmith Self-Esteem Inventory as well as with the predicted direction of measures of depression and anxiety (Rosenberg, 2006).

Trial Locations

Locations (1)

University of Southern California

🇺🇸

Los Angeles, California, United States

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