A Multidisciplinary Approach to Vocal Cord Dysfunction: A Novel Pilot Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Vocal Cord Dysfunction
- Sponsor
- CAMC Health System
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change in frequency and intensity of VCD symptoms
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Vocal Cord Dysfunction (VCD) is characterized by involuntary closure of the vocal cords while inhaling. Children and adolescents with VCD may experience multiple symptoms, including difficulty breathing, coughing, wheezing, neck tightness, and voice changes. There is limited information on optimal management of VCD. In our proposed study, we will use cognitive-behavioral therapy (CBT) techniques to change how patients respond to their VCD symptoms. Measurements of airflow during breathing as well as symptom frequency and intensity will be examined prior to and following a series of four therapy sessions with a clinical psychologist that are focused on teaching patients strategies to decrease symptom reactivity.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adolescent patients presenting to West Virginia University, Charleston Division Sub-specialty Clinic for Pediatric Pulmonology with a clinical diagnosis of vocal cord dysfunction.
- •Diagnosed with VCD within 12 months prior to study enrollment. between the ages of 13 and 18 years old.
- •Currently symptomatic for VCD.
- •Must have a baseline PFT to reference at the time of diagnosis. Additionally in patients who were diagnosed with VCD 6 months or more prior to study enrollment, current PFT results as part of routine care, are required.
- •A parent or guardian must agree to participate in the four behavioral therapy sessions with his or her child.
Exclusion Criteria
- •Severe psychiatric disorders (ex. psychosis, suicidal ideation)
- •Developmental delay
- •Previous speech therapy for the treatment of VCD.
- •Currently receiving psychological counseling.
- •In open Child Protective Services cases.
Outcomes
Primary Outcomes
Change in frequency and intensity of VCD symptoms
Time Frame: Post intervention at 1 to 3 weeks
Self-reported number of symptomatic episodes and mean intensity of episodes pre and post-CBT intervention will be compared. Symptom intensity will be measured using an 11 point Likert Scale for self-reported distress for each recorded VCD episode.
Secondary Outcomes
- Change in pulmonary function testing (PFT) measures(Post intervention at 1 to 3 weeks)