Assessing the Effects of Patient Self-Rating of Voice Quality on Voice Therapy Attendance and Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Change of voice handicap perception across the 3 groups
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Change of voice handicap perception across the 3 groups
时间窗: 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
时间窗: 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.
次要结局
- 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)