Voice Therapy According to the Rehabilitation Treatment Specification System: Expert Consensus Ingredients and Targets.
Voice Therapy According to the Rehabilitation Treatment Specification System: Expert Consensus Ingredients and Targets.
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根据康复治疗规范体系进行声音治疗：专家共识的成分和目标。
DOI：
10.1044/2021_ajslp-21-00076
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发表时间：
2021
影响因子：
2.6
通讯作者：
Tolejano,CarolJorgensen
中科院分区：
文献类型：
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作者：
VanStan,JarradH;Whyte,John;Duffy,JosephR;Barkmeier-Kraemer,Julie;Doyle,Patricia;Gherson,Shirley;Kelchner,Lisa;Muise,Jason;Petty,Brian;Roy,Nelson;Stemple,Joseph;Thibeault,Susan;Tolejano,CarolJorgensen
目的临床试验已经证明，标准化的发声治疗方案对一些患者有效，但确定具体负责观察到的改善的独特的个体治疗成分仍然难以捉摸。为了解决这一问题，作者使用了嗓音治疗分类法、康复治疗规范系统(RTSS)和德尔菲法(Delphi Process)开发了RTSS-Voice(可测量的和独特的嗓音治疗成分和靶点的专家共识类别)。通过六轮德尔菲，10名发声康复专家对个别治疗目标和成分的可测量性和唯一性进行了评级。在每一轮之后，在一名初级读者(一名声音治疗专家)和两名外部读者(声音领域以外的康复专家)之间完成修订(在专家反馈的指导下)。当一种成分或目标的标签和定义达到超多数阈值时，建立共识(≥第8/10专家协议)。结果35个目标和19个成分类别被一致认为是可测量的、独特的、准确地反映了RTSS的规则和术语。每个类别的操作定义包括提供成分的方式和这些成分修改单个目标的方式的差异。结论构成RTSS-Voice的共识标签和可操作的成分和目标具有改进声音治疗研究、实践和教育/培训的潜力。用于制定这些列表的方法可能对其他语音、语言和听力治疗规范有用。补充Materialhttps://doi.org/10.23641/asha.15243357
PurposeClinical trials have demonstrated that standardized voice treatment programs are effective for some patients, but identifying the unique individual treatment ingredients specifically responsible for observed improvements remains elusive. To address this problem, the authors used a taxonomy of voice therapy, the Rehabilitation Treatment Specification System (RTSS), and a Delphi process to develop the RTSS-Voice (expert consensus categories of measurable and unique voice treatment ingredients and targets).MethodInitial targets and ingredients were derived from a taxonomy of voice therapy. Through six Delphi Rounds, 10 vocal rehabilitation experts rated the measurability and uniqueness of individual treatment targets and ingredients. After each round, revisions (guided by the experts' feedback) were finalized among a primary reader (a voice therapy expert) and two external readers (rehabilitation experts outside the field of voice). Consensus was established when the label and definition of an ingredient or target reached a supramajority threshold (≥ 8 of 10 expert agreement).ResultsThirty-five target and 19 ingredient categories were agreed to be measurable, unique, and accurate reflections of the rules and terminology of the RTSS. Operational definitions for each category included differences in the way ingredients are delivered and the way individual targets are modified by those ingredients.ConclusionsThe consensus labels and operationalized ingredients and targets making up the RTSS-Voice have potential to improve voice therapy research, practice, and education/training. The methods used to develop these lists may be useful for other speech, language, and hearing treatment specifications.Supplemental Materialhttps://doi.org/10.23641/asha.15243357