Predicting and influencing voice therapy adherence using social-cognitive factors and mobile video.
Predicting and influencing voice therapy adherence using social-cognitive factors and mobile video.
复制标题
使用社会认知因素和移动视频预测和影响语音治疗的依从性。
DOI：
10.1044/2015_ajslp-12-0123
复制
发表时间：
2015
影响因子：
2.6
通讯作者：
Connor,NadineP
中科院分区：
文献类型：
--
作者：
vanLeer,Eva;Connor,NadineP
目的患者对发声疗法的坚持是一个既定的挑战。这项研究的目的是(A)检验在治疗开始时测量的三个社会认知因素：自我效能、目标承诺和治疗联盟是否可以预测患者对治疗的依从性，以及(B)测试在MP4播放器上提供临床医生、自我和同伴模式的移动治疗视频是否会影响相同的社会认知因素和患者的坚持行为。方法40名患有和不伴有良性病变的内收功能亢进的成年人被前瞻性地随机分成两组，一组接受MP4支持增强的发声治疗，另一组不使用MP4支持。两次会议之间的依从性通过自我报告进行评估。在治疗开始和结束时评估社会认知因素和发声结果。通过访谈评估MP4支持的有效性。结果自我疗效和治疗联盟预测依从性差异显著。MP4支持显著增加了泛化、泛化自我效能和治疗联盟。交互作用表明，MP4支持对那些自我效能感较差的患者尤其有效。结论依从性可以通过社会认知方式进行预测和影响。移动技术可以将治疗扩展到临床外环境。
PurposePatient adherence to voice therapy is an established challenge. The purpose of this study was (a) to examine whether adherence to treatment could be predicted from three social–cognitive factors measured at treatment onset: self-efficacy, goal commitment, and the therapeutic alliance, and (b) to test whether the provision of clinician, self-, and peer model mobile treatment videos on MP4 players would influence the same triad of social cognitive factors and the adherence behavior of patients.MethodForty adults with adducted hyperfunction with and without benign lesions were prospectively randomized to either 4 sessions of voice therapy enhanced by MP4 support or without MP4 support. Adherence between sessions was assessed through self-report. Social cognitive factors and voice outcomes were assessed at the beginning and end of therapy. Utility of MP4 support was assessed via interviews.ResultsSelf-efficacy and the therapeutic alliance predicted a significant amount of adherence variance. MP4 support significantly increased generalization, self-efficacy for generalization, and the therapeutic alliance. An interaction effect demonstrated that MP4 support was particularly effective for patients who started therapy with poor self-efficacy for generalization.ConclusionAdherence may be predicted and influenced via social–cognitive means. Mobile technology can extend therapy to extraclinical settings.