Psychological factors influencing voice outcomes: Technology-based assessment and intervention

影响声音结果的心理因素：基于技术的评估和干预

• 批准号: 10203910
• 负责人: Stephanie Misono
• 金额: $ 19.1万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10203910
• 关键词: Acoustics; Address; Auditory; Blinded; Caring; Cellular Phone; Clinic; Clinical Trials; Comparison arm; Complement; Consensus; Coupled; Data; Data Analyses; Disease; Dysphonia; Ecological momentary assessment; Education; Educational workshop; Environment; Evaluation; Event; Exercise; Future; Goals; Impairment; Individual; Institutes; Intervention; Laboratories; Lead; Learning; Measures; Medical; Mentors; Methodology; Modernization; Muscle Tension; Noise; Occupational; Operative Surgical Procedures; Outcome; Patient Participation; Patient-Focused Outcomes; Patients; Personal Satisfaction; Pharmaceutical Preparations; Pilot Projects; Positioning Attribute; Psychological Factors; Psychology; Psychosocial Assessment and Care; Quality of life; Questionnaires; Randomized; Randomized Controlled Trials; Reaction; Reporting; Research; Research Design; Research Personnel; Series; Structure; Techniques; Technology; Testing; Time; Training; Training Activity; Treatment outcome; Voice; Voice Disorders; Voice Quality; Work; arm; attentional control; base; care outcomes; career development; clinically significant; cost; design; experience; improved; indexing; innovation; innovative technologies; intervention effect; meetings; multidisciplinary; online delivery; primary outcome; psychologic; psychosocial; skill acquisition; social; therapy design; therapy development; treatment arm; trial design; voice therapy

ABSTRACT Voice disorders are common and can cause significant functional, occupational, and social impairment. Voice-related handicap is highest in patients with low perceived control, which is the extent to which one can control events or one's reactions to events. Greater perceived control is associated with better overall well- being and disease-specific outcomes in other medical disorders. Interventions that increase perceived control exist and can be delivered online to maximize access, but have not been tested in patients with voice disorders. The proposed research aims will clarify the relationships between perceived control and voice outcomes using innovative technology-based approaches, facilitating strategic adaptation of an existing perceived control intervention for evaluation by patients with a common voice disorder, muscle tension dysphonia. The research aims are to (1) characterize changes and covariation in perceived control and voice handicap using repeated real-time measures, (2) measure associations between perceived control and laboratory measures of voice using a cross-sectional approach, and (3) develop and test a perceived control intervention designed to increase perceived control and improve voice outcomes using a randomized controlled trial design. These aims will be complemented by career development goals to (1) acquire expertise at interface between modern psychology and voice research, (2) develop expertise in multidimensional voice assessment, and (3) acquire experience with advanced intervention development and randomized study design. To accomplish these career development goals, the investigator will take formal coursework, attend intensive workshops/learning institutes, participate in local and national meetings, and perform hands-on design and analysis with the guidance of a multidisciplinary mentor and consultant team, in the context of a highly supportive institutional environment. Completion of these aims and training goals will help position the PI to establish the use of innovative technology-based assessment and intervention in voice research, and will contribute new information about how psychological factors influence voice outcomes. These aims will also pave the way toward a new addition to the treatment armamentarium for voice disorders, which currently includes voice therapy, medications, and surgery, but no systematic approach to addressing contributory psychological factors. The overall goal of the investigator is to contribute to integrated care that leads to the best possible voice and quality of care outcomes for patients with voice disorders.

摘要 声音障碍是常见的，可导致严重的功能，职业和社会障碍。 与声音相关的障碍在感知控制力低的患者中最高，感知控制力是指一个人可以在多大程度上 控制事件或某人对事件的反应。更大的感知控制与更好的整体健康相关- 在其他医学疾病中的存在和疾病特异性结果。增加感知控制的干预措施 存在并可以在线提供，以最大限度地提高访问，但尚未在语音患者中进行测试 紊乱本研究的目的在于厘清知觉控制与声音之间的关系 利用创新的技术型方针，促进对现有的 感知控制干预对常见嗓音障碍患者的评估，肌肉紧张 发音困难 本研究的目的是：（1）表征知觉控制与发声障碍的变化及共变 使用重复的实时测量，（2）测量感知控制和实验室之间的关联 使用横断面方法测量声音，以及（3）开发和测试感知控制干预 旨在使用随机对照试验增加感知控制并改善语音结果 设计 这些目标将辅之以职业发展目标，以（1）获得接口专业知识 现代心理学和声音研究之间的联系，（2）发展多维声音评估的专业知识， 和（3）获得先进的干预开发和随机研究设计的经验。到 完成这些职业发展目标，调查员将参加正式的课程，参加密集的 讲习班/学习机构，参加地方和国家会议，并进行动手设计， 在多学科导师和顾问团队的指导下进行分析， 支持性的体制环境。 这些目标和培训目标的完成将有助于PI建立创新的使用， 技术为基础的评估和干预的声音研究，并将提供新的信息， 心理因素如何影响声音效果。这些目标也将为新的增加铺平道路 语音障碍的治疗设备，目前包括语音治疗，药物治疗， 手术，但没有系统的方法来解决心理因素。的总体目标 研究者将为综合护理做出贡献，从而实现最佳的声音和护理质量 语音障碍患者的预后。