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Psychological factors influencing voice outcomes: Impacts in gender minority patients

影响声音结果的心理因素：对性别少数患者的影响

基本信息

批准号：
10332179
负责人：
Stephanie Misono
金额：
$ 7.26万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-01 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10332179
关键词：
Address Affect Anxiety Area Behavior Caring Characteristics Clinical Communication Development Distress Dysphonia Event Evidence based intervention Future Gender Gender Identity Goals Grant Health Impairment Intervention Interview Literature Measures Methodology Modernization Muscle Tension Occupational Operative Surgical Procedures Outcome Parents Patient-Focused Outcomes Patients Pharmaceutical Preparations Positioning Attribute Psychological Factors Psychology Quality of life Reaction Recommendation Research Research Personnel Role Self Perception Speech Pathology Structure Testing TimeLine Translating Underserved Population Voice Voice Disorders Voice Quality Work base career development cisgender emotional reaction evidence base experience gender minority improved indexing innovation parent grant patient population psychologic psychosocial social stress resilience transgender voice therapy

项目摘要

ABSTRACT Voice disorders are common and can cause significant functional, occupational, and social impairment. Voice-related handicap is highest in cisgender patients with low perceived control, which is the extent to which one can control events or one’s reactions to events. Perceived control is associated with greater likelihood of following treatment recommendations and participating in communication. In gender diverse patients (including transgender and nonbinary patients), voice concerns are also frequent, but distinct from those identified by cisgender patients. Thus findings on the relationships between voice-related perceived control and voice outcomes in cisgender patients cannot be assumed to be representative of the experience of gender diverse patients. Gender diverse patients have identified as important several key themes related to perceived control. The proposed research aims will clarify the relationships between perceived control and voice outcomes among gender diverse patients, facilitating strategic adaptation of an existing perceived control intervention for testing in gender diverse patients with voice concerns. The research aims are to (1) measure relationships between perceived control and voice handicap in transgender patients with voice concerns, (2) characterize the role of perceived control in the vocal experience of transgender patients using a qualitative approach, and (3) determine priority focus areas for measuring voice outcomes in nonbinary patients with voice concerns. These aims will also support the primary career development goal to acquire expertise at the interface between modern psychology and voice research. This work is innovative as it will lead to an understanding of voice-related perceived control and voice outcomes among gender diverse patients, who are an understudied and underserved population. Completion of these aims will help position the PI to 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 life outcomes for patients with voice disorders.

摘要嗓音障碍很常见，可导致严重的功能、职业和社会损害。与声音有关的障碍在感知控制感较低的顺性患者中最高，这是一个人可以控制事件或对事件的反应。感觉到的控制力与更大的可能性相关遵循治疗建议并参与沟通。在不同性别的患者(包括变性人和非双性恋患者)，声音问题也很常见，但不同于顺性病人。因此，关于与语音相关的知觉控制和语音之间的关系的发现顺性患者的结果不能被认为代表了性别多样性的经历病人。不同性别的患者认为与知觉控制有关的几个关键主题很重要。拟议的研究目标将阐明知觉控制和发声结果之间的关系在不同性别的患者中，促进对现有知觉控制干预措施的战略适应在有声音顾虑的不同性别患者中进行测试。本研究的目的是(1)测量知觉控制与发声障碍之间的关系有声音问题的变性人，(2)表征感知控制在声音体验中的作用使用定性方法对变性人患者进行评估，以及(3)确定优先重点领域进行评估存在语音问题的非二进制患者的语音结果。这些目标也将支持主要的职业生涯发展目标是在现代心理学和语音研究之间获得专业知识。这这项工作是创新的，因为它将导致理解与语音相关的感知控制和语音结果在性别不同的患者中，他们是一个研究不足、服务不足的人群。完成这些目标将有助于将PI定位为提供有关如何心理上的新信息影响发声效果的因素。这些目标也将为新的治疗方法铺平道路。治疗发声障碍的医疗机构，目前包括发声治疗、药物和手术，但没有系统地处理促成心理因素的方法。调查员的总体目标是促进综合护理，为患有以下疾病的患者提供尽可能好的嗓音和生活质量嗓音障碍。