Measuring what happens in voice therapy: refinement and testing of a voice therapy taxonomy

项目摘要：测量声音治疗中发生的事情：声音治疗的改进和测试 taxonomy 当前的医疗保健格局要求医疗干预措施具有强有力的经验证据， 指导临床有效的治疗选择和实施。对于许多医学治疗， 对被动患者的干预（如药物或手术）、临床试验和比较有效性 研究可以描述、测量和比较治疗成分在结果方面的变化。 然而，目前复杂的行为干预（如声音治疗）中包含的治疗成分 方法）没有足够详细的规定来定义，衡量，并与结果进行比较。这是 这是所有基于行为的医学职业发展的关键障碍。康复领域， 心理学已经对治疗规范系统的开发投入了相当大的努力（即， 分类法）。虽然这些广泛的努力提供了有用的理论和总体规范 模型，理论框架和临床医生/研究人员之间仍然存在差距，他们需要一个 足够详细的分类法用于它们自己的子领域（例如，声音治疗）。声音治疗的分类可以 通过提供有效和可靠的治疗清单/分类结构，帮助弥补这一严重缺陷 成分.拟议的工作旨在完善语音治疗分类法的测试版， 在三个德尔菲回合（面部和内容）中，10名声音治疗专家达成共识 有效性），根据完善的声音治疗分类法创建电子文档软件，以及 通过在五个不同的语音中心规范真实的语音治疗，建立评分员间的可靠性。 康复利益相关者的输入将包括外部读者（PCORI的主要研究者）。 康复治疗分类（RTT）[约翰怀特博士]和国际公认的演讲 美国言语语言听力协会（阿莎）治疗分类法的病理学家 委员会[约瑟夫·达菲博士]）以及由RTT执行委员会组成的咨询委员会。到 获得临床利益相关者的输入，咨询委员会还将包括专家临床医生：演讲 代表阿莎声音特别兴趣小组的病理学家（Rita Patel博士）和一名喉科医生 代表美国支气管食管协会（詹姆斯伯恩斯博士）。

Project Summary: Measuring what happens in voice therapy: refinement and testing of a voice therapy taxonomy The current healthcare landscape demands that medical interventions have strong empirical evidence to guide clinically effective treatment selection and delivery. For many medical treatments that deliver interventions to a passive patient (such as medications or surgery), clinical trials and comparative effectiveness research can describe, measure, and compare treatment ingredients in terms of changes in outcomes. However, currently the treatment ingredients contained in complex behavioral interventions (e.g. voice therapy approaches) are not specified in enough detail to be defined, measured, and compared with outcomes. This is a critical barrier to the progress of all behaviorally based medical professions. The fields of rehabilitation and psychology have invested considerable effort towards the development of treatment specification systems (i.e., taxonomies). While these expansive efforts have provided useful theories and overarching specification models, a gap remains between the theoretical frameworks and the clinicians/researchers who need a taxonomy detailed enough for use in their own subfield (e.g., voice therapy). A taxonomy of voice therapy can help fill this serious deficiency by providing a valid and reliable list/categorization structure of treatment ingredients. The proposed work is designed to refine a beta version of the Voice Therapy Taxonomy through development of consensus amongst 10 voice therapy experts in three Delphi rounds (face and content validity), creation of electronic documentation software based on the refined voice therapy taxonomy, and establish inter-rater reliability through specification of real-life voice therapy at five different Voice Centers. Input from rehabilitation stakeholders will include external readers (the primary investigator of PCORI’s Rehabilitation Treatment Taxonomy (RTT) [Dr. John Whyte] and an internationally recognized speech pathologist from the American Speech-Language-Hearing Association’s (ASHA) Treatment Taxonomy Ad-hoc Committee [Dr. Joseph Duffy]) as well as an Advisory Board consisting of the RTT executive committee. To obtain input from clinical stakeholders, the Advisory Board will also include expert clinicians: a speech pathologist representing the ASHA Special Interest Group on Voice (Dr. Rita Patel), and an laryngologist representing the American Broncho-Esophagological Association (Dr. James Burns).