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

项目总结：测量发声治疗中发生的事情：发声治疗的改进和测试 分类学 当前的医疗环境要求医疗干预措施有强有力的经验证据来 指导临床有效治疗方案的选择和交付。对于许多可以提供 对被动患者的干预(如药物或手术)、临床试验和比较效果 研究可以根据结果的变化来描述、衡量和比较治疗成分。 然而，目前复杂的行为干预(如发声治疗)中包含的治疗成分 方法)规定得不够详细，无法定义、衡量和比较结果。这是 这是所有以行为为基础的医疗职业取得进展的关键障碍。康复和康复领域 心理学已经投入了相当大的努力来开发治疗规范系统(即， 分类学)。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 足够详细的分类，可以在他们自己的子领域中使用(例如，声音疗法)。声音疗法的分类学可以 通过提供有效和可靠的治疗清单/分类结构，帮助填补这一严重缺陷 配料。这项拟议的工作旨在通过以下方式完善语音疗法分类的测试版 10位声音治疗专家在德尔福三轮(面对面和内容)中的共识发展 有效性)，基于改进的声音治疗分类创建电子文档软件，以及 通过在五个不同的语音中心指定真实的语音治疗来建立评委间的可靠性。 康复利益相关者的意见将包括外部读者(PCORI的主要调查者 康复治疗分类学(RTT)[John Whyte博士]和国际公认的演讲 美国言语-语言-听力协会(AHA)治疗分类学病理学家 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。至 获得临床利益相关者的意见，咨询委员会还将包括专家临床医生：演讲 代表阿莎之声特别兴趣小组的病理学家(丽塔·帕特尔医生)，以及喉科医生 代表美国支气管学-食道学协会(James Burns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).