A Feasibility Study of a Novel, Fully Remote Counseling and Sound Therapy Program for Hyperacusis

新型、完全远程咨询和听觉过敏声音治疗计划的可行性研究

• 批准号: 10651126
• 负责人: Ann Perreau
• 金额: $ 36.13万
• 依托单位: AUGUSTANA COLLEGE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10651126
• 关键词: Address; Affect; American; Antidepressive Agents; Auditory Perception; Auditory system; Award; Client; Clinical; Clinical Management; Clinical Research; Clinical Trials Design; Cognitive Therapy; Communication; Complement; Counseling; Data; Data Collection; Devices; Disease; Education; Effectiveness; Ensure; Environment; Equipment and supply inventories; Exercise; Exposure to; Feasibility Studies; Focus Groups; Funding; Future; Goals; Guidelines; Health Services Accessibility; Hearing; Heterogeneity; Hour; Hyperacusis; Individual; Instruction; Intervention; Loudness; Loudness Perception; Low income; Measures; Mental Health; Monitor; Music; Nature; Noise; Outcome Measure; Pain; Participant; Patients; Persons; Population; Program Effectiveness; Psychiatric therapeutic procedure; Psychoacoustics; Publishing; Questionnaires; Randomized; Randomized Controlled Clinical Trials; Reaction; Recommendation; Relaxation; Reporting; Research; Research Personnel; Rural; Science; Site; Students; Symptoms; Testing; Training; Treatment Effectiveness; Treatment Protocols; United States National Institutes of Health; Work; college; compare effectiveness; design; effectiveness evaluation; evidence base; experience; improved; innovation; novel; patient engagement; patient oriented; patient population; programs; randomized, clinical trials; reaction rate; remote administration; remote delivery; research study; response; sound; success; telecoaching; treatment effect; treatment program; undergraduate research; undergraduate student

PROJECT SUMMARY/ABSTRACT In line with the funding goals of the National Institutes of Health and the R15 AREA program, this application proposes to investigate the feasibility of a remote counseling and sound therapy program for reducing reactions to hyperacusis. Hyperacusis is a hearing condition causing one’s perception of sounds to be abnormally loud, annoying, fearful, or painful. Clinical management of hyperacusis involves counseling to reduce negative reactions to sounds and sound therapy to improve loudness perception. Despite these helpful approaches, management of hyperacusis is restricted to highly specialized professionals located at large centers that are inaccessible by most hyperacusis patients. Further, research evidence from controlled trials on the effectiveness of these treatments for hyperacusis is lacking, involves only a small number of participants, and is limited to specific approaches, such as cognitive behavioral therapy and low-level background noise. In response to these needs, this research team developed Hyperacusis Activities Treatment (HAT), which includes two components: counseling and sound therapy. Its effectiveness was demonstrated through data obtained from clinical focus groups and small-scale research studies. There is additional potential for HAT to be remotely administered, thus addressing the access-to-care issue currently facing many rural and low-income Americans who are suffering from hyperacusis. The aim of this proposed R15 project is to gather early clinical evidence for the effectiveness of HAT in relieving hyperacusis using a novel, remote delivery approach. The innovative aspects of this project, including the remote delivery and analysis of patient-centered interventions, will inform evidence-based clinical guidelines that are currently lacking and produce more accessible solutions for hyperacusis management. The first aim will evaluate feasibility of the remote counseling program, which includes weekly modules on relevant topics, homework, and quizzes to keep participants engaged, and coaching to support participants. The second aim will compare the effectiveness of two remotely-administered sound therapy options recommended for hyperacusis relief but that are yet to be clinically evaluated—low-level background noise and successive approximations using bothersome sounds. In Aim 1, each participant will complete 4 weeks of baseline testing (control) followed by 4 weeks of counseling (treatment). In Aim 2, participants will be randomized into one of two sound therapy groups. At the end of the project, the research team will have the early clinical evidence needed to support larger, multi-site, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT’s counseling and customized sound therapy components to reduce reactions to hyperacusis. As an R15 AREA award, the project will also have a significant impact through the research opportunities afforded to student researchers who will be actively involved in the project, and on the research environment by enhancing the PI’s work and advancing priorities of undergraduate research at Augustana College.

项目摘要/摘要 根据美国国立卫生研究院和R15地区计划的资助目标，这项申请 建议研究远程咨询和合理的治疗方案的可行性，以减少反应 到听觉过敏症。听力过敏症是一种听力状况，导致一个人对声音的感知异常响亮， 烦人的、可怕的或痛苦的。听力亢进的临床处理包括咨询以减少负面影响 对声音的反应和声音疗法，以改善响度感知。尽管有这些有用的方法， 听力亢进的管理仅限于位于大型中心的高度专业化的专业人员，这些中心 大多数听力过敏症患者都无法接触到。此外，来自对照试验的关于有效性的研究证据 在这些治疗听力亢进的方法中，缺乏，只涉及一小部分参与者，而且限于 具体方法，如认知行为疗法和低水平背景噪音。在回应这些问题时 根据需求，该研究小组开发了听觉过敏症活动治疗(HAT)，它包括两个组成部分： 咨询和声音治疗。它的有效性通过从临床焦点获得的数据得到证明。 小组和小规模研究。HAT还具有远程管理的潜力，因此 解决目前许多遭受痛苦的农村和低收入美国人面临的获得保健问题 因为听力过敏症。 这个被提议的R15项目的目的是收集HAT在缓解疾病方面的有效性的早期临床证据。 使用一种新颖的远程交付方法的听觉过敏症。该项目的创新方面，包括远程 以患者为中心的干预措施的提供和分析，将为循证临床指南提供信息，这些指南是 目前缺乏，并为听觉过敏症的管理提供更易获得的解决方案。第一个目标是评估 远程咨询计划的可行性，包括每周有关相关主题、家庭作业和 测验以保持参与者的参与度，并通过辅导为参与者提供支持。第二个目标将比较 推荐的两种远程给药声音疗法缓解听力障碍的有效性 还有待临床评估--低水平背景噪声和使用烦人的逐次逼近 听起来。在目标1中，每个参与者将完成4周的基线测试(对照)，然后完成4周的 咨询(治疗)。在目标2中，参与者将被随机分为两个声音治疗组之一。在 在项目结束时，研究团队将拥有支持更大、多地点、 未来的随机临床试验将被设计成更全面地评估远程 提供HAT的咨询和定制的声音治疗组件，以减少对听力过敏症的反应。AS 作为R15领域的奖项，该项目还将通过提供的研究机会产生重大影响 给将积极参与该项目的学生研究人员，并通过加强 国际和平研究所的工作和推进奥古斯塔纳学院本科生研究的优先事项。