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Improving Efficacy of Voice Therapy Concepts via Telepractice and Mobile App Technology

通过远程治疗和移动应用技术提高语音治疗概念的功效

基本信息

批准号：
10342353
负责人：
Elizabeth Urban Grillo
金额：
$ 38.71万
依托单位：
WEST CHESTER UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10342353
关键词：
Acoustics Address Affect Anatomy Apple Area Audiology Behavioral COVID-19 COVID-19 pandemic Categories Cellular Phone Client Clinical effectiveness Data Development Devices Ecological momentary assessment Economic Burden Educational process of instructing Effectiveness Environment Fatigue Feedback Future Future Teacher Goals Health Care Costs Health Insurance Portability and Accountability Act Health Services Accessibility Healthcare Healthcare Systems Hearing Hearing Aids High Prevalence Improve Access Intervention Knowledge Language Language Tests Learning Life Link Literature Measures Methods Modeling National Institute on Deafness and Other Communication Disorders Occupations Outcome Outcome Measure Participant Pathologist Performance Persons Physiology Population Prevention Production Psyche structure Public Health Randomized Rehabilitation therapy Relapse Reporting Research Running Schedule Secure Services Societies Speech Speech-Language Pathology Students Surveys System Tablets Technology Terminology Testing Time Training Videoconferencing Voice Voice Quality Work clinical efficacy clinical practice cost early childhood exercise program flexibility high risk improved indexing innovation instrumentation learning ability mobile application negative affect novel pandemic disease prevent primary outcome prototype satisfaction secondary outcome teacher voice therapy web portal

项目摘要

7. PROJECT SUMMARY/ABSTRACT Due to the COVID-19 pandemic, telepractice has grown rapidly. To date, synchronous telepractice (i.e., in real-time videoconferencing) has been the focus of most research with asynchronous telepractice (i.e. information stored and accessed later) being used minimally only to record synchronous encounters. Descriptions of voice therapy concepts are minimally available in the literature with no standard reporting framework and no clinical efficacy or effectiveness data. Thus, the proposed study will address these barriers. First, an asynchronous method will be developed that will impact both in-person and telepractice services by offering repeated learning opportunities in the client’s environment. The method includes ecological momentary intervention (EMI) through a daily voice therapy practice app, server, and web portal that is flexible in its programming to meet the needs of the client, offers performance feedback, and charts results over time. Second, voice therapy concepts will be tested improving our knowledge about such concepts that facilitate successful client-centered outcomes for both prevention and treatment of voice problems. The participants in the study will be teachers who have a high prevalence of voice problems, impact the healthcare system when treatment is needed, and negatively affect students’ learning abilities in the classroom when communicating with a voice problem. Third, the Rehabilitation Treatment Specification System (RTSS) framework will be used to describe the voice therapy concepts. The concepts include: training multiple voices to meet all the clients’ vocal needs, defining voice qualities by the anatomy and physiology of the voice production system, generalizing voice targets into hierarchical speech tasks, and using “new” vs “other/old” voice to help the client become their own clinician. Vocally healthy student teachers and professional teachers with voice complaints will be randomized into one of four voice therapy conditions delivered via telepractice. Both groups of teachers are needed to assess the concepts for prevention and treatment. Condition 2, which fully represents the proposed voice therapy concepts, will be superior to the other three conditions, which do not fully represent the concepts, by demonstrating a greater decrease in client-reported primary outcome measures of the Voice Handicap Index-10 and factor 1 and 2 of the Vocal Fatigue Index. Secondary outcomes of acoustic measures, Borg Category Ratio-10 scales for vocal and mental effort, and voice therapy satisfaction surveys will also be investigated. The results will be useful at a practical level by advancing asynchronous telepractice and by improving efficacy of voice therapy concepts. In addition, the results will lay the groundwork for future studies involving development of EMI platforms in other areas of speech-language pathology and testing additional voice therapy concepts that facilitate successful client-centered outcomes.

7.项目总结/摘要由于COVID-19疫情，远程实践迅速增长。迄今为止，同步远程实践（即，在实时视频会议）已经成为大多数研究的重点与异步远程实践（即，存储的信息和稍后访问的信息）最低限度地仅用于记录同步遭遇。在文献中，对声音治疗概念的描述很少，没有标准的报告框架，无临床疗效或有效性数据。因此，拟议的研究将解决这些障碍。首先，将开发一种异步方法，通过以下方式影响面对面和远程实践服务在客户的环境中提供重复学习的机会。该方法包括生态瞬时通过日常语音治疗实践应用程序、服务器和门户网站，编程以满足客户的需求，提供性能反馈，并随时间推移绘制结果图表。其次，语音治疗的概念将被测试，以提高我们对这些概念的了解，以客户为中心，成功预防和治疗语音问题。的与会者这项研究将是教师谁有高患病率的声音问题，影响医疗保健系统时，治疗是必要的，并对学生在课堂上的学习能力产生负面影响时，沟通嗓子有问题第三，我们会采用康复治疗规格系统（RTSS）架构来描述声音治疗的概念。这些概念包括：训练多种声音，以满足所有客户的需求发声需求，通过发声系统的解剖学和生理学定义声音质量，将语音目标概括为分层语音任务，并使用“新”与“其他/旧”语音来帮助客户端成为自己的临床医生。声音健康的学生教师和有声音投诉的专业教师将被随机分配到通过远程练习提供的四种声音治疗条件之一中。两组教师评估预防和治疗的概念。条件2，它完全代表了提出的声音治疗的概念，将是上级的其他三个条件，这并不能完全代表概念，通过展示客户报告的声音的主要结局指标的更大下降残疾指数-10和因素1和2的声乐疲劳指数。声学测量的次要结局，博格类别比-10个尺度的声乐和心理努力，语音治疗满意度调查也将研究了研究结果将有助于在实践层面上推进异步远程实践，提高声音治疗概念的功效。此外，研究结果将为今后的研究奠定基础涉及在言语语言病理学的其他领域开发EMI平台，声音治疗的概念，促进成功的客户为中心的结果。