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

衡量声音治疗中发生的情况：声音治疗分类法的细化和测试

• 批准号: 10366658
• 负责人: Jarrad Van Stan
• 金额: $ 4.17万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10366658
• 关键词: American; American Speech-Language-Hearing Association; Behavior Therapy; Behavioral; Burn injury; Categories; Characteristics; Clinical; Clinical Research; Clinical Trials; Code; Comparative Effectiveness Research; Complex; Computer software; Consensus; Consensus Development; Data; Development; Doctor of Philosophy; Documentation; Dysphonia; Effectiveness; Expert Opinion; Face; Feedback; Goals; Grant; Healthcare; ImProv; Individual; International; Intervention; Life; Link; Measures; Medical; Methodology; Modeling; Muscle Tension; Nodule; Operative Surgical Procedures; Outcome; Patient-Focused Outcomes; Patients; Pharmaceutical Preparations; Polyps; Principal Investigator; Process; Protocols documentation; Psychology; Reader; Rehabilitation therapy; Research; Research Personnel; Resources; Selection for Treatments; Specific qualifier value; Speech Pathologist; Standardization; Structure; System; Taxonomy; Testing; Therapeutic; Treatment Protocols; Videotape; Voice; Work; active method; base; design; effective therapy; experience; improved; improved outcome; innovation; large datasets; novel; programs; provider adherence; special interest group; theories; therapy development; tool; treatment comparison; vocal cord; voice therapy

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).

项目摘要：衡量语音疗法中发生的事情：语音疗法的改进和测试 分类学 当前的医疗保健景观要求医疗干预措施有大量的经验证据 指导临床有效的治疗选择和分娩。对于许多提供的医疗治疗 对被动患者（例如药物或手术），临床试验和比较有效性的干预措施 研究可以描述，衡量和比较结果的变化。 但是，目前，复杂行为干预措施中包含的治疗方法（例如语音疗法 方法没有足够的详细信息来定义，测量和与结果进行比较。这是 所有基于行为的医学专业进步的关键障碍。康复领域和 心理学已经为开发治疗规范系统投入了大量努力（即 分类法）。尽管这些额外的努力提供了有用的理论和总体规范 模型，理论框架与需要一个的临床医生/研究人员之间存在差距 分类学详细介绍了自己的子领域（例如语音疗法）。语音疗法的分类法可以 通过提供有效可靠的列表/治疗结构来帮助填补这种严重的缺陷 原料。拟议的工作旨在通过通过 在三回合中的10个语音疗法专家之间建立共识（面部和内容） 有效性），基于精致语音疗法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的现实语音疗法的规范来建立评估者间的可靠性。 康复利益相关者的投入将包括外部读者（PCORI的主要研究者 康复治疗分类法（RTT）[博士约翰·怀特]和国际公认的演讲 美国言语听力协会（ASHA）治疗分类法的病理学家临时分类学 委员会Joseph Duffy]）以及由RTT执行委员会组成的顾问委员会。到 从临床利益相关者那里获得意见，顾问委员会还将包括专家临床医生：演讲 代表ASHA特殊兴趣小组的病理学家（Rita Patel博士）和喉科医生 代表美国支气管 - 流行病学协会（James Burns博士）。

项目成果

Voice Therapy According to the Rehabilitation Treatment Specification System: Expert Consensus Ingredients and Targets.

根据康复治疗规范体系进行声音治疗：专家共识的成分和目标。

• DOI: 10.1044/2021_ajslp-21-00076
• 发表时间: 2021
• 期刊: American journal of speech-language pathology
• 影响因子: 2.6
• 作者: VanStan,JarradH;Whyte,John;Duffy,JosephR;Barkmeier-Kraemer,Julie;Doyle,Patricia;Gherson,Shirley;Kelchner,Lisa;Muise,Jason;Petty,Brian;Roy,Nelson;Stemple,Joseph;Thibeault,Susan;Tolejano,CarolJorgensen
• 通讯作者: Tolejano,CarolJorgensen

Rehabilitation Treatment Specification System: Identifying Barriers, Facilitators, and Strategies for Implementation in Research, Education, and Clinical Care.

康复治疗规范系统：识别研究、教育和临床护理中的障碍、促进因素和实施策略。

• DOI: 10.1016/j.apmr.2022.09.021
• 发表时间: 2023
• 期刊: Archives of physical medicine and rehabilitation
• 影响因子: 4.3
• 作者: VanStan,JarradH;Holmes,Jain;Wengerd,Lauren;Juckett,LisaA;Whyte,John;Pinto,ShantiM;Katz,LeannaW;Wolfberg,Jeremy
• 通讯作者: Wolfberg,Jeremy

Rehabilitation Treatment Specification System: Methodology to Identify and Describe Unique Targets and Ingredients.

• DOI: 10.1016/j.apmr.2020.09.383
• 发表时间: 2021-03
• 期刊: Archives of physical medicine and rehabilitation
• 影响因子: 4.3
• 作者: Van Stan JH;Whyte J;Duffy JR;Barkmeier-Kraemer JM;Doyle PB;Gherson S;Kelchner L;Muise J;Petty B;Roy N;Stemple J;Thibeault S;Tolejano CJ
• 通讯作者: Tolejano CJ