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地区计划的资金目标，本申请 调查远程咨询和声音疗法计划的可行性以减少反应的提议 到Hypersusis。 Hyper Acusis是一种听力条件，导致人们对声音的看法绝对大声， 烦人，恐惧或痛苦。 HyperAcusis的临床管理涉及咨询以减少负面 对声音和声音疗法的反应，以改善响度感知。尽管采用了这些有用的方法， Hypersis的管理仅限于位于大型中心的高度专业专业人员 大多数HyperAsusis患者无法访问。此外，对照试验的研究证据就有效性 缺乏这些有关超源的治疗方法，仅涉及少数参与者，仅限于 特定方法，例如认知行为疗法和低级背景噪声。回应这些 需求，该研究小组开发了HyperAcusis活动治疗（HAT），其中包括两个组成部分： 咨询和声音疗法。通过从临床重点获得的数据证明了其有效性 小组和小规模研究。 HAT远程管理还有其他潜力，因此 解决目前面临许多遭受苦难的艰难和低收入美国人的访问问题 来自Hypersusis。 该提议的R15项目的目的是收集早期的临床证据，证明HAT可以缓解HAT的有效性 使用新颖的，远程交付方法的Hyper Acusis。该项目的创新方面，包括遥控器 以患者为中心的干预措施的交付和分析将为基于证据的临床准则提供信息 目前缺乏和生产更容易获得的HyperAcusis管理解决方案。第一个目标将评估 远程咨询计划的可行性，其中包括有关相关主题，家庭作业和 测验以保持参与者的参与，并进行教练以支持参与者。第二个目标将比较 建议使用HyperAcusis缓解的两个远程标准的声音疗法选项的有效性，但 尚待临床评估 - 低级别的背景噪声和成功的近似值 听起来。在AIM 1中，每个参与将完成4周的基线测试（对照），然后完成4周 咨询（治疗）。在AIM 2中，参与者将被随机分为两个声音疗法组之一。在 该项目的结尾，研究小组将拥有支持更大的多站点的早期临床证据 未来的随机临床试验将旨在更全面地评估遥控器的有效性 提供HAT的咨询和定制的声音疗法组件，以减少对Hypersisis的反应。 该项目是R15区域奖，还将通过提供的研究机会产生重大影响 对于将积极参与该项目的学生研究人员，并通过增强研究环境 PI的工作和在奥古斯塔纳学院（Augustana College）的本科研究的优先事项。