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.

项目概要/摘要 根据美国国立卫生研究院和 R15 AREA 计划的资助目标，本申请 建议研究远程咨询和声音治疗计划以减少反应的可行性 听觉过敏是一种导致人对声音的感知异常响亮的听力状况， 听觉过敏的临床治疗包括减少负面影响的咨询。 尽管有这些有用的方法，但对声音的反应和声音疗法可以改善响度感知。 听力过敏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 大多数听觉过敏患者无法获得有关有效性的对照试验的研究证据。 这些针对听力过敏的治疗方法尚缺乏，仅涉及少数参与者，并且仅限于 针对这些问题的具体方法，例如认知行为疗法和低水平背景噪音。 根据需求，该研究团队开发了听觉过敏活动治疗（HAT），其中包括两个部分： 其有效性已通过临床焦点获得的数据得到证明。 HAT 还具有远程管理的潜力。 解决许多正在遭受苦难的农村和低收入美国人目前面临的获得医疗服务的问题 来自听觉过敏。 这个拟议的 R15 项目的目的是收集早期临床证据，证明 HAT 在缓解疼痛方面的有效性 hyperacusis 使用一种新颖的远程交付方法，该项目的创新方面包括远程。 以患者为中心的干预措施的实施和分析，将为基于证据的临床指南提供信息 目前缺乏并提供更易于使用的听力过敏管理解决方案。第一个目标是评估。 远程咨询计划的可行性，其中包括相关主题、作业和每周模块 第二个目标是通过测验来保持参与者的参与度，并通过辅导来支持参与者。 建议缓解听觉过敏的两种远程声音治疗方案的有效性，但 尚待临床评估——低水平背景噪声和使用烦人的逐次逼近 在目标 1 中，每个参与者将完成 4 周的基线测试（对照），然后是 4 周的测试。 在目标 2 中，参与者将被随机分为两个声音治疗组之一。 项目结束后，研究团队将获得支持更大、多地点、 未来的随机临床试验将旨在更全面地评估远程控制的有效性 提供 HAT 咨询和声音定制治疗组件，以减少听觉过敏反应。 R15 AREA 奖，该项目还将通过提供的研究机会产生重大影响 积极参与该项目的学生研究人员，以及通过加强研究环境 PI 的工作以及奥古斯塔纳学院本科生研究优先事项的推进。