Longitudinal Investigation of Factors Impacting the Development and Rehabilitation of Phonotrauma

影响声音外伤发生和康复的因素的纵向调查

• 批准号: 10738690
• 负责人: Laura Elizabeth Toles
• 金额: $ 18.09万
• 依托单位: UT SOUTHWESTERN MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-14 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10738690
• 关键词: Address; Adherence; Affect; Ambulatory Monitoring; Behavior; Behavioral; Benign; Decision Making; Development; Diagnosis; Disease; Dose; Early identification; Emotional Stress; Equipment and supply inventories; Etiology; Frequencies; Funding; Goals; Grain; Impulsivity; Individual; Investigation; Knowledge; Larynx; Lesion; Life; Literature; Measurement; Measures; Mediating; Methods; Monitor; Music; Nodule; Participant; Pathology; Patients; Pattern; Personality; Personality Assessment; Personality Traits; Personality inventories; Phase; Play; Polyps; Prevention; Procedures; Production; Prognosis; Recommendation; Recovery; Rehabilitation therapy; Research; Research Methodology; Risk; Risk Assessment; Risk Taking; Role; Signal Transduction; Social Dominance; Speed; Statistical Data Interpretation; Therapeutic; Time; Training; Voice; Voice Disorders; Work; career; clinically relevant; cohort; college; experience; high risk population; improved; improved outcome; kinematics; longitudinal analysis; pressure; prevent; programs; prospective; psychosocial; response; risk mitigation; skills; sound; stem; trait; vocal cord; voice therapy; Address; Adherence; Affect; Ambulatory Monitoring; Behavior; Behavioral; Benign; Decision Making; Development; Diagnosis; Disease; Dose; Early identification; Emotional Stress; Equipment and supply inventories; Etiology; Frequencies; Funding; Goals; Grain; Impulsivity; Individual; Investigation; Knowledge; Larynx; Lesion; Life; Literature; Measurement; Measures; Mediating; Methods; Monitor; Music; Nodule; Participant; Pathology; Patients; Pattern; Personality; Personality Assessment; Personality Traits; Personality inventories; Phase; Play; Polyps; Prevention; Procedures; Production; Prognosis; Recommendation; Recovery; Rehabilitation therapy; Research; Research Methodology; Risk; Risk Assessment; Risk Taking; Role; Signal Transduction; Social Dominance; Speed; Statistical Data Interpretation; Therapeutic; Time; Training; Voice; Voice Disorders; Work; career; clinically relevant; cohort; college; experience; high risk population; improved; improved outcome; kinematics; longitudinal analysis; pressure; prevent; programs; prospective; psychosocial; response; risk mitigation; skills; sound; stem; trait; vocal cord; voice therapy

PROJECT SUMMARY / ABSTRACT Voice behavior in daily life is assumed to be a primary factor in the development and persistence of phonotrauma (e.g., vocal fold nodules, polyps, etc.), which is one of the most prevalent behavioral voice disorders. The shortage of prospective, longitudinal investigations into the ambulatory voice behaviors in high-risk individuals limits the differentiation between factors that are causative versus compensatory to phonotrauma, and therefore impacts optimal risk-assessment, mitigation, and therapeutic decision-making. Recent work has found that individuals with phonotrauma had higher levels of personality traits related to social dominance and impulsivity and higher speaking vocal doses and increased speaking vocal intensity during voice use in daily life. Individuals without current vocal pathology had strong relationships between those same personality traits and vocal behaviors, suggesting that personality traits and speaking voice use in daily life could be robust factors in the development of phonotrauma and could play a role in the prognosis for recovery. The primary objective of this project is to determine the enduring role that personality traits and daily voice use have on the development of phonotrauma, changes in vocal fold kinematics, and on the ability to change damaging vocal behavior using prospective, longitudinal methods. Aim 1 seeks to identify personality and vocal behavior factors involved in the development of phonotrauma. This will be achieved through initial assessment using a personality trait inventory, ambulatory voice monitoring, and laryngeal assessment via high-speed videoendoscopy of vocally asymptomatic singers who are freshmen in a college voice concentration music program. We will conduct these assessment procedures bi-annually, beginning in the singer’s freshman year and ending at the conclusion of their junior year. Aim 2 will assess which ambulatory and vocal fold kinematic parameters are the most predictive of phonotrauma. Aim 3 will investigate the impact that personality has on compliance with therapeutic/behavioral recommendations in daily life through personality assessment and ambulatory monitoring before and after participation in voice therapy. These studies will be the first to use ambulatory monitoring to (1) prospectively observe factors related to the development of phonotrauma and (2) measure the impact that personality traits have on the ability to change individual vocal behaviors. It will also be the first to use high-speed videoendoscopy to observe development of phonotrauma over time. This project will support advancement of the PI’s long-term career objective, which is to implement a program that uses psychosocial and behavioral factors to improve the prevention and treatment of phonotrauma in high-risk populations. This career objective can only be achieved with adequate training in longitudinal research methods, advanced statistical analyses, and acquisition and analysis of high-speed videoendoscopy. Results from this study will build a framework to ultimately improve early identification of phonotrauma risk, develop risk mitigation strategies, and inform treatment approaches.

项目摘要 /摘要 假定日常生活中的语音行为是Phonotrauma发展和持久性的主要因素 （例如，声带结节，息肉等），这是最普遍的行为语音障碍之一。 缺乏对高风险个体的门诊语音行为的前瞻性，纵向调查 限制了结构与补偿性与音调的因素之间的区分，因此 影响最佳的风险评估，缓解和热决策。最近的工作发现 患有Phonotrauma的人具有更高的人格特质，与社会统治和冲动有关 在日常生活中语音使用过程中，口语较高的声音剂量和语音强度增加。个人 没有当前的人声病理学在那些相同的人格特征和声音之间具有牢固的关系 行为，表明在日常生活中的人格特征和语音使用可能是强大的因素 Phonotrauma的发展，可以在恢复的预后中发挥作用。这是这个的主要目标 项目是确定人格特征和日常语音使用在发展中的持久作用 Phonotrauma，人声折叠运动学的变化以及使用使用损害行为的能力 前瞻性，纵向方法。 AIM 1试图确定涉及的个性和人声行为因素 Phonotrauma的发展。这将通过使用个性特质清单来通过初步评估来实现 通过高速视频注射镜检查，卧床语音监测和喉部评估 无症状的歌手是大学语音集中音乐节目的新生。我们将进行这些 一年一度的评估程序，从新生开始，结束于结束 他们大三。 AIM 2将评估哪种门诊和声带运动学参数是最预测的 phonotrauma。 AIM 3将研究人格对遵守治疗/行为的影响 日常生活中的建议是通过人格评估和卧床监测之前和之后 参与语音疗法。这些研究将是第一个使用卧床监测到（1）的研究 观察与Phonotrauma发展有关的因素，以及（2）衡量人格特征的影响 具有改变个体声音行为的能力。这也将是第一个使用高速视频镜检查的人 随着时间的流逝，观察Phonotrauma的发展。该项目将支持PI的长期发展 职业目标，即实施一个使用社会心理和行为因素来改善的计划 在高危人群中预防和治疗Phonotrauma。这个职业目标只能实现 在纵向研究方法，高级统计分析和获取和获取以及 高速视频镜检查分析。这项研究的结果将建立一个框架，以最终提早改善 识别Phonotrauma风险，发展风险策略和信息治疗方法。