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. 项目概要/摘要由于新冠肺炎 (COVID-19) 大流行，迄今为止，同步远程治疗（即远程治疗）已迅速发展。实时视频会议）一直是异步远程练习（即远程练习）大多数研究的焦点。稍后存储和访问的信息）仅最低限度地用于记录同步遭遇。文献中对声音治疗概念的描述很少，没有标准报告框架和没有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，该方法将通过以下方式影响现场和远程医疗服务：该方法包括在客户的环境中提供重复学习的机会。通过日常语音治疗练习应用程序、服务器和灵活的门户网站进行干预 (EMI) 进行编程以满足客户的需求，提供绩效反馈，并绘制一段时间内的结果图表。其次，将测试声音治疗概念，以提高我们对这些概念的了解，从而促进参与者在预防和治疗声音问题方面取得了以客户为中心的成功成果。该研究将针对那些患有嗓音问题的教师进行研究，他们会在以下情况下影响医疗保健系统：需要治疗，并且在沟通时会对学生在课堂上的学习能力产生负面影响第三，将使用康复治疗规范系统（RTSS）框架。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。声音需求，通过声音产生系统的解剖学和生理学来定义声音质量，将语音目标概括为分层语音任务，并使用“新”与“其他/旧”语音来帮助客户成为自己声音健康的学生教师和有声音抱怨的专业教师。两组教师将被随机分配到四种语音治疗条件中的一种。需要评估条件 2 的预防和治疗概念，它充分代表了情况。提出的声音治疗概念，将优于其他三个条件，这并不能完全代表概念，通过展示客户报告的声音主要结果指标的更大减少障碍指数 10 以及声乐疲劳指数的因子 1 和 2，声学测量的次要结果。 Borg Category Ratio-10 声乐和脑力努力量表以及声乐治疗满意度调查也将在通过推进异步远程实践，研究结果将在实践层面上发挥作用。此外，研究结果将为未来的研究奠定基础。涉及语音语言病理学其他领域的 EMI 平台的开发和附加测试声音治疗概念有助于以客户为中心取得成功的结果。