亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Online Intervention for Muscle Tension Dysphonia

肌肉张力 干预(咨询) 随机对照试验 物理疗法 医学 感知压力量表 耳鼻咽喉科 临床试验 交互式语音应答 试点试验 语音治疗 心理学 临床心理学 听力学 压力(语言学) 护理部 精神科 电信 语言学 哲学 外科 病理 计算机科学
作者
Viann N. Nguyen-Feng,Patricia Frazier,Yuchen Liu,Erin Feddema,Benjamin Wils,Elizabeth Nikcevich,Ali Stockness,Kelvin O. Lim,Amanda Hu,Lisa Butcher,Stephanie Misono
出处
期刊:JAMA otolaryngology-- head & neck surgery [American Medical Association]
标识
DOI:10.1001/jamaoto.2024.5255
摘要

Importance Voice-related perceived control is the extent to which a person feels they can control their voice condition and/or their response to it. Given the interaction of psychological factors and voice outcomes, an intervention targeting psychological factors may be a helpful adjunct to clinical voice care. Objective To investigate the feasibility, acceptability, and potential efficacy of a perceived control intervention adapted for adult patients with muscle tension dysphonia and to compare its outcomes with those of a voice education program. Design, Settings, and Participants This was a pilot randomized clinical trial using mixed methods and including adults with muscle tension dysphonia from academic otolaryngology clinics from July 8, 2018, to December 8, 2019. Participants were randomized to the voice education program or the perceived control intervention, and feasibility and acceptability of both were assessed using quantitative and qualitative measures. Data analyses were performed from October 1, 2023, to March 5, 2024. Main Outcomes and Measures Voice-related impairment was measured using the Voice Handicap Index-10 (VHI-10). Psychological factors were measured using the voice-related Perceived Present Control Scale, Brief Symptom Inventory-18 (BSI), and Perceived Stress Scale-4. Open-ended participant responses were analyzed following consensual qualitative research methods. Results In all, 50 participants (mean [SD] age, 51.0 [15.9] years; 34 women [68%]); 27 were randomly assigned to receive the voice education program and 23 were randomly assigned to the perceived control intervention. Forty participants (80%) completed the study, which demonstrated the feasibility of both options. Outcomes of both the perceived control intervention and the voice education program were acceptable. Change in VHI-10 was heterogeneous, modest overall, and similar in the perceived control (−2.44; 95% CI, −4.25 to −0.63) and education (−2.94; 95% CI, −4.12 to −1.76) arms. Perceived control (secondary outcome) was higher, and exploratory outcomes (ie, somatic concerns, depression, anxiety, and perceived stress) were lower overall between pretest and posttest assessments. Qualitative analyses showed an overall decrease in negative voice-related emotions, fatigue, and negative self-image over the course of the perceived control intervention, and an interest in curated information in the voice education program. Conclusions and Relevance This pilot randomized clinical trial indicates that both the perceived control intervention and voice education program appear promising for further development. Online interventions are of interest to people with voice disorders, and future work may benefit from taking individual differences into account. Trial Registration ClinicalTrials.gov Identifier: NCT03576365

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
3秒前
科研通AI5应助威武大将军采纳,获得10
5秒前
Ethan应助科研通管家采纳,获得10
6秒前
CodeCraft应助科研通管家采纳,获得10
6秒前
Willy完成签到,获得积分10
8秒前
罐子发布了新的文献求助10
9秒前
科研通AI5应助meena采纳,获得10
12秒前
14秒前
顾矜应助难过的踏歌采纳,获得10
15秒前
脑洞疼应助罐子采纳,获得10
19秒前
20秒前
25秒前
morena发布了新的文献求助10
26秒前
29秒前
科研通AI5应助舒适的梦玉采纳,获得10
35秒前
36秒前
akai完成签到,获得积分10
36秒前
37秒前
aaa4发布了新的文献求助10
37秒前
豆子发布了新的文献求助10
37秒前
41秒前
威武大将军完成签到,获得积分10
41秒前
akai发布了新的文献求助10
43秒前
43秒前
hyt完成签到,获得积分10
46秒前
meena发布了新的文献求助10
47秒前
Wendy完成签到,获得积分10
48秒前
Jemery发布了新的文献求助10
54秒前
siagen完成签到,获得积分10
1分钟前
Sunny完成签到 ,获得积分10
1分钟前
雪饼完成签到 ,获得积分10
1分钟前
aaa4完成签到,获得积分10
1分钟前
meena完成签到,获得积分10
1分钟前
1分钟前
1分钟前
Wcy发布了新的文献求助10
1分钟前
1分钟前
joe完成签到 ,获得积分0
1分钟前
Ava应助Wcy采纳,获得10
1分钟前
1分钟前
高分求助中
Continuum Thermodynamics and Material Modelling 3000
Production Logging: Theoretical and Interpretive Elements 2700
Les Mantodea de Guyane Insecta, Polyneoptera 1000
Conference Record, IAS Annual Meeting 1977 820
England and the Discovery of America, 1481-1620 600
Teaching language in context (Third edition) by Derewianka, Beverly; Jones, Pauline 550
Typology of Conditional Constructions 500
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 纳米技术 计算机科学 内科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 量子力学 光电子学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3585376
求助须知:如何正确求助?哪些是违规求助? 3154320
关于积分的说明 9501189
捐赠科研通 2856994
什么是DOI,文献DOI怎么找? 1570344
邀请新用户注册赠送积分活动 736133
科研通“疑难数据库(出版商)”最低求助积分说明 721525