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| ID | Type | Description | Link |
|---|---|---|---|
| A539772 | Other Identifier | UW Madison | |
| SMPH/SURGERY/SPEECH | Other Identifier | UW Madison | |
| Protocol Version 12/2/2020 | Other Identifier | Minimal Risk IRB (Health Sciences), UW Madison |
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The purpose of this study is to determine if there are differences in treatment outcomes between traditional voice therapy, performed weekly for a maximum of 6 weeks versus intensive voice therapy, consisting of 4-6 therapy sessions performed within one day.
The goal of voice therapy is optimal long-term vocal quality and communication function with minimal recurrence. Traditional voice therapy for dysphonia typically consists of one to two therapy sessions each week with a single clinician for about 8 weeks. Another approach of voice therapy is intensive short-term therapy also known as "boot camp." This approach, borrows from the disciplines of neurobiology, exercise physiology, motor learning, and psychotherapy which describe desirable learning and behavior changes influenced by practice that involves high-intensity overload, variability, and specificity of training. A few studies have showed that "Boot Camp" model of intensive therapy resulted in comparable gains in voice quality and vibratory mechanics and may promote better patient satisfaction and attendance.
While such findings support the notion that intensive voice therapy may enhance voice therapy outcomes, no study to date has examined patient response to the "Boot Camp" approach to voice therapy. The investigators will compare the outcomes of traditional, weekly voice therapy and intensive voice therapy with multiple sessions in one day.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weekly Voice Therapy | Placebo Comparator | Participants are randomized to receiving weekly voice therapy sessions |
|
| Intensive Voice Therapy | Active Comparator | Participants are randomized to receiving multiple sessions of voice therapy in one day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Weekly Voice Therapy | Behavioral | Participants will be randomized to receive weekly voice therapy |
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| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy and readiness scale Changes | Pre to Post difference in participant's self-efficacy for voice practice and healthy voice technique between therapy groups and within subsets of subjects - readiness ruler of 0 (not at all) to 10 (extremely) | Baseline compared to Immediately post voice therapy |
| Self-efficacy and readiness scale Change | Pre to Post difference in participant's self-efficacy for voice practice and healthy voice technique between therapy groups and within subsets of subjects - readiness ruler of 0 (not at all) to 10 (extremely) | Baseline compared to 12 weeks post voice therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emerald J Doll, MS, CCC-SLP | University of Wisconsin, Madison | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Wisconsin-Madison Voice and Swallow Clinic | Madison | Wisconsin | 53792 | United States |
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| ID | Term |
|---|---|
| D055154 | Dysphonia |
| D014832 | Voice Disorders |
| D006685 | Hoarseness |
| D013064 | Speech Disorders |
| ID | Term |
|---|---|
| D007818 | Laryngeal Diseases |
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D009461 | Neurologic Manifestations |
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For purposes of this study participants will be randomized into one of the following two groups:
4-6 weekly standard of care therapy sessions, once a week, for a maximum of six weeks 4-6 standard of care therapy sessions in one day Standard of care treatment may continue past patient enrollment in this study.
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| Intensive Voice Therapy | Behavioral | Participants will be randomized to receive multiple sessions of voice therapy in one day. |
|
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
| D012818 | Signs and Symptoms, Respiratory |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |