The purpose of this study is to assess the effects of incorporating educational online modules into voice therapy. One of the main reasons that voice therapy fails is lack of participation and engagement from the patient's side. The researchers hope to learn if increasing patient engagement via educational online modules during this waiting period between evaluation and first therapy session is useful in increasing understanding of the therapeutic framework of voice therapy.

Attendance and adherence are established as consistent challenges in voice therapy. Specific logistical and psychological factors linked to these challenges include the interval between evaluation and initiation of treatment and components of patient motivation. The authors propose a novel online education module involving patient self-ratings of voice quality to be completed at various time points throughout the therapeutic process, including during the waiting period between initial evaluation and first treatment session. The authors hypothesize that completion of this module will increase patient understanding of the conceptual framework of therapy, provide opportunities for inclusion of patient-driven acoustic goals and establish skills in auditory and kinesthetic awareness, which are foundational to behavioral voice therapy.

Inclusion Criteria:

• Age >18 years
• English-speaking
• Have access to technology, including Internet
• Diagnosed with dysphonia with a recommended treatment of voice therapy.
• Willingness to complete all clinical/research assessments
• Ability to give informed consent

Exclusion Criteria:

• Patients who undergo surgical intervention during the course of therapy Contraindications for participation in voice therapy
• Diagnosis of Parkinson's Disease or other neurodegenerative, progressive disorder (e.g., ALS)
• Previous training in acoustic-perceptual voice quality rating, for example a speech language pathology student
• Visual impairments that would prevent the completion of an online module.
• Those with self-reported moderate-profound hearing loss or deafness that would preclude them from participating in the study
• Inability to give informed consent

Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices)

Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

The investigator who proposed to use the data.Upon reasonable request. Requests should be directed to Aaron.Johnson@nyulangone.org. To gain access, data requestors will need to sign a data access agreement.