Effects of Voice Therapy: A Comparison Between Individual and Group Therapy.
Malin Abrahamsson, Moa Millgård, Christina Havstam...
https://pubmed.ncbi.nlm.nih.gov/28732752Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID06524193
Comparing Face-to-face Group Voice Therapy to Telepractice Group Voice Therapy for Muscle Tension Dysphonia: A Non-inferiority Randomized Controlled Trial
Led by Chinese University of Hong Kong · Updated on 2024-07-29
168
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are investigating muscle tension dysphonia (MTD), a common voice disorder caused by excessive muscle tension around the voice box. This trial aims to compare the effectiveness of group voice therapy delivered face-to-face versus through telepractice, using a randomized controlled trial design. The study also explores therapy dropout rates, treatment adherence, costs, and how group dynamics affect outcomes. Participants will receive voice therapy in groups either via telepractice or in person. The therapy includes both indirect approaches like voice production counseling and vocal hygiene, and direct therapy such as resonant voice techniques and relaxation exercises targeting head and neck muscles. These treatments follow current best practices and are provided over a set schedule. During the study, participants will undergo assessments at baseline and follow-ups at 2 weeks, 3 months, and 6 months. These evaluations include patient-reported outcomes, laryngeal imaging, voice perception, acoustic voice analysis, and aerodynamic measures. Researchers will also monitor therapy dropout, treatment adherence, costs, and group climate immediately after treatment to understand the effects and feasibility of telepractice compared to face-to-face therapy.
CONDITIONS
Brief Title
RCT Face-to-face Group Voice Therapy vs Telepractice Group Voice Therapy for Muscle Tension Dysphonia
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Age 18 years or older
- Diagnosis of primary muscle tension dysphonia or secondary muscle tension dysphonia where voice therapy is the primary treatment, such as vocal fold nodules
- Chinese-speaking participants only
You will not qualify if you...
- Dysphonia caused by neurogenic or psychogenic conditions
- Secondary muscle tension dysphonia where voice therapy is not the main treatment, such as vocal polyp, vocal cyst, granuloma, or papilloma
- Low computer literacy or lack of social or family support for telepractice
- Inability to provide informed consent
- Receiving other treatments not part of this study, such as traditional Chinese medicine
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Duration as per therapy schedule (not specified)
Participants receive group voice therapy either face-to-face in-person or via telepractice. The therapy includes both indirect and direct voice therapy techniques aimed at treating muscle tension dysphonia.
Multiple group therapy sessions (visit frequency not specified)
Follow-up
Duration - Up to 6 months after treatment
Participants undergo follow-up assessments to evaluate changes in voice measures and treatment outcomes at various timepoints after therapy completion.
Visits at 2 weeks, 3 months, and 6 months post-therapy
Trial Site Locations
Total: 1 location
1
Division of Speech Therapy, Dept of Otorhinolaryngology , Head and Neck Surgery, The Chinese University of Hong Kong
Hong Kong, Hong Kong
Actively Recruiting
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Research Team
T
Thomas Law, PhD
Y
Yifeng Wei, Master
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Current and emerging concepts in muscle tension dysphonia: a 30-month review.
Kenneth W Altman, Cory Atkinson, Cathy Lazarus
https://pubmed.ncbi.nlm.nih.gov/15907440In the Zoom Where It Happened: Telepractice and the Voice Clinic in 2020.
Diana Rose Becker, Amanda I Gillespie
https://pubmed.ncbi.nlm.nih.gov/33596605Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer.
Clare L Burns, Sanjeewa Kularatna, Elizabeth C Ward...
https://pubmed.ncbi.nlm.nih.gov/28963804Multidimensional Assessment of the Effectiveness of Group Voice Therapy.
Giovanna Cantarella, Sara Torretta, Silvia Ferruta...
https://pubmed.ncbi.nlm.nih.gov/28259606Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice.
Adrián Castillo-Allendes, Francisco Contreras-Ruston, Lady Catherine Cantor-Cutiva...
https://pubmed.ncbi.nlm.nih.gov/32878736Can voice disorders matter as much as life-threatening comorbidities to patients' general health?
Elliana Kirsh DeVore, Thomas L Carroll, Bernard Rosner...
https://pubmed.ncbi.nlm.nih.gov/31794064The behavioural treatment of muscle tension voice disorders: A systematic review.
Clare Eastwood, Catherine Madill, Patricia Mccabe
https://pubmed.ncbi.nlm.nih.gov/25953458Voice Therapy for Benign Voice Disorders in the Elderly: A Randomized Controlled Trial Comparing Telepractice and Conventional Face-to-Face Therapy.
Feng-Chuan Lin, Hsin-Yu Chien, Sheng Hwa Chen...
https://pubmed.ncbi.nlm.nih.gov/32579859Delivery of Intensive Voice Therapy for Vocal Fold Nodules Via Telepractice: A Pilot Feasibility and Efficacy Study.
Sherry Fu, Deborah G Theodoros, Elizabeth C Ward
https://pubmed.ncbi.nlm.nih.gov/25726070