- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03576365
Dysphonia, Distress, and Perceived Control: Technology Based Assessment and Intervention
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In the investigator's voice clinic, a high prevalence of severe distress has been identified. Distress and voice handicap were positively correlated, and perceived control moderated the relationship. Perceived control is associated with less distress in a variety of medical conditions, has an impact beyond that of coping and personality, and can be increased via targeted intervention.
This is a randomized controlled trial. Participants will be randomly assigned to one of the two groups. Both groups involve completing surveys and receiving information online about voice problem.
Participants complete an initial baseline assessment focused on voice function and emotions, including items from the Perceived Control Scale, Voice Handicap Index-10, Perceived Stress Scale, Brief Symptom Inventory-18. Finally, the participants will complete some brief feedback questions about the material.
Next, twice a week for up to three weeks participants will complete check-ins from the online program. Participants in the intervention arm will complete self-guided exercises and brief assessment questions. Participants in the information-only arm will complete mini knowledge quizzes.
All participants will complete brief a post-intervention assessment parallel to the baseline assessment. Lastly, they will have an opportunity to provide final feedback on their experience.
Follow-up with each participant will occur one and three months after finishing the program. Questionnaires will be sent via email including Voice Handicap Index-10, Present Perceived Control-8, and questions regarding treatment adherence and voice outcomes.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ali Stockness, MPH
- Phone Number: 33018 6513533018
- Email: nicho656@umn.edu
Study Locations
-
-
Minnesota
-
Maple Grove, Minnesota, United States, 55369
- Recruiting
- University of Minnesota Health Maple Grove Clinic
-
Contact:
- Ali Stockness, MPH
- Phone Number: 63018 651-626-3018
- Email: voice@umn.edu
-
Minneapolis, Minnesota, United States, 55455
- Recruiting
- University of Minnesota Health Clinics and Surgeries Otolaryngology Clinic
-
Contact:
- Ali Stockness, MPH
- Phone Number: 63018 651-626-3018
- Email: voice@umn.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients who are seen at the Otolaryngology Clinic (University of Minnesota Health Clinics and Surgery Center, or Fairview Hospital Maple Grove or Southdale) with Muscle Tension Dysphonia
- Patients between 18-80 years of age experiencing a voice problem
- Scored high (>10) on the Voice Handicap Index (VHI-10)
- Has the ability to complete informed consent process
- Interested in using an online program/intervention
- Has reliable access to internet
Exclusion Criteria:
Patients who have clinical need for concurrent treatment will be excluded to decrease confounding introduced by having multiple simultaneous interventions. This may include:
- Concurrent laryngeal lesion requiring immediate operative or other intervention
- Concurrent participation in speech therapy
- Concurrent need for new medications that may directly affect voice-related symptoms
- Participant has a Speech Language Pathology visit scheduled in two weeks or less from when they will start the program (if applicable)
- Unable to read English (as determined by their ability to complete the clinic intake forms)
- Female and pregnant
- Prisoner
- Unable to provide informed consent (e.g., patients with dementia)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: VOICE Intervention Arm
Participants participate in the online VOICE program to learn about perceived control and stress reduction to improve voice outcomes.
|
Introductory and background information about voice problems and psychosocial distress
|
Sham Comparator: Information-Only Arm
Participants participate in the information only program to learn about voice problems, anatomy and physiology.
|
General introduction of the program and background on voice related information in an interactive manner
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Perceived Control
Time Frame: 2 weeks
|
Change from baseline assessment using a questionnaire, Perceived Present Control-8 (PPC-8). The PPC-8 questionnaire has 8 questions about perceptions of present control over their voice problem, assessed on a 4-point Likert-type scale, with scores of 1-4 (1=Strongly Disagree, 2=Disagree Somewhat, 3=Agree Somewhat, 4=Strongly Agree). Total scores range from 1-32. Higher scores indicate more perceived control over the patient's voice problems. |
2 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Voice Handicap
Time Frame: 2 weeks
|
Change from baseline assessment using a questionnaire, Voice Handicap Index-10 (VHI-10). The VHI-10 questionnaire has 10 questions about voice problems and the effect it has on the patients life, assessed on a 4-point Likert-type scale, with scores of 0-4 (0=Never, 1=Almost Never, 2=Sometimes, 3=Almost Always, 4=Always). Total scores range from 0-40. Higher scores indicate a more problematic voice. The clinical cutoff for a problematic voice is a VHI-10 score of 10, where scores >10 indicate voice problems. A change of at least 6 points is clinically significant. |
2 weeks
|
Perceived Stress
Time Frame: 2 Weeks
|
Change from baseline assessment using a questionnaire, Perceived Stress Scale-4 (PSS-4). The PSS-4 questionnaire has 4 questions about perceived stress, assessed on a 5-point Likert-type scale, with scores of 0-4 (0=Never, 1=Almost Never, 2=Sometimes, 3=Fairly Often, 4=Very Often). Total scores range from 0-16. Higher scores indicate more perceived stress in the patient's life. |
2 Weeks
|
Psychological Symptoms
Time Frame: 2 weeks
|
Change from baseline assessment using a questionnaire, Brief Symptom Inventory-18 (BSI-18). The BSI-18 questionnaire has 18 questions about psychological symptoms, assessed on a 5-point Likert-type scale, with scores of 0-4 (0=Not at all, 1=A little bit, 2=Moderately, 3=Quite a bit, 4=Extremely). Total scores range from 0-72. Higher scores indicate more extreme psychological symptoms. Patients with "High Risk" psychological symptoms have a score of 57 (75 percentile) or greater. |
2 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intervention Module Acceptability
Time Frame: Baseline and at 2 weeks
|
Examine the acceptability and usability of the adapted intervention based on feedback from participants via a questionnaire.
|
Baseline and at 2 weeks
|
Patients' Adherence to Voice Therapy and Treatment
Time Frame: 2 weeks to 2 years
|
Examine treatment adherence indicators available in the participants' medical charts after intervention is completed (e.g.., did they attend recommended speech therapy sessions, how adherent were they to their speech therapy exercise regimens, how many visits did it take for them to reach treatment goals).
This will be assessed through a medical chart review and reported as a percent of sessions attended, percent exercises completed, and number of visits.
All measures will be given equal weight and be used together to assess treatment adherence.
|
2 weeks to 2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Stephanie Misono, MD, MPH, University of Minnesota
Publications and helpful links
General Publications
- Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
- Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004 Sep;114(9):1549-56. doi: 10.1097/00005537-200409000-00009.
- Frazier P, Keenan N, Anders S, Perera S, Shallcross S, Hintz S. Perceived past, present, and future control and adjustment to stressful life events. J Pers Soc Psychol. 2011 Apr;100(4):749-765. doi: 10.1037/a0022405. Erratum In: J Pers Soc Psychol. 2011 Apr;100(4):718.
- Derogatis LR. BSI 18 (Brief Symptom Inventory 18): Administration, Scoring, and Procedures Manual. Bloomington, MN: NCS Pearson; 2000
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ENT-2017-25834
- K23DC016335-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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