Delivery of Intensive Voice Therapy for Vocal Fold Nodules Via Telepractice: A Pilot Feasibility and Efficacy Study

Fu, Sherry, Theodoros, Deborah G. and Ward, Elizabeth C. (2015) Delivery of Intensive Voice Therapy for Vocal Fold Nodules Via Telepractice: A Pilot Feasibility and Efficacy Study. Journal of Voice, 29 6: 696-706. doi:10.1016/j.jvoice.2014.12.003

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Author Fu, Sherry
Theodoros, Deborah G.
Ward, Elizabeth C.
Title Delivery of Intensive Voice Therapy for Vocal Fold Nodules Via Telepractice: A Pilot Feasibility and Efficacy Study
Journal name Journal of Voice   Check publisher's open access policy
ISSN 0892-1997
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.jvoice.2014.12.003
Open Access Status File (Author Post-print)
Volume 29
Issue 6
Start page 696
End page 706
Total pages 11
Place of publication Philadelphia, PA, United States
Publisher Mosby
Collection year 2016
Language eng
Formatted abstract
Objectives: This pilot study examined voice outcomes and patient perceptions after intensive voice therapy for vocal fold nodules via telepractice.

Study Design: Pilot, within-subjects experimental trial.

Methods: Participants included 10 women diagnosed with bilateral vocal fold nodules who received intensive voice treatment via a free videoconferencing platform Skype, (Microsoft Corp., Redmond, WA). All participants completed one vocal hygiene session in person, followed by eight sessions of therapy via telepractice over 3 weeks. Before and immediately after treatment, patients attended a clinic in person to complete perceptual, stroboscopic, acoustic, and physiological assessments of vocal function. Analyses were performed by a speech-language pathologist and an otolaryngologist independent to and blinded to the study. Participants also completed the Voice Handicap Index and a telepractice satisfaction questionnaire, or an anticipated satisfaction questionnaire, before and after the treatment.

Results: Significant improvements were found in perceptual, vocal fold function, acoustic, and physiological parameters as well as nodule sizes and patient perceptions of voice-related quality of life post-treatment. Participants were highly positive about their first experience with telepractice. Results were similar to those from a separate study investigating the effects of an intensive voice therapy delivered in conventional face-to-face (FTF) format.

Conclusions: This study is consistent with possible benefits of telepractice in the delivery of intensive treatment for vocal fold nodules. Pending final verification with a FTF comparison group, telepractice could be recommended as an alternate treatment modality for patients with vocal fold nodules.
Keyword Acoustic
Participant satisfaction
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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