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Effectiveness of Telepractice by Smartphone App Technology in Preventing Voice Problems

Primary Purpose

Prevention of Voice Disorders in Student Teachers

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Telepractice Global Voice Prevention Model
In-person Global Voice Prevention Model
Telepractice, Vocal Hygiene and Vocal Education
Sponsored by
West Chester University of Pennsylvania
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Prevention of Voice Disorders in Student Teachers

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • senior at West Chester University as of fall 2016 and fall 2017,
  • student teaching during spring 2017 or 2018,
  • healthy voice user,
  • owns a smartphone

Exclusion Criteria:

-

Sites / Locations

  • Elizabeth Grillo

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Sham Comparator

Arm Label

Behavioral: Telepractice Global Voice Prevention Model

Behavioral: In-person Global Voice Prevention Model

Behavioral: Telepractice, Vocal Hygiene and Vocal Education

Arm Description

Participants will complete the Global Voice Prevention Model (GVPM) through West Chester University's Desire 2 Learn (D2L) software program. Synchronous and asynchronous learning opportunities are provided through D2L over a four week period. The GVPM includes vocal hygiene, vocal education, and vocal training.

Participants will complete the Global Voice Prevention Model (GVPM) at West Chester University in-person. The GVPM will meet for 2 hours once a week for four weeks. The GVPM includes vocal hygiene, vocal education, and vocal training.

Participants will complete Vocal Hygiene and Vocal Education through West Chester University's Desire 2 Learn (D2L) software program. Asynchronous learning opportunities are provided through D2L over a one week period.

Outcomes

Primary Outcome Measures

Presence and frequency of a voice problem
Question will be asked twice a day before and after teaching.

Secondary Outcome Measures

Acoustic: fundamental frequency
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Acoustic: standard deviation of fundamental frequency
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Acoustic: jitter%
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Acoustic: shimmer%
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Acoustic: cepstral peak prominence
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Perceptual: Voice Handicap Index
Quality of life questions.
Perceptual: Vocal Fatigue Index
Vocal fatigue questions
Perceptual: perceptions of voice
Perceptions of voice based on the Consensus-auditory Perceptual Evaluation of Voice.
Aerodynamic: sustained aaaaahhhhh
Participants will say aaaaahhhh as long as they can to determine how well they are managing airflow with phonation twice a day before and after teaching.
Aerodynamic: s/z ratio
Participants will say s and z as long as they can to determine how well they are managing airflow with phonation twice a day before and after teaching.

Full Information

First Posted
August 8, 2016
Last Updated
September 8, 2020
Sponsor
West Chester University of Pennsylvania
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1. Study Identification

Unique Protocol Identification Number
NCT02873130
Brief Title
Effectiveness of Telepractice by Smartphone App Technology in Preventing Voice Problems
Official Title
Effectiveness of Telepractice by Smartphone App Technology in Preventing Voice Problems
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
August 2016 (Actual)
Primary Completion Date
June 1, 2020 (Actual)
Study Completion Date
June 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
West Chester University of Pennsylvania

4. Oversight

5. Study Description

Brief Summary
Voice disorders in teachers have a significant impact on communication, quality of life, and economic costs to the healthcare system. We need to advance the prevention of voice disorders in teachers by testing an online telepractice model with synchronous (in real-time) and asynchronous (stored and accessed later) methods. The current study will investigate the effectiveness of the theoretically-driven Global Voice Prevention Model (GVPM) delivered by two methods; 1) online telepractice (synchronous and asynchronous) and 2) traditional, in-person for vocally healthy physical education and vocal music student teachers. Effectiveness of the model will be assessed by voice-related measures captured daily on a smartphone app during student teaching, matching the asynchronous aspects of the telepractice model and representing the effects of vocal loading from teaching.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prevention of Voice Disorders in Student Teachers

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
103 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Behavioral: Telepractice Global Voice Prevention Model
Arm Type
Experimental
Arm Description
Participants will complete the Global Voice Prevention Model (GVPM) through West Chester University's Desire 2 Learn (D2L) software program. Synchronous and asynchronous learning opportunities are provided through D2L over a four week period. The GVPM includes vocal hygiene, vocal education, and vocal training.
Arm Title
Behavioral: In-person Global Voice Prevention Model
Arm Type
Experimental
Arm Description
Participants will complete the Global Voice Prevention Model (GVPM) at West Chester University in-person. The GVPM will meet for 2 hours once a week for four weeks. The GVPM includes vocal hygiene, vocal education, and vocal training.
Arm Title
Behavioral: Telepractice, Vocal Hygiene and Vocal Education
Arm Type
Sham Comparator
Arm Description
Participants will complete Vocal Hygiene and Vocal Education through West Chester University's Desire 2 Learn (D2L) software program. Asynchronous learning opportunities are provided through D2L over a one week period.
Intervention Type
Behavioral
Intervention Name(s)
Telepractice Global Voice Prevention Model
Intervention Type
Behavioral
Intervention Name(s)
In-person Global Voice Prevention Model
Intervention Type
Behavioral
Intervention Name(s)
Telepractice, Vocal Hygiene and Vocal Education
Primary Outcome Measure Information:
Title
Presence and frequency of a voice problem
Description
Question will be asked twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Secondary Outcome Measure Information:
Title
Acoustic: fundamental frequency
Description
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Acoustic: standard deviation of fundamental frequency
Description
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Acoustic: jitter%
Description
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Acoustic: shimmer%
Description
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Acoustic: cepstral peak prominence
Description
Participants will record sustained aaaahhh, we were away a year ago, and describe their voice for 15 seconds twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Perceptual: Voice Handicap Index
Description
Quality of life questions.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Perceptual: Vocal Fatigue Index
Description
Vocal fatigue questions
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Perceptual: perceptions of voice
Description
Perceptions of voice based on the Consensus-auditory Perceptual Evaluation of Voice.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Aerodynamic: sustained aaaaahhhhh
Description
Participants will say aaaaahhhh as long as they can to determine how well they are managing airflow with phonation twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.
Title
Aerodynamic: s/z ratio
Description
Participants will say s and z as long as they can to determine how well they are managing airflow with phonation twice a day before and after teaching.
Time Frame
AM (before teaching) and PM (after teaching) 5 days a week for up to 3 months.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: senior at West Chester University as of fall 2016 and fall 2017, student teaching during spring 2017 or 2018, healthy voice user, owns a smartphone Exclusion Criteria: -
Facility Information:
Facility Name
Elizabeth Grillo
City
West Chester
State/Province
Pennsylvania
ZIP/Postal Code
19383
Country
United States

12. IPD Sharing Statement

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Effectiveness of Telepractice by Smartphone App Technology in Preventing Voice Problems

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