Voice Therapy According to the Rehabilitation Treatment Specification System: Expert Consensus Ingredients and Targets

Purpose Clinical trials have demonstrated that standardized voice treatment programs are effective for some patients, but identifying the unique individual treatment ingredients specifically responsible for observed improvements remains elusive. To address this problem, the authors used a taxonomy o...

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Vydáno v:American journal of speech-language pathology Ročník 30; číslo 5; s. 2169 - 2201
Hlavní autoři: Van Stan, Jarrad H., Whyte, John, Duffy, Joseph R., Barkmeier-Kraemer, Julie, Doyle, Patricia, Gherson, Shirley, Kelchner, Lisa, Muise, Jason, Petty, Brian, Roy, Nelson, Stemple, Joseph, Thibeault, Susan, Tolejano, Carol Jorgensen
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States American Speech-Language-Hearing Association 01.09.2021
Témata:
Anatomy
Classification
Clinical research
Clinical trials
Consensus
Definitions
Delphi Technique
Effectiveness studies
Evidence-based medicine
Experts
Feedback
Humans
Hygiene
Ingredients
Intervention
Labeling
Medical treatment
Meta Analysis
Operational definitions
Outcomes of Treatment
Patient compliance
Patients
Professional practice
Rehabilitation
Research Design
Rules
Specification
Speech
Speech Impairments
Speech therapy
Taxonomy
Terminology
Therapy
Treatment programs
Uniqueness
Validity
Voice Disorders
ISSN:1058-0360, 1558-9110, 1558-9110
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Shrnutí:Purpose Clinical trials have demonstrated that standardized voice treatment programs are effective for some patients, but identifying the unique individual treatment ingredients specifically responsible for observed improvements remains elusive. To address this problem, the authors used a taxonomy of voice therapy, the Rehabilitation Treatment Specification System (RTSS), and a Delphi process to develop the RTSS-Voice (expert consensus categories of measurable and unique voice treatment ingredients and targets). Method Initial targets and ingredients were derived from a taxonomy of voice therapy. Through six Delphi Rounds, 10 vocal rehabilitation experts rated the measurability and uniqueness of individual treatment targets and ingredients. After each round, revisions (guided by the experts' feedback) were finalized among a primary reader (a voice therapy expert) and two external readers (rehabilitation experts outside the field of voice). Consensus was established when the label and definition of an ingredient or target reached a supramajority threshold (≥ 8 of 10 expert agreement). Results Thirty-five target and 19 ingredient categories were agreed to be measurable, unique, and accurate reflections of the rules and terminology of the RTSS. Operational definitions for each category included differences in the way ingredients are delivered and the way individual targets are modified by those ingredients. Conclusions The consensus labels and operationalized ingredients and targets making up the RTSS-Voice have potential to improve voice therapy research, practice, and education/training. The methods used to develop these lists may be useful for other speech, language, and hearing treatment specifications. Supplemental Material https://doi.org/10.23641/asha.15243357.
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Disclosure: Jarrad H. Van Stan and John Whyte are two of nine copyright holders of the Manual for Rehabilitation Treatment Specification. The other authors have declared that no competing financial or nonfinancial interests existed at the time of publication.
Editor-in-Chief: Katherine C. Hustad
Editor: Rita R. Patel
ISSN:1058-0360
1558-9110
1558-9110
DOI:10.1044/2021_AJSLP-21-00076