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Online Intervention for Muscle Tension Dysphonia: A Pilot Randomized Clinical Trial
Viann N Nguyen-Feng1, Patricia A Frazier2, Yuchen Liu2
1Department of Psychology, University of Minnesota, Duluth.
JAMA Otolaryngology-- Head & Neck Surgery
|February 27, 2025
Summary
A pilot study found that both perceived control interventions and voice education programs are feasible and acceptable for muscle tension dysphonia patients. These voice therapies show promise for improving patient well-being and managing voice conditions.
Area of Science:
- Otolaryngology
- Psychology
- Speech-Language Pathology
Background:
- Voice-related perceived control influences voice condition management.
- Psychological factors interact with voice outcomes, suggesting psychological interventions may complement clinical voice care.
Purpose of the Study:
- To assess the feasibility, acceptability, and potential efficacy of a perceived control intervention for adult muscle tension dysphonia (MTD) patients.
- To compare outcomes of the perceived control intervention with a standard voice education program.
Main Methods:
- A pilot randomized clinical trial with mixed methods was conducted.
- Adults with MTD were randomized to either a perceived control intervention or a voice education program.
- Feasibility and acceptability were assessed quantitatively and qualitatively.
Main Results:
- Both interventions were feasible and acceptable to participants.
- Voice-related impairment (VHI-10) showed modest, similar improvements in both groups.
- The perceived control intervention led to higher perceived control and reductions in psychological distress.
Conclusions:
- Both perceived control and voice education interventions show promise for MTD patients.
- Online interventions are of interest for voice disorders.
- Future research should consider individual differences in intervention design.

