Evidence map›Paper›PMID 34464550›Full record

ArticleAmerican journal of speech-language pathology2021

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

Jarrad H Van Stan, John Whyte, Joseph R Duffy, Julie Barkmeier-Kraemer, Patricia Doyle, Shirley Gherson, Lisa Kelchner, Jason Muise, Brian Petty, Nelson Roy and 3 more

Abstract readConsensus Statement
In one paragraph

Article in American journal of speech-language pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Psychometric and Acoustic Investigation of Identity and Phonotraumatic Vocal Hyperfunction.Journal of voice : official journal of the Voice Foundation · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
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  11. Article
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  14. Review
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jarrad H Van StanHarvard Medical School, Boston, MA.ORCID 0000-0001-8932-3276
John WhyteMoss Rehabilitation Research Institute, Elkins Park, PA.
Joseph R DuffyMayo Clinic, Rochester, MN.
Julie Barkmeier-KraemerUniversity of Utah, Salt Lake City.
Patricia DoyleUniversity of Connecticut Medical School, Farmington.
Shirley GhersonNew York University, New York.
Lisa KelchnerUniversity of Cincinnati, OH.
Jason MuiseHarvard Medical School, Boston, MA.
Brian PettyEmory University, Atlanta, GA.
Nelson RoyUniversity of Utah, Salt Lake City.ORCID 0000-0001-8017-805X
Joseph StempleUniversity of Kentucky, Lexington.
Susan ThibeaultUniversity of Wisconsin-Madison.
Carol Jorgensen TolejanoUniversity of Wisconsin-Madison.

Funding

RTSS-Voice: Towards a unified system to classify treatments for muscle tension dysphoniaR01DC020247 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI Jarrad Van Stan · 2022 to 2026
$2.5M
Measuring what happens in voice therapy: refinement and testing of a voice therapy taxonomyR21DC016124 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI VAN STAN, JARRAD · 2017 to 2021
$555k
NIDCD NIH HHS R01 DC020247NIDCD NIH HHS R21 DC016124
6 · The paper itself

Abstract

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.

Indexed as

Research DesignSpeechConsensusDelphi TechniqueHumans

Identifiers

PMID34464550
PMCPMC8702840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.