Evidence map›Paper›PMID 34843372›Full record

Trial reportAmerican journal of speech-language pathology2022

Ambulatory Voice Biofeedback: Acquisition and Retention of Modified Daily Voice Use in Patients With Phonotraumatic Vocal Hyperfunction.

Jarrad H Van Stan, Andrew J Ortiz, Dagmar Sternad, Daryush D Mehta, Chuanbing Huo, Robert E Hillman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of speech-language pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. [Analysis of factors related to voice training compliance].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
  5. Article
  6. Article
  7. Article
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

6 authors at 2 institutions in 1 country.

Jarrad H Van StanMassachusetts General Hospital, Boston.ORCID 0000-0001-8932-3276
Andrew J OrtizMassachusetts General Hospital, Boston.ORCID 0000-0002-6915-736X
Dagmar SternadNortheastern University, Boston, MA.
Daryush D MehtaMassachusetts General Hospital, Boston.ORCID 0000-0002-6535-573X
Chuanbing HuoMassachusetts General Hospital, Boston.
Robert E HillmanMassachusetts General Hospital, Boston.ORCID 0000-0002-7374-994X
Google (United States) · USNortheastern University · US

Funding

Use of ambulatory biofeedback to improve behavioral treatment of vocal hyperfunctionP50DC015446 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI Jarrad Van Stan · 2017 to 2026
$25.5M
Predictability in complex object controlR37HD087089 · NICHD · NORTHEASTERN UNIVERSITY · PI Dagmar Sternad · 2022 to 2026
$3.0M
VARIABILITY AND STABILITY IN SKILL ACQUISITIONR01HD045639 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI STERNAD, DAGMAR · 2004 to 2014
$2.7M
Ambulatory monitoring of vocal function to improve voice disorder assessmentR33DC011588 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI HILLMAN, ROBERT E · 2012 to 2015
$2.3M
NICHD NIH HHS R01 HD045639NICHD NIH HHS R37 HD087089NIDCD NIH HHS P50 DC015446NIDCD NIH HHS R33 DC011588
6 · The paper itself

Abstract

purposeVoice ambulatory biofeedback (VAB) has potential to improve carryover of therapeutic voice use into daily life. Previous work in vocally healthy participants demonstrated that motor learning inspired variations to VAB produced expected differences in acquisition and retention of modified daily voice use. This proof-of-concept study was designed to evaluate whether these VAB variations have the same desired effects on acquisition and retention in patients with phonotraumatic vocal hyperfunction (PVH).

methodSeventeen female patients with PVH wore an ambulatory voice monitor for 6 days: three baseline days, one biofeedback day, one short-term retention day, and one long-term retention day. Short- and long-term retention were 1- and 7-days postbiofeedback, respectively. Patients were block-randomized to receive one of three types of VAB: 100%, 25%, and Summary. Performance was measured in terms of adherence time below a subject-specific vocal intensity threshold.

resultsAll three types of VAB produced a biofeedback effect with 13 out of 17 patients displaying an increase in adherence time compared to baseline days. Additionally, multiple patients from each VAB group increased their adherence time during short- and/or long-term retention monitoring compared to baseline.

conclusionsThese findings show that VAB can be associated with acquisition and retention of desired voice use in patients with PVH. Specifically, all three feedback types improved multiple patients' performance and retention for up to 1 week after biofeedback removal. Future work can investigate the impact of incorporating VAB into voice therapy.

Indexed as

VoiceVoice DisordersBiofeedback, PsychologyFemaleHumans

Identifiers

PMID34843372
PMCPMC9135013
OpenAlexW3215192522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.