ArticleAmerican journal of speech-language pathology2024
Rehabilitation Treatment Specification System: Content and Criterion Validity Across Evidence-Based Voice Therapies for Muscle Tension Dysphonia.
Article in American journal of speech-language pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Effects of Respiratory Lung Volume Training on Speech Breathing, Voice, and Vocal Function: A Randomized Controlled Trial.American journal of speech-language pathology · 2025Trial
- Rehabilitation Treatment Specification System: Reliability and Dosage of Common Ingredients in Standard-of-Care Therapy for Vocal Hyperfunction.American journal of speech-language pathology · 2026Article
- Direction of Cepstral Peak Prominence Change Moderates Divergent Kinematic Responses to Voice Stimulability Testing.Journal of voice : official journal of the Voice Foundation · 2026Article
- Optimizing voice therapy interventions: the application of the principles of motor learning in clinical practice.Current opinion in otolaryngology & head and neck surgery · 2026Review
- Rehabilitation treatment specification system: latest tools, trials, and pathways to advance the science underlying voice therapy.Current opinion in otolaryngology & head and neck surgery · 2026Review
- Floating Ball Voice Therapy: Preliminary Effects on Outcomes and Predicting Individual Patient Differences in Generalization.Journal of speech, language, and hearing research : JSLHR · 2024Article
- Using the Rehabilitation Treatment Specification System to Describe Experimental and Control Arms of a Clinical Trial for Breast Cancer Survivors.Rehabilitation oncology (American Physical Therapy Association. Oncology Section) · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
purposeSystematically improving voice therapy outcomes is challenging as the clinician actions (i.e., active ingredients) responsible for improved patient functioning (i.e., targets) are relatively unknown. The theory-driven Rehabilitation Treatment Specification System (RTSS) and standard, voice-specific terminology based on the RTSS (RTSS-Voice) may help address this problem. This qualitative study evaluated if the RTSS and RTSS-Voice can describe four evidence-based voice therapies for muscle tension dysphonia without missing critical aspects (content validity) and identify commonalities and differences across them (criterion validity).
methodQualitative interviews were completed between the clinicians (protocol experts) who developed and/or popularized the vocal function exercises, laryngeal reposturing, circumlaryngeal massage, and conversation training therapies as well as RTSS experts to produce RTSS specifications that met two consensus criteria: (a) The protocol expert agreed that the specification represented their treatment theory, and (b) the RTSS experts agreed that the specifications correctly adhered to both the RTSS framework and the RTSS-Voice's standard terminology.
resultsThe RTSS and RTSS-Voice comprehensively described voice therapy variations across and within the four diverse treatment programs, needing only the addition of one new target: overall auditory-perceptual severity.
conclusionsThe RTSS and RTSS-Voice exhibited strong content validity. The standard RTSS-Voice terminology helped identify, for the first time, commonalities and differences in treatment ingredients, targets, and mechanisms of action across four treatments developed for the same patient population. In the long term, the RTSS and RTSS-Voice could provide the framework for an ever-growing collection of clinically meaningful and evidence-based therapy algorithms with potential to improve research, education, and clinical care. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.25537624.
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