Evidenzbasierte Stimmtherapieprogramme bei Dysphonien: eine Literaturstudie

AbstractThe aim of the present study was a systematic literature review on selected evidence-based voice therapy programs for the treatment of various types of dysphonia. The results showed that nine of seventeen voice therapy programs complied the selection criteria. All nine voice therapy programs revealed significant improvements in various aspects of laryngeal evaluation, voice quality, vocal function, and/or self-evaluation. These improvements might be expected between one day to ten weeks. Mostly, the voice therapy programs based on physiological voice therapy.

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Best Practices for Data Visualization: Creating and Evaluating a Report for an Evidence-Based Fall Prevention Program (Preprint)

10.2196/preprints.12801 ◽

2018 ◽

Author(s):

Srijesa Khasnabish ◽

Zoe Burns ◽

Madeline Couch ◽

Mary Mullin ◽

Randall Newmark ◽

...

Keyword(s):

Literature Review ◽

Best Practices ◽

Implementation Science ◽

Data Visualization ◽

Systematic Literature Review ◽

Fall Prevention ◽

Prevention Program ◽

Evidence Based ◽

Data Display ◽

Fall Prevention Program

BACKGROUND Data visualization experts have identified core principles to follow when creating visual displays of data that facilitate comprehension. Such principles can be applied to creating effective reports for clinicians that display compliance with quality improvement protocols. A basic tenet of implementation science is continuous monitoring and feedback. Applying best practices for data visualization to reports for clinicians can catalyze implementation and sustainment of new protocols. OBJECTIVE To apply best practices for data visualization to create reports that clinicians find clear and useful. METHODS First, we conducted a systematic literature review to identify best practices for data visualization. We applied these findings and feedback collected via a questionnaire to improve the Fall TIPS Monthly Report (FTMR), which shows compliance with an evidence-based fall prevention program, Fall TIPS (Tailoring Interventions for Patient Safety). This questionnaire was based on the requirements for effective data display suggested by expert Stephen Few. We then evaluated usability of the FTMR using a 15-item Health Information Technology Usability Evaluation Scale (Health-ITUES). Items were rated on a 5-point Likert scale from strongly disagree (1) to strongly agree (5). RESULTS The results of the systematic literature review emphasized that the ideal data display maximizes the information communicated while minimizing the cognitive efforts involved with data interpretation. Factors to consider include selecting the correct type of display (e.g. line vs bar graph) and creating simplistic reports. The qualitative and quantitative evaluations of the original and final FTMR revealed improved perceptions of the visual display of the reports and their usability. Themes that emerged from the staff interviews emphasized the value of simplified reports, meaningful data, and usefulness to clinicians. The mean (SD) rating on the Health-ITUES scale when evaluating the original FTMR was 3.86 (0.19) and increased to 4.29 (0.11) when evaluating the revised FTMR (Mann Whitney U Test, z=-12.25, P<0.001). CONCLUSIONS Best practices identified through a systematic review can be applied to create effective reports for clinician use. The lessons learned from evaluating FTMR perceptions and measuring usability can be applied to creating effective reports for clinician use in the context of other implementation science projects.

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How Do Leaders Enable and Support the Implementation of Evidence-based Programs and Evidence-informed Practice in Child Welfare? A Systematic Literature Review

Human Services Organizations Management Leadership & Governance ◽

10.1080/23303131.2021.1929626 ◽

2021 ◽

pp. 1-21

Author(s):

Sidrah McCarthy ◽

Lisa J. Griffiths

Keyword(s):

Child Welfare ◽

Literature Review ◽

Systematic Literature Review ◽

Evidence Based ◽

Evidence Based Programs

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Optimising outcome assessment of voice interventions, II: sensitivity to change of self-reported and observer-rated measures

The Journal of Laryngology & Otology ◽

10.1017/s0022215107007839 ◽

2007 ◽

Vol 122 (1) ◽

pp. 46-51 ◽

Cited By ~ 36

Author(s):

I N Steen ◽

K MacKenzie ◽

P N Carding ◽

A Webb ◽

I J Deary ◽

...

Keyword(s):

General Health ◽

Voice Quality ◽

Voice Handicap Index ◽

Effect Sizes ◽

Voice Therapy ◽

Vocal Performance ◽

Symptom Scale ◽

Wide Range ◽

The Voice ◽

Responsiveness To Change

AbstractObjectives:A wide range of well validated instruments is now available to assess voice quality and voice-related quality of life, but comparative studies of the responsiveness to change of these measures are lacking. The aim of this study was to assess the responsiveness to change of a range of different measures, following voice therapy and surgery.Design:Longitudinal, cohort comparison study.Setting:Two UK voice clinics.Participants:One hundred and forty-four patients referred for treatment of benign voice disorders, 90 undergoing voice therapy and 54 undergoing laryngeal microsurgery.Main outcome measures:Three measures of self-reported voice quality (the vocal performance questionnaire, the voice handicap index and the voice symptom scale), plus the short form 36 (SF 36) general health status measure and the hospital anxiety and depression score. Perceptual, observer-rated analysis of voice quality was performed using the grade–roughness–breathiness–asthenia–strain scale. We compared the effect sizes (i.e. responsiveness to change) of the principal subscales of all measures before and after voice therapy or phonosurgery.Results:All three self-reported voice measures had large effect sizes following either voice therapy or surgery. Outcomes were similar in both treatment groups. The effect sizes for the observer-rated grade–roughness–breathiness–asthenia–strain scale scores were smaller, although still moderate. The roughness subscale in particular showed little change after therapy or surgery. Only small effects were observed in general health and mood measures.Conclusion:The results suggest that the use of a voice-specific questionnaire is essential for assessing the effectiveness of voice interventions. All three self-reported measures tested were capable of detecting change, and scores were highly correlated. On the basis of this evaluation of different measures' sensitivities to change, there is no strong evidence to favour either the vocal performance questionnaire, the voice handicap index or the voice symptom scale.

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Interventions for Students with Behavioral Disorders: An International Literature Review

Behavioral Disorders ◽

10.1177/019874290703200404 ◽

2007 ◽

Vol 32 (4) ◽

pp. 267-281 ◽

Cited By ~ 9

Author(s):

Daniel J. Gulchak ◽

João A. Lopes

Keyword(s):

Literature Review ◽

Behavioral Disorders ◽

Behavioral Interventions ◽

Quantitative Research ◽

Selection Criteria ◽

Evidence Based ◽

International Studies ◽

Effective School ◽

School Based ◽

Quantitative Studies

Students with emotional and behavioral disorders (EBD) are found internationally. This systematic literature review identifies interventions conducted on these students. Although the U.S. produces abundant studies on effective school-based academic and behavioral interventions, a search of over 4,000 articles published over 6 years yielded only 11 international studies meeting the selection criteria. Out of 11 qualified studies, 6 reported therapeutic treatments, 8 targeted elementary students, 9 were conducted in self-contained classrooms, and 9 were from the U.K. These findings indicate a paucity of quantitative research determining effectiveness of EBD interventions currently used in schools worldwide. The results indicate that quantitative studies are not the standard of evidence-based practice internationally, and diagnostic criteria and terms used to identify students vary worldwide.

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Evidence-Based Evaluation of eHealth Interventions: Systematic Literature Review

Journal of Medical Internet Research ◽

10.2196/10971 ◽

2018 ◽

Vol 20 (11) ◽

pp. e10971 ◽

Cited By ~ 32

Author(s):

Amia Enam ◽

Johanna Torres-Bonilla ◽

Henrik Eriksson

Keyword(s):

Literature Review ◽

Systematic Literature Review ◽

Evidence Based

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S179 – Voice Self-evaluation after Treatment for T1 Glottic Cancer

Otolaryngology ◽

10.1016/j.otohns.2008.05.353 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P136-P136

Author(s):

Faustino Nunez ◽

Maria Jesus Caminero ◽

Jose-Luis Llorente-Pendas ◽

Carlos Suarez-Nieto

Keyword(s):

Laser Surgery ◽

Voice Quality ◽

Well Being ◽

Voice Handicap Index ◽

Glottic Cancer ◽

Glottic Carcinoma ◽

Subjective Analysis ◽

Maximum Phonation Time ◽

Self Evaluation ◽

The Voice

Objectives 1) To present the objective and subjective analysis of voice quality following treatment of an early epidermoid glottic carcinoma. 2) Results from the objective evaluation of the voice, along with the self-evaluation of voice quality quantified using the Voice Handicap Index of a group of patients treated with endoscopic laser surgery, are compared with patients treated with radiotherapy. Methods We performed an objective voice evaluation, as well as a physical, emotional, and functional well-being assessment of 19 patients treated with laser surgery and 18 patients treated with radiotherapy. The data obtained was gathered in the statistical database SPSS 12.0. The statistical analysis used was the “Student t test” in order to compare averages and the Chi-squared test for comparing proportions. The statistical differences were considered significant when p was lower than 0.05. Results Voice quality is affected both by surgery and radiotherapy. Voice parameters only show differences in the maximum phonation time between both treatments (p < 0,005). Patients Self-Perception Analysis (Voice Handicap Index) Upon completing the comparison between the two groups, the statistical difference is significant, in favor of the radiotherapy patients in functional and emotional ratings, as well as the global scores (p < 0,005). No significant differences were found in the physical scales. Conclusions There is a reduced impact in patient's perception of voice quality after radiotherapy, despite no significant differences in vocal quality between radiotherapy and laser cordectomy.

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