Voice handicap has generally been measured at a single timepoint. Little is known about its variability from hour to hour or day to day. Voice handicap has been shown to be negatively related to voice-related perceived control in cross-sectional studies, but the within-person variability in voice-related perceived control is also unknown. We aimed to use ecological momentary assessment (EMA) to (1) assess the feasibility of EMA to examine daily voice handicap and voice-related perceived control in patients with voice disorders, (2) measure within-person variability in daily voice handicap and perceived control, and (3) characterize temporal associations (eg, correlations over time) between daily voice handicap and perceived control.
Methods:
Adults with voice problems were recruited from a large public university medical center in the Midwest. They completed baseline measures, followed by twice-daily assessments, including selected items measuring voice handicap and perceived control, and then repeated the baseline measures at the final timepoint. Feasibility was assessed via completion rates. Within-person variability was measured using standard deviations. Temporal associations were characterized using simulation modeling analysis.
Results:
EMA of voice handicap and perceived control was feasible in this patient population. Momentary voice handicap varied more than perceived control, though both were variable. Multiple patterns of temporal associations between daily voice handicap and perceived control were found.
Conclusions:
These findings identified important variability in (1) measures of voice handicap and perceived control and (2) their associations over time. Future EMA studies in patients with voice disorders are both feasible and warranted.
RoyNMerrillRMGraySDSmithEM.Voice disorders in the general population: prevalence, risk factors, and occupational impact. Laryngoscope. 2005;115(11):1988-1995.
2.
JacobsonBHJohnsonAGrywalskiC, et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol. 1997;6(3):66.
3.
PedrosaVPontesAPontesPBehlauMPeccinSM.The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial. J Voice. 2016;30(3):377.e11-377.e19.
4.
FuSTheodorosDGWardEC.Delivery of intensive voice therapy for vocal fold nodules via telepractice: a pilot feasibility and efficacy study. J Voice. 2015;29(6):696-706.
5.
SmythJMSmythJM.Ecological momentary assessment research in behavioral medicine. J Happiness Stud. 2003;4(1):35-52.
6.
ShiffmanSStoneAAHuffordMR.Ecological momentary assessment. Annu Rev Clin Psychol. 2008;4(1):1-32.
7.
TrullTJEbner-PriemerU.Ambulatory assessment. Annu Rev Clin Psychol. 2013;9(1):151-176.
8.
MoskowitzDSYoungSN.Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology. J Psychiatry Neurosci. 2006;31(1):13-20.
9.
GoldsteinSPDochatCSchumacherLM, et al. Using ecological momentary assessment to better understand dietary lapse types. Appetite. 2018;129:198-206.
10.
CarlozziNESchillingSFreedmanJKalpakjianCZKratzAL.The reliability of end of day and ecological momentary assessments of pain and pain interference in individuals with spinal cord injury. Qual Life Res. 2018;27(11):3003-3012.
11.
ShiffmanSGwaltneyCJBalabanisMH, et al. Immediate antecedents of cigarette smoking: an analysis from ecological momentary assessment. J Abnorm Psychol. 2002;111(4):531-545.
12.
ShiffmanS.Ecological momentary assessment (EMA) in studies of substance use. Psychol Assess. 2009;21(4):486-497.
13.
GoldbergRLPiccirilloMLNicklausJ, et al. Evaluation of ecological momentary assessment for tinnitus severity. JAMA Otolaryngol Neck Surg. 2017;143(7):700.
14.
Van StanJHMaffeiMMassonMLVMehtaDDBurnsJAHillmanRE.Self-ratings of vocal status in daily life: reliability and validity for patients with vocal hyperfunction and a normative group. Am J Speech Lang Pathol. 2017;26(4):1167.
15.
RosenCALeeASOsborneJZulloTMurryT.Development and validation of the Voice Handicap Index-10. Laryngoscope. 2004;114(9):1549-1556.
16.
JacobsonBHJohnsonAGrywalskiC, et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol. 1997;6(3):66.
17.
SteenINMacKenzieKCardingPNWebbADearyIJWilsonJA.Optimising outcome assessment of voice interventions, II: sensitivity to change of self-reported and observer-rated measures. J Laryngol Otol. 2008;122(1).
18.
CardingPNWilsonJAMacKenzieKDearyIJ.Measuring voice outcomes: state of the science review. J Laryngol Otol. 2009;123(8):823.
19.
FrazierPKeenanNAndersSPereraSShallcrossSHintzS.Perceived past, present, and future control and adjustment to stressful life events. J Pers Soc Psychol. 2011;100(4):749-765.
20.
FrazierPBermanMStewardJ.Perceived control and posttraumatic stress: a temporal model. Appl Prev Psychol. 2001;10(3):207-223.
21.
FrazierPMeriansAMisonoS.Perceived control and voice handicap in patients with voice disorders. Health Psychol. 2017;36(11):1105-1108.
22.
MisonoSMeredithLPetersonCBFrazierPA.New perspective on psychosocial distress in patients with dysphonia: the moderating role of perceived control. J Voice. 2016;30(2):172-176.
23.
MisonoSHautCMeredithL, et al. Dysphonia, perceived control, and psychosocial distress: a qualitative study [published online May 11, 2018]. J Voice. doi:10.1016/j.jvoice.2018.04.003
24.
Nguyen-FengVNFrazierPAStocknessANarayananAMeriansANMisonoS. Web-based perceived present control intervention for voice disorders: a pilot study [published online September 15, 2018]. J Voice. doi:10.1016/j.jvoice.2018.08.006
25.
RotterJ.Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr Gen Appl. 1966;80(1):1-28.
26.
BeckjordEBGlinderJLangrockACompasBE.Measuring multiple dimensions of perceived control in women with newly diagnosed breast cancer. Psychol Health. 2009;24(4):423-438.
27.
NewsomJTKnappJESchulzR.Longitudinal analysis of specific domains of internal control and depressive symptoms in patients with recurrent cancer. Health Psychol. 1996;15:323-331.
28.
ReedGMTaylorSEKemenyME.Perceived control and psychological adjustment in gay men with AIDS. J Appl Soc Psychol. 1993;23(10):791-824.
29.
WallstonKAWallstonBSSmithSDobbinsCJ.Perceived control and health. Curr Psychol. 1987;6(1):5-25.
30.
JahngSWoodPKTrullTJ.Analysis of affective instability in ecological momentary assessment: indices using successive difference and group comparison via multilevel modeling. Psychol Methods. 2008;13(4):354-375.
31.
DearyIJWebbAMackenzieKWilsonJACardingPN.Short, self-report voice symptom scales: psychometric characteristics of the Voice Handicap Index-10 and the Vocal Performance Questionnaire. Otolaryngol Head Neck Surg. 2004;131(3):232-235.
32.
ShroutPLaneS. Psychometrics. In: MehlMRConnerTS, eds. Handbook of Research Methods for Studying Daily Life. New York, NY: Guilford Press; 2012:302-320.
33.
HarrisPATaylorRThielkeRPayneJGonzalezNCondeJG.Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-381.
34.
KimH-Y.Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restor Dent Endod. 2013;38(1):52.
35.
BorckardtJJNashMRMurphyMDMooreMShawDO’NeilP.Clinical practice as natural laboratory for psychotherapy research: a guide to case-based time-series analysis. Am Psychol. 2008;63(2):77-95.
36.
ChenJAGilmoreAKWilsonNL, et al. Enhancing stress management coping skills using induced affect and collaborative daily assessment. Cogn Behav Pract. 2017;24(2):226-244.
37.
HenryJAGalvezGTurbinMBThielmanEJMcMillanGPIstvanJA.Pilot study to evaluate ecological momentary assessment of tinnitus. Ear Hear. 2012;33(2):179-290.
38.
RiisJLoewensteinGBaronJJepsonCFagerlinAUbelPA.Ignorance of hedonic adaptation to hemodialysis: a study using ecological momentary assessment. J Exp Psychol Gen. 2005;134(1):3-9.
39.
HackerEDFerransCE.Ecological momentary assessment of fatigue in patients receiving intensive cancer therapy. J Pain Symptom Manage. 2007;33(3):267-275.
40.
Nguyen-FengVNBakerMRMeriansANFrazierPA.Sexual victimization, childhood emotional abuse, and distress: daily coping and perceived control as mediators. J Couns Psychol. 2017;64(6):672-683.
41.
Nguyen-FengVNRomanoFNFrazierP. Emotional abuse moderates efficacy of an ecological momentary stress management intervention for college students [published online January 14, 2019]. J Couns Psychol. doi:10.1037/cou0000332
