Web-Based Perceived Present Control Intervention for Voice Disorders: A Pilot Study

Viann N. Nguyen-Feng, Patricia A. Frazier, Ali Stockness, Arvind Narayanan, Addie N. Merians, Stephanie Misono

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


OBJECTIVE: Voice disorders are common and negatively affect various life domains such as occupational functioning and emotional well-being. Perceived present control, a factor that is amenable to change, may reduce the effect of voice disorders on these outcomes. This pilot study aimed to (1) establish the feasibility, usability, and acceptability of a web-based perceived present control intervention for individuals with voice disorders and (2) gather preliminary data on the effectiveness of the intervention. This study is the first to assess whether a web-based psychological intervention would decrease self-reported voice handicap in this population.

METHODS: Participants (N = 20) were recruited from an otolaryngology clinic at a large, Midwest university and the surrounding urban community, and completed a 3-week web-based intervention that incorporated psychoeducation and written exercises on increasing perceived present control.

RESULTS: Supporting feasibility, the intervention components had high completion rates (75%-95%). Most participants planned to continue the perceived control exercises after study completion and would recommend the intervention to others, demonstrating usability and acceptability. There was a significant decrease in self-reported voice handicap (Voice Handicap Index-10) from pretest (M = 18.38, standard deviation = 4.41) to post-test (M = 15.22, standard deviation = 4.55) with a large effect size (within-group d = -0.86, P < 0.05).

CONCLUSIONS: Focusing on perceived present control as a teachable skill may be a useful addition to voice disorder treatment armamentarium. Future studies will incorporate a comparison group and larger sample sizes to assess further the role of perceived present control interventions in voice care.

Original languageEnglish (US)
Pages (from-to)300.e1-300.e9
JournalJournal of Voice
Issue number2
StatePublished - Mar 2020

Bibliographical note

Funding Information:
This study was supported by NIH under grants K23DC016335 and UL1TR000114 and an Engdahl Family Research Fund Grant, Department of Psychology, College of Liberal Arts, University of Minnesota. The content is solely the responsibility of the authors and does not represent the official views of the National Institutes of Health, the University of Minnesota, or the Engdahl family.

Publisher Copyright:
© 2018 The Voice Foundation

Copyright 2020 Elsevier B.V., All rights reserved.


  • dysphonia
  • intervention
  • perceived control
  • psychology
  • voice
  • Disability Evaluation
  • Dysphonia/diagnosis
  • Humans
  • Psychotherapy
  • Internet-Based Intervention
  • Male
  • Treatment Outcome
  • Recovery of Function
  • Feasibility Studies
  • Patient Satisfaction
  • Pilot Projects
  • Female
  • Voice Quality
  • Patient Education as Topic

PubMed: MeSH publication types

  • Journal Article


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