Internet-Based Behavioral Cough Suppression Therapy for Refractory Chronic Cough: A Randomized Controlled Trial.
Purpose: The purpose of this study was to assess the efficacy of internet-based behavioral cough suppression therapy (IBCST) and explore users' experiences. Method: This study involved a prospective, single-blind, randomized controlled trial comparing the efficacy of a 5-week IBCST and healthy lifes...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 34; no. 5; pp. 2864 - 2877 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Sep2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187737883&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187737883 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: Sep2025 vid: 34 iid: 5 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 187737883 187737883 187737883 10.1044/2025_AJSLP-25-00124 187737883 ppf: 2864 ppct: 13 formats: tig: atl: Internet-Based Behavioral Cough Suppression Therapy for Refractory Chronic Cough: A Randomized Controlled Trial. aug: au: Salois, Jane R. Heinle, Kassidi L. Slovarp, Laurie J. Jetté, Marie E. Manchaiah, Vinaya Vlaescu, George Andersson, Gerhard affil: School of Speech, Language, Hearing, & Occupational Sciences, University of Montana, Missoula sug: subj: Chronic Cough Therapy Chronic Cough Diagnosis Internet-Based Intervention Behavior Therapy Methods Treatment Outcomes Evaluation Patient Attitudes Evaluation Life Style Education Health Behavior Patient Education Human Funding Source United States Male Female Prospective Studies Single-Blind Studies Randomized Controlled Trials Random Assignment Comparative Studies Descriptive Statistics Social Media Questionnaires Vocal Cords Hygiene Education Cough Education Physical Activity Eating Behavior Stress Management Relaxation Techniques Quality of Life Scales Semi-Structured Interview Qualitative Studies Data Analysis Software Pretest-Posttest Control Group Design T-Tests Analysis of Covariance Adult Middle Age Aged Confidence Intervals Patient Satisfaction Quality of Health Care Alternative Therapies Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: The purpose of this study was to assess the efficacy of internet-based behavioral cough suppression therapy (IBCST) and explore users' experiences. Method: This study involved a prospective, single-blind, randomized controlled trial comparing the efficacy of a 5-week IBCST and healthy lifestyle education control intervention in patients with refractory chronic cough. Additionally, qualitative interviews were conducted and analyzed using grounded theory methodology. Interventions: IBCST and the healthy lifestyle control included 5 weeks of asynchronous content delivered via video and text on a study-specific website. IBCST emphasized education and cough suppression. Outcomes: The Leicester Cough Questionnaire (LCQ) and Cough Severity Visual Analog Scale (VAS) were the primary and secondary outcome measures, respectively, and were administered at baseline (T0), 1-week posttreatment (T1), and 1-month posttreatment (T2). Semistructured qualitative interviews were conducted with a subgroup of IBCST participants. Results: Thirty-nine adults with refractory chronic cough enrolled, and 30 (27 women, three men; Mage = 61 years) completed the study (18 IBCST, 12 control). IBCST resulted in clinically significant improvements for 72% of participants in LCQ total score at T1 with a mean change of 3.74 (p = .014, ηp 2 = .205) and 76% of participants at T2 with a mean change of 4.1 (p = .033, ηp² = .163). VAS changes did not reach the minimum clinically meaningful threshold but trended in that direction for the IBCST group at T1 (p = .056, ηp ² = .128). Qualitative analysis revealed IBCST participants liked the convenience and quality of treatment and experienced improvements in symptom control. Conclusion: IBCST was feasible and efficacious and resulted in total LCQ score changes on par with what has been reported for other BCST interventions, paving the way for adaptation to a digital therapeutic. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|