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A Multidisciplinary Approach to Vocal Cord Dysfunction: A Novel Pilot Study

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified September 2013 by Safina Kureshi, CAMC Health System.
Recruitment status was:  Recruiting
Information provided by (Responsible Party):
Safina Kureshi, CAMC Health System Identifier:
First received: August 1, 2013
Last updated: September 13, 2013
Last verified: September 2013
Vocal Cord Dysfunction (VCD) is characterized by involuntary closure of the vocal cords while inhaling. Children and adolescents with VCD may experience multiple symptoms, including difficulty breathing, coughing, wheezing, neck tightness, and voice changes. There is limited information on optimal management of VCD. In our proposed study, we will use cognitive-behavioral therapy (CBT) techniques to change how patients respond to their VCD symptoms. Measurements of airflow during breathing as well as symptom frequency and intensity will be examined prior to and following a series of four therapy sessions with a clinical psychologist that are focused on teaching patients strategies to decrease symptom reactivity.

Condition Intervention
Vocal Cord Dysfunction
Behavioral: Four therapy sessions with a psychologist utilizing cognitive-behavioral therapy techniques

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multidisciplinary Approach to Vocal Cord Dysfunction: A Novel Pilot Study

Further study details as provided by Safina Kureshi, CAMC Health System:

Primary Outcome Measures:
  • Change in frequency and intensity of VCD symptoms [ Time Frame: Post intervention at 1 to 3 weeks ]
    Self-reported number of symptomatic episodes and mean intensity of episodes pre and post-CBT intervention will be compared. Symptom intensity will be measured using an 11 point Likert Scale for self-reported distress for each recorded VCD episode.

Secondary Outcome Measures:
  • Change in pulmonary function testing (PFT) measures [ Time Frame: Post intervention at 1 to 3 weeks ]

Estimated Enrollment: 20
Study Start Date: August 2013
Estimated Study Completion Date: September 2014
Estimated Primary Completion Date: September 2014 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Four therapy sessions with a psychologist utilizing cognitive-behavioral therapy techniques
    At the four therapy sessions, subjects will work with the psychologist to identify the triggers of their VCD episodes, learn to self-monitor symptoms and reactions, and be taught breathing retraining/relaxation techniques. The goal is to decrease patterns of subjects' thinking or behaviors that exacerbate distress from VCD symptoms.

Ages Eligible for Study:   13 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adolescent patients presenting to West Virginia University, Charleston Division Sub-specialty Clinic for Pediatric Pulmonology with a clinical diagnosis of vocal cord dysfunction.
  • Diagnosed with VCD within 12 months prior to study enrollment. between the ages of 13 and 18 years old.
  • Currently symptomatic for VCD.
  • Must have a baseline PFT to reference at the time of diagnosis. Additionally in patients who were diagnosed with VCD 6 months or more prior to study enrollment, current PFT results as part of routine care, are required.
  • A parent or guardian must agree to participate in the four behavioral therapy sessions with his or her child.

Exclusion Criteria:

  • Severe psychiatric disorders (ex. psychosis, suicidal ideation)
  • Developmental delay
  • Previous speech therapy for the treatment of VCD.
  • Currently receiving psychological counseling.
  • In open Child Protective Services cases.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01916616

United States, West Virginia
Department of Pediatric, West Virginia University-Charleston Division Recruiting
Charleston, West Virginia, United States, 25302
Contact: Kevin Maupin, MD    304-388-1552   
Contact: Stephanie Thompson, PhD    (304) 388-9911   
Principal Investigator: Kevin Maupin, MD         
Sponsors and Collaborators
CAMC Health System
Principal Investigator: Kevin Maupin, MD WVU Charleston Division
  More Information

Responsible Party: Safina Kureshi, CAMC Medical Staff-with admitting privileges, CAMC Health System Identifier: NCT01916616     History of Changes
Other Study ID Numbers: 1997292
Study First Received: August 1, 2013
Last Updated: September 13, 2013

Keywords provided by Safina Kureshi, CAMC Health System:
paradoxical vocal fold motion
cognitive-behavioral therapy

Additional relevant MeSH terms:
Vocal Cord Dysfunction
Laryngeal Diseases
Respiratory Tract Diseases
Respiration Disorders
Otorhinolaryngologic Diseases processed this record on May 25, 2017