The goal of this study is to evaluate if using evidence-based, standard ingredient and target codes from the Rehabilitation Treatment Specification System - Voice Therapy (RTSS-Voice) in standard of care voice therapy documentation can improve outcomes for patients with muscle tension dysphonia (MTD). The main question it aims to answer is: Since the RTSS-Voice will help clinicians think about their treatment more specifically and in relation to nine evidence-based therapies, will its adoption be associated with improved outcomes? Clinicians across five voice centers will be asked to use the RTSS-Voice to document their voice therapy sessions for patients with MTD. Researchers will compare changes in outcomes between two groups of patients: those treated during the clinician's first year using the RTSS-Voice versus those treated during the clinician's second year using the RTSS-Voice.
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Voice Health Index (VHI)
Timeframe: pre-intervention and immediately after the intervention
Voice-Related Quality of Life (V-RQOL)
Timeframe: pre-intervention and immediately after the intervention
Consensus Auditory Perceptual Evaluation of Voice (CAPE-V)
Timeframe: pre-intervention and immediately after the intervention
Grade Roughness Breathiness Asthenia Strain (GRBAS) Scale
Timeframe: pre-intervention and immediately after the intervention
Cepstral Peak Prominence (CPP)
Timeframe: pre-intervention and immediately after the intervention