Bozarth, Emma

Haller, Serena

Hutton, Lyndsay

Popp, Sarah

Slovarp, Laurie

English

University of Montana

University of MontanaScholarWorks at University of MontanaUniversity of Montana Conference onUndergraduate Research (UMCUR)2018 University of Montana Conference onUndergraduate ResearchApr 27th, 11:00 AM - 12:00 PMPatient-Reported Variables Associated with theSuccess of Behavioral Intervention for Patients withChronic CoughLyndsay Huttonlyndsay.hutton@umontana.eduSerena HallerUniversity of Montana, MissoulaSarah PoppUniversity of Montana, MissoulaEmma BozarthUniversity of Montana, MissoulaLaurie SlovarpUniversity of Montana, MissoulaLet us know how access to this document benefits you.Follow this and additional works at: https://scholarworks.umt.edu/umcurThis Poster is brought to you for free and open access by ScholarWorks at University of Montana. It has been accepted for inclusion in University ofMontana Conference on Undergraduate Research (UMCUR) by an authorized administrator of ScholarWorks at University of Montana. For moreinformation, please contact scholarworks@mso.umt.edu.Hutton, Lyndsay; Haller, Serena; Popp, Sarah; Bozarth, Emma; and Slovarp, Laurie, "Patient-Reported Variables Associated with theSuccess of Behavioral Intervention for Patients with Chronic Cough" (2018). University of Montana Conference on UndergraduateResearch (UMCUR). 20.https://scholarworks.umt.edu/umcur/2018/amposters/20PATIENT-REPORTED VARIABLES ASSOCIATED WITH THE SUCCESS OF BEHAVIORAL INTERVENTION FOR PATIENTS WITH CHRONIC COUGH Serena Haller, Lyndsay Hutton, Emma Bozarth, Sarah Popp, Laurie Slovarp Ph.D., CCC-SLP-BCS-SIntroduction to Problem  Results (item reduction analysis in process)What is behavioral cough suppression therapy (BCST)? McGarvey, L. (2013). The difficult-to-treat, therapy-resistant cough: Why are current cough treatments not working and what can we do? Pulmonary Pharmacology & Therapeutics, 26, 528-531. doi:10.1016/j.pupt.2013.05.001Chung, K. F., & Pavord, I. D. (2008). Chronic cough 1: Prevalence, pathogenesis, and causes of chronic cough. The Lancet, 371, 1364-74.Natt, R. S., Earis, J. E., & Swift, A. C. (2012). Chronic cough: A multidisciplinary approach. Journal of Laryngology and Otology, 126, 441-444.Vertigan, A. E., Theodoros, D. G., Gibson, P. G., & Winkworth, A. L. (2007a). Review series: Chronic cough: Behaviour modification therapies for chronic cough. Chronic Respiratory Disease, 4(2), 89-97. doi:10.1177/1479972307078099Procedures and MeasuresParticipants Adults with CC referred to an SLP for BCST (N=43)• Cough suppression strategies: relaxing throat, breathing techniques, sipping water, swallowing hard• Vocal hygiene: hydration, minimize clearing throat, do not overuse vocal cords or strain with screaming• Education/counseling: reflux, post nasal drip, cough hypersensitivity syndrome and the rationale for cough suppression Chronic Cough (CC), a cough that persists for more than 8 weeks, accounts for millions of visits to physicians each year. Approximately 10-20% of patients with CC do not respond to medical treatment. Many of these patients are successfully treated with behavioral cough suppression therapy (BCST); however, the medical model recommends exhausting all medical options before considering BCST.  This model is expensive and time consuming for the patients whose cough is resolved with BCST. Purpose• To determine if there are patient-reported variables that are associated with success of BCST.  • To create a valid screening tool that physicians can use to determine candidates for early referral to BCST.NMeanAgeMale FemaleMean Cough DurationBCST-S 80 56 11 69 12-24 monthsBCST-NS 25 60 6 19 12-24 monthsFuture Directions • Item reduction analysis currently in process• Plan to launch validity study in June 2018  Referral to SLPEnrollment Survey (N=105)52-items pertaining to symptoms, onset factors, and personality characteristics created by an expert panel (2 SLP’s, ENT, Pulmonologist, Allergist)Leicester Cough Questionnaire (LCQ) – a validated tool for assessing cough’s impact on quality of lifeQuestions directed on type of treatment, compliance, cough statusFollow-up Survey every 3-4 weeksLCQCurrent treatment and any changes, compliance, cough statusCough sig. improved N=80 Cough not sig. improved N=25Behavioral Cough Suppression Therapy (BCST)This research is funded by the Mountain West Clinical translational Research-Infrastructure Network under a grant from the National Institute of General Medical Sciences. The principal investigator is Dr. Laurie Slovarp, PhDLCQ Change Scores (Post-BCST – Pre-BCST) Significant differences from Pre-test LCQ scores to Post-test LCQ scoresVOICES (Voice Outcomes and Inquiry of Cough and Essentials in Swallowing) Lab

Patient-Reported Variables Associated with the Success of Behavioral Intervention for Patients with Chronic Cough

https://scholarworks.umt.edu/cgi/viewcontent.cgi?article=1964&amp;context=umcur

Patient-Reported Variables Associated with the Success of Behavioral Intervention for Patients with Chronic Cough

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