About this trial
The investigators hypothesize that the mobile application they developed for transgender and gender diverse individuals (TGGD) will be equivalent or better than traditional speech therapy in improving voice quality. The investigators will measure both how the participants feel about their voices and how their voice actually sounds to see if the app is effective.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Identify as a transgender individual
Be 18 years or older
Be able to read and write in English
Have an iOS or Android Device
Disqualifiers
Identify as cisgender
Experience hoarseness
Experiencing any physical pain related to voice use
Trial design
Parallel
Treatments tested in this trial
Attuned: A mobile application
Other interventionSubjects will undergo voice and communication modification therapy via the Attuned application. This consists of an 11 week program consisting of different modules to learn how to modify voice (e.g., pitch, intonation, resonance). At the end of each module, participants will be given exercises to practice what they learned.
In-Person Voice Modification Therapy
Other interventionSubjects will undergo standard of care in-person voice modification therapy at Ithaca College.
Treatment groups
Trial outcomes
Primary outcomes
Change in Transsexual Voice Questionnaire (TVQ) Scores
The Transsexual Voice Questionnaire (TVQ) is a 30-item questionnaire that assesses self-perception of voice in transgender individuals. Responses range from (1) rarely or never to (4) usually or always. Scores range from 30 (no perceived voice difficulty) to 120 (high perceived voice difficulty).
Change in Transgender Self Evaluation Questionnaire (TSEQ) Scores
The Transgender Self Evaluation Questionnaire (TSEQ) is a 30-item questionnaire that assesses self perception in transgender and gender diverse individuals. Responses range from (1) never (4) always. Scores range from 30 (low voice satisfaction) to 120 (high voice satisfaction)
Change in Fundamental Frequency
The acoustic measure fundamental frequency will be obtained by analyzing participant's voice recordings via multi-speech acoustic analyses program of Kay-Pentax
Change in Formants
The acoustic measure formants will be obtained by analyzing participant's voice recordings via multi-speech acoustic analyses program of Kay-Pentax
Secondary outcomes
Usability of Mobile Application as measured by the Mobile Application Rating Scale (MARS)
The Mobile Application Rating Scale (MARS) is a 19-item scale that allows app users to rate the usability of a mobile application. Responses range from 1 (inadequate) to 5 (excellent). Scores range from 19-95 with a score of 19 corresponding to a poor and inadequate app and 95 of an excellent apps with great usability.
Sponsors and contacts
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Weill Medical College of Cornell University
Lead sponsor
Ithaca College
Collaborator
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