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CompletedNCT01916616Updated Sep 1, 2026

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

An interventional study of Four therapy sessions with a psychologist utilizing cognitive-behavioral therapy techniques and Cognitive Behavioral Therapy (CBT) in Vocal Cord Dysfunction, sponsored by CAMC Health System. Completed at 1 site in United States. Open to participants aged 13 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by CAMC Health System · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
13 Years to 18 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Vocal Cord Dysfunction

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Keywords

  • paradoxical vocal fold motion
  • cognitive-behavioral therapy
03

In context

Vocal Cord Dysfunction

18 studies on the registry are indexed under Vocal Cord Dysfunction; 4 are open to participants now.

Browse Vocal Cord Dysfunction studies →

Lead sponsor

CAMC Health System is the lead sponsor of 47 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

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.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Cognitive Behavioral Therapy (CBT)

    Adolescents with vocal cord dysfunction received four structured cognitive behavioral therapy sessions delivered by a clinical psychologist over approximately 4 to 12 weeks. Therapy included psychoeducation, symptom monitoring, diaphragmatic breathing retraining, cognitive restructuring, coping-skills development, and relapse prevention planning. Participants underwent assessment of systems and pulmonary function before and after completion of intervention.

    Behavioral: Four therapy sessions with a psychologist utilizing cognitive-behavioral therapy techniques · Behavioral: Cognitive Behavioral Therapy (CBT)

Interventions

  • BehavioralFour 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.

  • BehavioralCognitive Behavioral Therapy (CBT)

    Four-session cognitive behavioral therapy program designed to reduce symptom reactivity and improve management of vocal cord dysfunction symptoms through psychoeducation, breathing retraining, cognitive restructuring, homework exercises, and caregiver involvement.

06

What researchers measure

Primary outcomes

  1. Change in frequency and intensity of VCD symptoms

    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.

    Time frame: Post intervention at 1 to 3 weeks

Secondary outcomes

  1. Change in pulmonary function testing (PFT) measures

    Time frame: Post intervention at 1 to 3 weeks

07

Study locations

1 site
  • Department of Pediatric, West Virginia University-Charleston Division
    Charleston, West Virginia 25302, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2013 to primary completion in Jun 2015, 21 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 1, 2013
First posted
Aug 5, 2013
StartActual
Sep 1, 2013
Primary completionActual
Jun 30, 2015
CompletionActual
Jun 30, 2015
Last update
Sep 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01916616
Lead sponsor
CAMC Health System
Responsible party
Sponsor
First posted
Aug 5, 2013
Start date
Sep 1, 2013
Primary completion
Jun 30, 2015
Completion
Jun 30, 2015
Last update
Sep 1, 2026

Study contacts

Kevin Maupin, MD
principal investigator · WVU Charleston Division

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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