Department of Audiology and Speech Language Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, India.
Department of Pulmonary Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, India.
Codas. 2024 Oct 11;36(6):e20230347. doi: 10.1590/2317-1782/20242023347en. eCollection 2024.
Chronic Cough (CC) is an emerging area of practice in speech language pathology. Behavioral treatment for managing CC has gained attention in the recent past. This study aimed to devise a comprehensive behavioural therapy program for CC by involving allied health professionals (AHPs), who are typically involved in management of CC.
A qualitative methodology was used to devise a behavioral treatment module for CC. Practice patterns of medical professionals, AHPs and yoga practitioners for CC were gathered through semi-structured interviews. A constant comparative framework was used to recruit participants until data saturation was achieved. The interview transcripts were analyzed to identify relevant components for the module. A post-interview survey was conducted to finalize the module through a consensus-based approach.
Three themes and respective sub-themes were identified from analysis. The module was developed based on the treatment strategies followed by professionals and was labeled 'Comprehensive Cough Therapy Program (CCTP)'. This comprised four components - similar to what is available in literature - patient education, breathing exercises, laryngeal hydration, and cough control strategies. This was devised using inputs from the interviews and evidence in the literature.
In line with global guidelines, this behavioral treatment module can serve as a possible management option for CC.
慢性咳嗽（CC）是言语病理学中一个新兴的实践领域。最近，行为治疗在管理 CC 方面引起了关注。本研究旨在通过涉及通常参与 CC 管理的辅助卫生专业人员（AHPs），为 CC 设计一个综合性的行为治疗方案。
采用定性方法为 CC 设计行为治疗模块。通过半结构化访谈收集医疗专业人员、AHPs 和瑜伽从业者对 CC 的实践模式。使用恒定比较框架招募参与者，直到达到数据饱和。对访谈记录进行分析，以确定模块的相关内容。通过基于共识的方法进行访谈后调查，以最终确定模块。
分析确定了三个主题和各自的子主题。该模块是根据专业人员遵循的治疗策略制定的，并被标记为“综合咳嗽治疗方案（CCTP）”。它包括四个部分 - 类似于文献中提供的内容 - 患者教育、呼吸练习、喉部水合作用和咳嗽控制策略。这是根据访谈的输入和文献中的证据设计的。
与全球指南一致，这个行为治疗模块可以作为 CC 的一种可能管理选择。
