Please assess the completion status of the following clinical trial:

Trial Title: Effectiveness of Expiratory Muscle Strength Training for Improving Communication in ALS

Study Design Characteristics:
- Allocation: None
- Intervention Model: SINGLE_GROUP
- Observational Model: None
- Primary Purpose: TREATMENT
- Time Perspective: None
- Masking: NONE
- Phase: None
- Number of Arms: 1.0

Eligibility Criteria:
Inclusion Criteria:~* Diagnosis of ALS~* Within the early stages of disease progression (i.e., able to talk, breathe, and eat independently)~* Speaker of English~* Have a family member/caregiver willing to assist as needed~* Have access to an electronic device and internet for tele-health~Exclusion Criteria:~* A history of neurological disease (besides ALS)~* A history of asthma or respiratory problems (e.g., COPD, emphysema)~* A history of head, neck, or chest surgery (except mastectomy)~* A history of smoking within the last 5 years~* Reliance on mechanical ventilation (including CPAP)

- Gender: ALL
- Minimum Age: 40 Years
- Maximum Age: 70 Years
- Healthy Volunteers: f

Study Arms:
- Expiratory Muscle Strength Training (Type: EXPERIMENTAL): All participants will forcefully breathe out into an Expiratory Muscle Strength Training device (EMST-150) 25 times per day for 6 weeks. The EMST device will be set at a moderate intensity level (50% of each participant's maximum expiratory pressure).

Based on this trial design, predict the completion outcome and termination type (if applicable).