Investigating intervention dose frequency for children with speech sound disorders and motor speech involvement.

Abstract:

BACKGROUND:Treatment outcome data for children with severe speech sound disorders with motor speech involvement (SSD-MSI) are derived from Phase I clinical research studies. These studies have demonstrated positive improvements in speech production. Currently there is no research examining the optimal treatment dose frequency for this population. The results of this study, which is the first of its kind, will inform the delivery of effective services for this population. AIMS:To investigate optimal treatment dose frequency for the Motor Speech Treatment Protocol (MSTP) for children with SSD-MSI. METHODS & PROCEDURES:A total of 48 children (aged 43-47 months) with SSD-MSI participated in the study. Participants received 45-min MSTP intervention sessions either once per week (lower dose frequency) or twice per week (higher dose frequency) for a 10-week period. Blinded outcome assessments were carried out at pre- and post-intervention. OUTCOMES & RESULTS:Treatment-related change was assessed at body structures, functions and activities participation level as per the World Health Organization's International Classification of Functioning framework: Children and Youth Version (ICF-CY) framework WHO (2007). These measures are related to articulation, functional communication and speech intelligibility. One-way analysis of variance (ANOVA) revealed that for all variables the baseline scores were not statistically different (p > 0.05) between the two dose-frequency groups. Overall, there was a significant main effect of Time (pre-post) across all variables (p < 0.01). However, repeated-measures ANOVA did not result in any statistical interactions (Time × Dose frequency) for any of the variables tested (p > 0.05). Only marginal clinical advantages (< 4% change in intelligibility) were noted with the 10 extra sessions. CONCLUSIONS & IMPLICATIONS:Overall, the MSTP intervention approach in conjunction with home practice led to significant positive changes for all measures in children with SSD-MSI. No statistical differences between high- and low-dose-frequency groups were observed for any of the variables. Clinical effects were examined using effect sizes, as well as changes in articulation, speech intelligibility and functional communication; these differed marginally between the two dose frequencies. This suggests limited benefits of 10 additional sessions per block. Thus, it is recommended that caregivers, speech-language therapists and policy-makers perform a cost-benefit analysis before determining the dose frequency, when considering additional sessions per block.

authors

Namasivayam AK,Pukonen M,Goshulak D,Granata F,Le DJ,Kroll R,van Lieshout P

doi

10.1111/1460-6984.12472

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

673-686

issue

4

eissn

1368-2822

issn

1460-6984

journal_volume

54

pub_type

杂志文章
  • Facilitating effective learning during clinical placement.

    abstract::The aim of this pilot study was to employ a qualitative research methodology to explore students' perceptions of learning and assessment of that learning whilst on clinical placement. The students' perceptions were sampled by questionnaire both pre- and post-placement (ten weeks block placement). The analysis of the d...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682829809179431

    authors: Nettleton J,Reilly O

    更新日期:1998-01-01 00:00:00

  • Audiovocal integration in adults who stutter.

    abstract:BACKGROUND:Altered auditory feedback can facilitate speech fluency in adults who stutter. However, other findings suggest that adults who stutter show anomalies in 'audiovocal integration', such as longer phonation reaction times to auditory stimuli and less effective pitch tracking. AIMS:To study audiovocal integrati...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2011.00111.x

    authors: Loucks T,Chon H,Han W

    更新日期:2012-07-01 00:00:00

  • Follow-up study on reading comprehension in Down's syndrome: the role of reading skills and listening comprehension.

    abstract:BACKGROUND:According to the 'Simple View of Reading', reading comprehension requires some abilities such as reading skill and listening comprehension. Individuals with Down's syndrome show relative strengths in reading skills, mainly in word recognition, where they attain a reading age of about 7-8 years. Compared with...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682822.2010.487882

    authors: Roch M,Florit E,Levorato C

    更新日期:2011-03-01 00:00:00

  • Speech and language therapists' approaches to communication intervention with children and adults with profound and multiple learning disability.

    abstract:BACKGROUND:People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. AIMS:To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the fact...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12098

    authors: Goldbart J,Chadwick D,Buell S

    更新日期:2014-11-01 00:00:00

  • Comparing language profiles and learning impairment in pupils in special schools.

    abstract::Children were selected from schools for pupils with learning difficulties. Non-verbal ability measures classified them with what was previously termed moderate learning difficulties (MLD). A Surrey Speech, Language and Communication Profile (Surrey Profile) (Cave and McGregor 1996) was completed for each child and the...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820109177892

    authors: Winter P

    更新日期:2001-01-01 00:00:00

  • Addition of contingency management to increase home practice in young children with a speech sound disorder.

    abstract:BACKGROUND:Along with the severity of the disorder, the motivation of the children and their parents is an important element in explaining the extensive variance in therapeutic success. There is consensus that parental cooperation and homework are important for successful therapy. Systematic investigation into the effe...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820903026762

    authors: Günther T,Hautvast S

    更新日期:2010-05-01 00:00:00

  • Motor-based treatment with and without ultrasound feedback for residual speech-sound errors.

    abstract:BACKGROUND:There is a need to develop effective interventions and to compare the efficacy of different interventions for children with residual speech-sound errors (RSSEs). Rhotics (the r-family of sounds) are frequently in error American English-speaking children with RSSEs and are commonly targeted in treatment. One ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/1460-6984.12259

    authors: Preston JL,Leece MC,Maas E

    更新日期:2017-01-01 00:00:00

  • Nine- to twelve-year olds' metalinguistic awareness of homonymy.

    abstract:BACKGROUND:The metalinguistic ability to cope with homonyms, that is, words having multiple unrelated meanings, emerges rather late in the course child language development. It is associated with specific neural activity and related to academic achievement and second language learning. This study is about homonyms that...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820902745446

    authors: Corthals P

    更新日期:2010-01-01 00:00:00

  • Developing a scale to measure parental attitudes towards preschool speech and language therapy services.

    abstract::In the past decade, there has been growing recognition of the need to involve clients in decisions about the healthcare they receive and in the evaluation of services offered. In health services research, survey and scaling methods have become important tools for research into 'consumer views' and the perspectives of ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820110075006

    authors: Glogowska M,Campbell R,Peters TJ,Roulstone S,Enderby P

    更新日期:2001-10-01 00:00:00

  • Running a randomised controlled trial in a service setting: a progress report.

    abstract::This paper will give a progress report on a randomised controlled trial which is currently underway in the Bristol area. Some of the key influencing literature will be summarised, followed by an overview of the study design. The paper will also highlight some of the methodological and practical advantages and disadvan...

    journal_title:International journal of language & communication disorders

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.3109/13682829809179391

    authors: Roulstone S,Glogowska M,Enderby P,Peters TJ

    更新日期:1998-01-01 00:00:00

  • Assessment of voice, speech and communication changes associated with cervical spinal cord injury.

    abstract:BACKGROUND:Respiratory muscle impairment following cervical spinal cord injury (CSCI) may lead to reduced voice function, although the individual variation is large. Voice problems in this population may not always receive attention since individuals with CSCI face other, more acute and life-threatening issues that nee...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12380

    authors: Johansson K,Seiger Å,Forsén M,Holmgren Nilsson J,Hartelius L,Schalling E

    更新日期:2018-07-01 00:00:00

  • Modelling the consultation process in a secondary referral unit for children.

    abstract::This paper overviews a detailed study of a consultation service for children with severe and/or intractable speech and language difficulties. The Speech Therapy Clinical Unit at the University of Central England in Birmingham (UCE) offered multidisciplinary, in-depth assessment of such children to speech and language ...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682829809179481

    authors: David R,Whitehouse J

    更新日期:1998-01-01 00:00:00

  • Seeing the person? Disability theories and speech and language therapy.

    abstract::The potential value of a framework enabling practitioners to conceptualise speech and language therapy from a range of perspectives engendered by different theories about disability is explored. Four disability research paradigms are used to categorise professional activities, whilst the 'individual' and 'social' mode...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820109177928

    authors: Jordan L,Bryan K

    更新日期:2001-01-01 00:00:00

  • Emotional and physiological responses of fluent listeners while watching the speech of adults who stutter.

    abstract:BACKGROUND:People who stutter produce speech that is characterized by intermittent, involuntary part-word repetitions and prolongations. In addition to these signature acoustic manifestations, those who stutter often display repetitive and fixated behaviours outside the speech producing mechanism (e.g. in the head, arm...

    journal_title:International journal of language & communication disorders

    pub_type: 临床试验,杂志文章

    doi:10.1080/10610270600850036

    authors: Guntupalli VK,Everhart DE,Kalinowski J,Nanjundeswaran C,Saltuklaroglu T

    更新日期:2007-03-01 00:00:00

  • Communication experience of individuals treated with home mechanical ventilation.

    abstract:BACKGROUND:Mechanical ventilatory support seriously affects speaking and communication, and earlier studies show that many ventilator-supported patients experience difficulties and frustration with their speech and voice production. Since there is a growing number of individuals who require mechanical ventilatory suppo...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2011.00040.x

    authors: Laakso K,Markström A,Idvall M,Havstam C,Hartelius L

    更新日期:2011-11-01 00:00:00

  • Managing and supporting quality-of-life issues in dysphagia: A survey of clinical practice patterns and perspectives in the UK, Ireland and South Africa.

    abstract:BACKGROUND:There is increasing recognition that dysphagia has significant implications for a person's psychological well-being, social participation and quality of life (QOL). However, a paucity of research exists regarding the clinical management of this area. To inform future research and the development of appropria...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12429

    authors: Moloney J,Walshe M

    更新日期:2019-01-01 00:00:00

  • Setting up a cohort study in speech and language therapy: lessons from The UK Cleft Collective Speech and Language (CC-SL) study.

    abstract:BACKGROUND:Efforts to increase the evidence base in speech and language therapy are often limited by methodological factors that have restricted the strength of the evidence to the lower levels of the evidence hierarchy. Where higher graded studies, such as randomized controlled trials, have been carried out, it has so...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12364

    authors: Wren Y,Humphries K,Stock NM,Rumsey N,Lewis S,Davies A,Bennett R,Sandy J

    更新日期:2018-05-01 00:00:00

  • The need for self-report data in the assessment of stuttering therapy efficacy: repetitions and prolongations of speech. The stuttering syndrome.

    abstract:BACKGROUND:Bloodstein reviewed hundreds of studies that investigated the efficacy of therapeutic protocols for ameliorating the stuttering syndrome. Surprisingly, almost all were effective in significantly reducing overtly perceptible behaviours such as repetitions and prolongations of speech sounds. These results seem...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章,评审

    doi:10.1080/13682820500126627

    authors: Guntupalli VK,Kalinowski J,Saltuklaroglu T

    更新日期:2006-01-01 00:00:00

  • Gesture use following right hemisphere brain damage.

    abstract::A group of eight right hemisphere brain damaged (RHBD) individuals' use of gesture during discourse was explored at two points post stroke. Three topic structured conversational and three procedural discourse samples were elicited at one and six months post stroke. Gestures were analysed in terms of communicative gest...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820109177855

    authors: Brady M,Mackenzie C

    更新日期:2001-01-01 00:00:00

  • Can individuals with Down syndrome improve their grammar?

    abstract::Morphosyntax constitutes one of the most complex areas of language. It takes into account the structure of the word and that of the sentence, and its development allows one to establish adequately agreements both within the nominal phrase and in the rest of the sentence. Morphosyntax is particularly impaired in indivi...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12002

    authors: Sepúlveda EM,López-Villaseñor ML,Heinze EG

    更新日期:2013-05-01 00:00:00

  • Narrative abilities of children with epilepsy.

    abstract:BACKGROUND:There is a noticeable publication gap in the speech-language pathology literature regarding the language abilities of children with common types of epilepsy. This paper reviews studies that suggest a high frequency of undetected language problems in this population, and it proposes the need for pragmatically...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2012.00203.x

    authors: Strekas A,Ratner NB,Berl M,Gaillard WD

    更新日期:2013-03-01 00:00:00

  • Concordance rates between parent and teacher clinical evaluation of language fundamentals observational rating scale.

    abstract:BACKGROUND:Research has shown that early identification of children with language issues is critical for effective intervention, and yet many children are not identified until school age. The use of parent-completed rating scales, especially in urban, minority populations, might improve early identification if parent r...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820701261827

    authors: Massa J,Gomes H,Tartter V,Wolfson V,Halperin JM

    更新日期:2008-01-01 00:00:00

  • Voice therapy outcomes in vocal fold nodules: a retrospective audit.

    abstract::Twenty-six speech and language therapy (SLT) clinical files, in which patients presented with a medical diagnosis of bilateral or unilateral vocal fold nodule(s), were audited retrospectively over a six year period (1992-1998). The objective of the study was to evaluate current practice within our trust in the managem...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.3109/13682820109177852

    authors: McCrory E

    更新日期:2001-01-01 00:00:00

  • Conversational repair in speakers with autism spectrum disorder.

    abstract:BACKGROUND:The ability to repair communicative breakdown is an important pragmatic language skill, yet very little is known about it in the population of children with autism spectrum disorder (ASD). Previous investigations have shown that people with ASD, across a variety of ages and language levels, recognized commun...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820410001663252

    authors: Volden J

    更新日期:2004-04-01 00:00:00

  • Efficacy of a self-administered treatment using a smart tablet to improve functional vocabulary in post-stroke aphasia: a case-series study.

    abstract:BACKGROUND:Aphasia is an acquired language disorder that occurs secondary to brain injury, such as stroke. It causes communication difficulties that have a significant impact on quality of life and social relationships. Although the efficacy of speech-language therapy has been clearly demonstrated in this population, l...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12439

    authors: Lavoie M,Bier N,Macoir J

    更新日期:2019-03-01 00:00:00

  • Differentiating normal variability from inconsistency in children's speech: normative data.

    abstract:BACKGROUND:In young, typically developing children, some word production variability is expected, but highly inconsistent speech is considered a clinical marker for disorder. Speech-language pathologists need to identify variability versus inconsistency, yet these terms are not clearly differentiated. Not only is it im...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820600988967

    authors: Holm A,Crosbie S,Dodd B

    更新日期:2007-07-01 00:00:00

  • Building vocabulary knowledge and phonological awareness skills in children with specific language impairment through hybrid language intervention: a feasibility study.

    abstract:BACKGROUND & AIMS:Preschool and early school-aged children with specific language impairment not only have spoken language difficulties, but also are at risk of future literacy problems. Effective interventions targeting both spoken language and emergent literacy skills for this population are limited. This paper repor...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1080/13682820701806308

    authors: Munro N,Lee K,Baker E

    更新日期:2008-11-01 00:00:00

  • Plugging the patient evidence gap: what patients with swallowing disorders post-stroke say about thickened liquids.

    abstract:BACKGROUND:Oropharyngeal dysphagia post-stroke is well known, with its presence increasing the risk of poor outcomes in particular aspiration and aspiration pneumonia. Management to minimize the risk of aspiration and improve swallow safety post-stroke includes the treatment of thickened liquids (TL), an established bo...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/1460-6984.12324

    authors: McCurtin A,Healy C,Kelly L,Murphy F,Ryan J,Walsh J

    更新日期:2018-01-01 00:00:00

  • Monolingual versus multilingual acquisition of English morphology: what can we expect at age 3?

    abstract:BACKGROUND:At least two-thirds of the world's children grow up in environments where more than one language is spoken. Despite the global predominance of multilingualism, much remains unknown regarding the language acquisition of children acquiring multiple languages compared with monolingual children. A greater unders...

    journal_title:International journal of language & communication disorders

    pub_type: 杂志文章

    doi:10.1111/j.1460-6984.2011.00006.x

    authors: Nicholls RJ,Eadie PA,Reilly S

    更新日期:2011-07-01 00:00:00

  • Assessment of intelligibility using children's spontaneous speech: methodological aspects.

    abstract:BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...

    journal_title:International journal of language & communication disorders

    pub_type: 临床试验,杂志文章

    doi:10.1111/1460-6984.12067

    authors: Lagerberg TB,Åsberg J,Hartelius L,Persson C

    更新日期:2014-03-01 00:00:00