A Phase II Trial of Telehealth Delivery of the Lidcombe Program of Early Stuttering Intervention

Autor/inn/en	Lewis, Christine; Packman, Ann; Onslow, Mark; Simpson, Judy M.; Jones, Mark
Titel	A Phase II Trial of Telehealth Delivery of the Lidcombe Program of Early Stuttering Intervention
Quelle	In: American Journal of Speech-Language Pathology, 17 (2008) 2, S.139-149 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1058-0360
DOI	10.1044/1058-0360(2008/014)
Schlagwörter	Foreign Countries; Speech Language Pathology; Control Groups; Early Intervention; Experimental Groups; Program Effectiveness; Outcomes of Treatment; Telecommunications; Health Programs; Speech Improvement; Speech Therapy; Nonprint Media; Stuttering; Preschool Children; Statistical Analysis; Clinics; Rural Areas; Access to Health Care; Parent Participation; Questionnaires; Australia + Suchen Sie Ihr Suchwort? Ausland; Telekommunikationstechnik; Sprechentwicklung; Entwicklungsproximale Sprachtherapie; Logotherapie; Stammer; Stottern; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Statistische Analyse; Rural area; Ländlicher Raum; Elternmitwirkung; Fragebogen; Australien
Abstract	Purpose: The aims of this study were to evaluate the efficacy of telehealth delivery of the Lidcombe Program of Early Stuttering Intervention, compared with a control group, and to determine the number of children who could be regarded as "responders." Method: A speech-language pathologist provided telehealth delivery of the Lidcombe Program during telephone consultations with parents in their homes, remote from the clinic. The study design was an open plan, parallel group, randomized controlled trial with blinded outcome assessment. Children in the no-treatment control group who were still stuttering after 9 months then received the same treatment. The primary outcome measure was frequency of stuttering, gathered from audiotape recordings of participants' conversational speech in everyday, nontreatment situations, before and after treatment. Results: Analysis of covariance showed a 73% decrease in frequency of stuttering at 9 months after randomization in the treatment group, as compared with the control group (95% confidence interval = 25%-90%, p = 0.02). Measures of treatment time showed that telehealth delivery of the Lidcombe Program requires around 3 times more resources than standard presentation. Conclusions: Telehealth delivery of the Lidcombe Program is an efficacious treatment for preschool children who cannot receive the standard, clinic-based Lidcombe Program. Avenues for improving efficiency are considered. (Contains 3 tables, 1 figure and 1 footnote.) (As Provided).
Anmerkungen	American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail: subscribe@asha.org; Web site: http://ajslp.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10