Infant Feeding, Non-nutritive Sucking and Speech Development

• Conditions: Speech Disorders in Children
• Interventions: Other: Speech Sound Assessment

• Registration Number: NCT03315416
• Lead Sponsor: Samanth Burr

Brief Summary

This study will look at whether there is a relationship between how babies are fed, whether they suck a dummy/hand and how they develop speech.

Detailed Description

Background:

In the UK every year around 48,000 children aged 2-5 years are referred to NHS Speech \& Language Therapy (SLT) services with difficulties using the right sounds in their talking. This is known as speech sound disorders (SSD). This is the largest population seen by Speech and Language Therapists and costs the NHS about £24 million per year.

Children with SSD are more at risk of mental health problems and difficulties making relationships with those around them. They are also more likely to struggle with learning at school and be involved with the criminal justice system at some point in their early lives. When a baby is born parents make different choices about feeding their baby. Some breastfeed, some bottle-feed and some use a mixture of both. Some babies also like to have a dummy, while others suck their hand and some don't suck anything. Some studies have found that breastfeeding is linked to better language and learning in later childhood, while others have found that dummy sucking has the opposite effect.

However, the effect that different types of feeding have on speech development has not been looked at in as much detail.

Study Timeline

• Study First Submitted: 2017-10-09
• Study First Submitted QC: 2017-10-16
• Study First Posted: 2017-10-20
• Study Start: 2017-11-01
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-16
• Last Update Posted: 2020-03-17
• Primary Completion: 2021-05-31
• Study Completion: 2021-05-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 135

Inclusion Criteria

• Children aged 2;0-5;6 on current speech and language therapy clinical caseloads in Hampshire (Solent NHS Trust) who have a diagnosis of speech sound disorder.

Exclusion Criteria

• Genetic Disorder (including Downs Syndrome and other identified syndromes) Other congenital anomaly (e.g Cerebral Palsy, Global Developmental Delay) Diagnosed Learning Disability Permanent Hearing Loss (Sensorineural) Cleft lip and/or palate and/or submucous cleft palate Premature birth (before 37 completed weeks gestation) English as second or additional language

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
NHS Sample	Speech Sound Assessment	Children diagnosed with speech sound disorder aged 2-5 years

Primary Outcome Measures

Name	Time	Method
Percentage of Consonants Correct (PCC) on a single word naming test.	Outcome will be determined from data gained from the participants through assessment on a single clinic visit following recruitment.	PCC is a speech sound articulation test used to measure the number of correct consonant sounds produced compared to the number of consonant sounds attempted.

Secondary Outcome Measures

Name	Time	Method
Presence of developmental and non-developmental error patterns in speech.	Outcome will be determined from data gained from the participants through assessment on a single clinic visit following recruitment.	There are a variety of sound changes (error patterns) that feature in typical speech sound development. There are also patterns that are characteristic of atypical speech sound development. The speech samples gained from using the Diagnostic Evaluation of Articulation and Phonology (DEAP) speech assessment will be analysed by a qualified Speech and Language Therapist to identify atypical speech errors. These will then be quantified for use in the statistical analysis.

Trial Locations

Locations (1)

Solent NHS Trust; 🇬🇧 Southampton, United Kingdom