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Beatboxing and Residual Speech Errors

Not Applicable
Withdrawn
Conditions
Speech Sound Disorder
Interventions
Behavioral: BEAT-Speech
Behavioral: Traditional Articulation Approach
Registration Number
NCT03972449
Lead Sponsor
Duquesne University
Brief Summary

This project will study the effect of practicing speech sounds via beatboxing on speech accuracy, engagement in therapy, and functional outcomes for older children and adolescents with speech sound disorders (SSDs). Though SSDs exhibited by young children are often considered, SSDs are among the most frequent communication disorders in school-aged and adolescent children. SSDs can persist until adulthood. Individuals exhibit residual speech errors (RSE) when speech sounds are produced incorrectly after the age of eight, the age at which speech production is expected to be error-free. Common RSE include /r/, /s/, and /z/, all of which have high frequency in American English.

Beatboxing is a unique manipulation of the speech mechanism in which the individual creates repetitive, percussive and other instrumental sounds by actually being the instrument. Beatboxing is engaging and increasingly found in a variety of musical contexts and mainstream culture. The broad objective of this investigation is to explore the impact of beatboxing as an intervention tool on the speech produced and the functional outcomes attained by children with RSE compared to a traditional articulation therapy approach.The effect of a beatboxing intervention approach (BEAT-Speech) will be compared to traditional articulation therapy and employs a two-group pretest-posttest design. Specifically, the research aims to 1) assess the impact of beatboxing on speech sound production accuracy and amount of targets produced during therapy; 2) examine the relative level of client engagement of individuals exposed to beatboxing intervention; and 3) explore influences of beatboxing experiences on communication, activities, and participation in social and daily interactions.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

• diagnosed with a speech sound disorder due to residual speech sound errors

Exclusion Criteria
  • out of age range
  • history of hearing, neurogenic, behavioral diagnoses that can contribute to speech disorder
  • English is not first or preferred language
  • concurrent treatment for speech goals

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Beatboxing: BEAT-SpeechBEAT-Speech-
Traditional Articulation ApproachTraditional Articulation Approach-
Primary Outcome Measures
NameTimeMethod
Speech sound accuracy: visual analog scale ratingswithin two years

rated by naive, blinded raters, will mark accuracy on a scale from 0-100 mm (not at all accurate to completely accurate). There is no formal name to this scale at this time given that it is novel to the study.

Speech sound accuracy: dichotomous ratingswithin two years

rated by naive, blinded raters

Phonetic accuracywithin two years

% of consonants correct determined by phonetic transcription completed by trained transcribers

Secondary Outcome Measures
NameTimeMethod
Hopkins Rehabilitation Engagement Ratingwithin two years

five item quantitative questionnaire completed by instructors only after final session

PROMIS (Patient-Reported Outcomes Measurement Information System) Pediatric Peer Relationship Scalewithin two years

questionnaire completed by participants to assess impact of treatment on social activities and participation. Scale is from 0-4 which is from worse to best outcome.

therapeutic engagement levelwithin two years

measured via clinician ratings and naive, blinded raters who will code nonverbal behaviors associated with engagement/disengagement

Pittsburgh Rehabilitation Rating Scalewithin two years

single item questionnaire completed by instructors after each treatment session

Adolescent Communication Questionnairewithin two years

assesses self-efficacy/individual's belief in their ability to make change and succeed in therapy. Scale is fro 1 to 5 with the lowest number being associated with the greatest amount of negative impact to the highest number being associated with no impact.

Qualitative interview regarding functional outcomeswithin two years

phenomenological approach to better understanding themes associated with this novel therapy approach and traditional therapy approach

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