Pediatric Speech Therapy Session Frequency and Speech Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 39
- 试验地点
- 2
- 主要终点
- Change in Receptive vocabulary skills
研究概览
简要总结
Examination of frequency of therapy and effect on clinical outcomes.
详细描述
The goal of this clinical trial is to compare speech therapy outcomes in children ages 18 months to 16 years who participate in weekly speech therapy with home programming versus every-other week speech therapy with home programming in outpatient speech therapy. The main question it aims to answer is: Does a change in how often speech therapy sessions are delivered show an increased benefit in language and articulation standardized test scores? Participants will be randomly assigned to either (1) weekly or (2) every-other-week speech therapy for a total of 8 sessions. Researchers will compare these two groups to see if there are differences in speech outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Months 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Medical order for speech therapy
- •Patients eligible for speech therapy at Connecticut Children's (qualify for receptive, expressive language and/or articulation therapy)
- •Diagnosis of communication disorder.ICD-10 codes will be utilized pertaining to expressive, receptive language and articulation disorders (ICD-10 code specific to patient: F80.0, F80.1, F80.2, F80.4, F80.9, R47.89, R41.841)
- •Patient recommended for individual (i.e. not group) treatment
- •18 months to 16 years of age
- •Completed 1 plan of care (POC) with a duration of 8 sessions
- •Attended at least 80% of scheduled visits during their plan of care period (still completing 8 sessions of therapy, may have extended time to completion).
- •Services for a full 8-session plan of care.
排除标准
- •- Seeking speech therapy care for treatment of disorders related to diagnosis of voice, feeding, fluency, and/or cognition
- •Patient unable to complete standardized tests (EOWPVT-4, ROWPVT-4, GFTA-3, REEL-4)
- •Patients in group speech therapy
- •Patients younger than 18 months or older than 16 years of age
- •Not willing to complete a full POC (8 sessions)
- •Unable/unwilling to attend 80% of scheduled visits
研究组 & 干预措施
Every-other-week therapy with home programming
Receipt of standard speech therapy care (every-other-week) for 8.0 sessions
干预措施: Speech Therapy (Behavioral)
Weekly therapy with home programming
Receipt of speech therapy care (every week) for 8.0 sessions
干预措施: Speech Therapy (Behavioral)
结局指标
主要结局
Change in Receptive vocabulary skills
时间窗: Baseline, immediately after treatment (up to 4 months)
Scores on the following standardized measure: Receptive One Word Picture Vocabulary Test- Fourth Edition (ROVPVT-4); Average Standard Score range is from 85-115; an increase in standard score indicates improvement in understanding vocabulary.
Change in Receptive and expressive early language skills
时间窗: Baseline, immediately after treatment (up to 4 months)
Scores on the following standardized measures: Receptive-Expressive Emergent Language Scale- Fourth Edition (REEL-4); Average Standard Score range is from 90-109; an increase in standard score indicates improvement in language ability score.
Change in Articulation and intelligibility
时间窗: Baseline, immediately after treatment (up to 4 months)
Scores on the following standardized measures: Goldman Fristoe Test of Articulation- Third Edition (GFTA-3) ; Average Standard Score range is from 86-114; an increase in standard score indicates improvement in intelligibility.
Change in Expressive vocabulary skills
时间窗: Baseline, immediately after treatment (up to 4 months)
Scores on the following standardized measure: Expressive One Word Picture Vocabulary Test- Fourth Edition (EOWPVT-4); Average Standard Score range is from 85-115; an increase in standard score indicates improvement in understanding or labeling vocabulary.
次要结局
- Home Exercise Plan (HEP) provision(up to 4 months)