Project PAIR: Parent-implemented Articulation Intervention With Recast
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3
- 试验地点
- 1
- 主要终点
- Target phoneme production accuracy
研究概览
简要总结
Using a single-case multiple baseline across participants design, this study aims to explore the effectiveness of parent-implemented Broad Treatment Speech Recast supplemented with traditional clinician-led articulation therapy on speech production in elementary-aged deaf and hard of hearing children.
To address these objectives, the following research questions will be investigated:
- Does drill-based articulation therapy, administered by a speech-language pathologist, improve speech sound production in DHH children when parent-implemented BTSR is concurrently utilized at home?
- Does the combination of parent-implemented BTSR and clinician-led traditional articulation therapy result in generalization of speech sound accuracy at the conversation level?
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 4 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 4;0-9;11
- •Permanent, prelingual sensorineural hearing loss
- •Uses spoken English as their primary home language (≥ 51% of the time)
- •Standard score ≥70 on the Leiter
- •Standard score ≥70 on the OWLS-II Listening Comprehension
- •At least two speech sound errors appropriate to target based on speech norms and general stimulability
排除标准
- •Motor speech disorder (e.g., childhood apraxia of speech)
- •Oral structural functional disorder (e.g., cleft palate)
- •Diagnosis of autism spectrum disorder
- •Diagnosis of ADHD
- •Uncorrected vision impairment (i.e., identified vision loss without the use of corrective lenses)
研究组 & 干预措施
Articulation Therapy
Participants engage in two conditions: (1) Parent-implemented Broad Target Speech Recast (BTSR), (2) Parent-implemented BTSR combined with clinician-implemented speech therapy
This is a nonconcurrent multiple probe single-case experimental design with staggered introduction of conditions across participants. All participants receive both interventions, but the interventions are introduced in separate phases and evaluated independently and in combination.
This is not a crossover or parallel group design. Rather than having separate arms or randomization, each participant serves as their own control over time, allowing for individualized evaluation of intervention effects.
干预措施: Broad Target Speech Recast (Behavioral)
Articulation Therapy
Participants engage in two conditions: (1) Parent-implemented Broad Target Speech Recast (BTSR), (2) Parent-implemented BTSR combined with clinician-implemented speech therapy
This is a nonconcurrent multiple probe single-case experimental design with staggered introduction of conditions across participants. All participants receive both interventions, but the interventions are introduced in separate phases and evaluated independently and in combination.
This is not a crossover or parallel group design. Rather than having separate arms or randomization, each participant serves as their own control over time, allowing for individualized evaluation of intervention effects.
干预措施: Traditional Speech Therapy (Behavioral)
结局指标
主要结局
Target phoneme production accuracy
时间窗: From baseline until end of treatment (when intervention criteria have been reached or 6 weeks of no progress / regression)
The percent of accurate phoneme productions per target, which is derived by dividing the number of correct productions by the total possible points for each target and then multiplying by 100. Accurate phoneme production is defined by a speech-language pathologist's judgment of perceptual accuracy through the lens of broad transcription.
次要结局
- Goldman Fristoe Test of Articulation - Third Edition (GFTA-3)(Collected during eligibility (before the intervention) and at the end of the intervention (when intervention criteria have been reached or 6 weeks of no progress / regression))
- Generalization to Conversation(From enrollment to the end of treatment (when child meets criteria or exhibits no progress/regression for three consecutive sessions).)
研究者
Meganne Muir
PhD Student and Certified Speech-Language Pathologist
Vanderbilt University