Lidcombe Program telehealth treatment for children 6-12 years of age: A Phase II trial.

Johnson, G; Onslow, M; Carey, B; Jones, M; Kefalianos, E

Lidcombe Program telehealth treatment for children 6-12 years of age: A Phase II trial.

Johnson, G Onslow, M

Carey, B Jones, M Kefalianos, E

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: J Fluency Disord, 2024, 80, pp. 106057
Issue Date:: 2024-04-07

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Field	Value	Language
dc.contributor.author	Johnson, G
dc.contributor.author	Onslow, M https://orcid.org/0000-0003-2629-2390
dc.contributor.author	Carey, B
dc.contributor.author	Jones, M
dc.contributor.author	Kefalianos, E
dc.date.accessioned	2024-04-18T11:15:22Z
dc.date.available	2024-04-01
dc.date.available	2024-04-18T11:15:22Z
dc.date.issued	2024-04-07
dc.identifier.citation	J Fluency Disord, 2024, 80, pp. 106057
dc.identifier.issn	0094-730X
dc.identifier.issn	1873-801X
dc.identifier.uri	http://hdl.handle.net/10453/178042
dc.description.abstract	BACKGROUND: For children older than 6 years who stutter, there is a gap in clinical research. This is an issue for speech-language pathologists because the tractability of stuttering decreases and the risk of long-term psychological consequences increase with age. PURPOSE: To report a Phase II trial of a telehealth version of the Lidcombe Program with school-age children. METHODS: Participants were 37 children who stuttered, 6-12 years of age, from Australia, New Zealand, Hong Kong, and Singapore. Parents were trained by video telehealth how to deliver the Lidcombe Program to their child. Primary and secondary outcomes were stuttering severity and psychosocial functioning measured pre-treatment and at 6 months and 12 months after starting treatment. Parents submitted two 10-minute recordings of their child speaking in conversation, and three measures of anxiety, impact of stuttering, and communication attitude. RESULTS: Six months after starting treatment, seven children (18.9%) attained Lidcombe Program Stage 2 criteria, 25 children (67.6%) showed a partial response to treatment, and five children (13.5%) showed no response. By 12 months, 12 children (32.4%) had reached Stage 2 criteria. Psychosocial improvements were observed 6 and 12 months after starting treatment. CONCLUSIONS: The Lidcombe Program may eliminate or nearly eliminate stuttering for about one third of children 6-12 years of age. Randomized controlled trials with this age group involving the Lidcombe Program are warranted. In the interim, the Lidcombe Program is a clinical option clinicians can implement with this age group to reduce stuttering and its psychosocial impacts.
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	J Fluency Disord
dc.relation.isbasedon	10.1016/j.jfludis.2024.106057
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences, 20 Language, Communication and Culture
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	47 Language, communication and culture
dc.subject.classification	52 Psychology
dc.title	Lidcombe Program telehealth treatment for children 6-12 years of age: A Phase II trial.
dc.type	Journal Article
utslib.citation.volume	80
utslib.location.activity	United States
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
utslib.for	20 Language, Communication and Culture
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - ASRC Australian Stuttering Research Centre
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Australian Stuttering Research Centre
utslib.copyright.status	open_access	*
dc.date.updated	2024-04-18T11:15:20Z
pubs.publication-status	Published online
pubs.volume	80

Abstract:

BACKGROUND: For children older than 6 years who stutter, there is a gap in clinical research. This is an issue for speech-language pathologists because the tractability of stuttering decreases and the risk of long-term psychological consequences increase with age. PURPOSE: To report a Phase II trial of a telehealth version of the Lidcombe Program with school-age children. METHODS: Participants were 37 children who stuttered, 6-12 years of age, from Australia, New Zealand, Hong Kong, and Singapore. Parents were trained by video telehealth how to deliver the Lidcombe Program to their child. Primary and secondary outcomes were stuttering severity and psychosocial functioning measured pre-treatment and at 6 months and 12 months after starting treatment. Parents submitted two 10-minute recordings of their child speaking in conversation, and three measures of anxiety, impact of stuttering, and communication attitude. RESULTS: Six months after starting treatment, seven children (18.9%) attained Lidcombe Program Stage 2 criteria, 25 children (67.6%) showed a partial response to treatment, and five children (13.5%) showed no response. By 12 months, 12 children (32.4%) had reached Stage 2 criteria. Psychosocial improvements were observed 6 and 12 months after starting treatment. CONCLUSIONS: The Lidcombe Program may eliminate or nearly eliminate stuttering for about one third of children 6-12 years of age. Randomized controlled trials with this age group involving the Lidcombe Program are warranted. In the interim, the Lidcombe Program is a clinical option clinicians can implement with this age group to reduce stuttering and its psychosocial impacts.

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http://hdl.handle.net/10453/178042