Age-related Correlates of Treatment for Late-acquired Sounds

NCT03663972 | Completed

• 1 other identifier: 20180510BK01978
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Late-acquired sounds, such as /r/ are difficult to learn and many children experience persistent errors on these sounds. The purpose of the present study is to determine whether treating these sounds earlier in the child's life may result in better outcomes.

Conditions

Speech Sound Disorder; Phonology Disorder; Phonology Impairment; Phonological Disorder; Articulation Disorders in Children; Developmental Phonological Disorder; Speech Disorders; Speech Delay; Articulation Disorders, Developmental

Keywords

treatment; efficacy; efficiency; late-acquired sounds

Outcome Measures

Primary Outcomes (3)

• Treatment Efficacy: Number of correct productions of treated speech sounds in treatment words

  Accurate Production of treatment sound at baseline and at posttest

  baseline until accuracy criterion is met; up to 18 weeks after final baseline session

• Treatment Efficiency: Number of sessions required to meet accuracy criteria

  Number of treatment sessions required to meet accuracy criteria (90% accuracy across three consecutive sessions or a maximum of 35 treatment sessions)

  baseline until accuracy criterion is met; up to 18 weeks after final baseline session

• Session Length: Mean duration of sessions in minutes

  Start and end time of session is recorded on scoresheet, then number of minutes for each session for each participant is found and the mean across all sessions is calculated.

  First treatment session until final treatment session. Final treatment session occurs when accuracy of treatment sound is met (90% accuracy across three consecutive sessions or a maximum of 35 treatment sessions)

Secondary Outcomes (1)

• Accuracy of production of untreated sounds measured on pretest and posttest probes

  baseline and at posttest up to 18 weeks after final baseline session

Study Arms (2)

Motoric Arm

ACTIVE COMPARATOR

Children will participate in an intervention based on traditional articulation approaches to speech therapy.

Behavioral: articulation therapy

Phonologic Arm

ACTIVE COMPARATOR

Children will receive intervention that targets the conceptual representation of sounds.

Behavioral: phonologic treatment

Interventions

articulation therapy BEHAVIORAL

children receive instruction in producing new sounds at the isolation, syllable and word level.

Motoric Arm

phonologic treatment BEHAVIORAL

children receive instruction in producing new sounds at the word level

Phonologic Arm

Eligibility Criteria

• Age: 4 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

Inclusionary Criteria: * Normal Hearing * Typical Receptive Language * Speech Sound Disorder * No motor speech impairment * Typical non-verbal intelligence * Produces at least one late-acquired sound with \<7% accuracy * Monolingual English-speaking * Typical in terms of motoric and neurological development Exclusionary Criteria: * Neurological disorder * Hearing loss * Nonverbal IQ \< 16th percentile

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• University of Wyoming: lead

Study Sites (1)

University of Wyoming

Laramie, Wyoming, 82071, United States

Location

Related Publications (1)

• Krueger BI, Storkel HL. The impact of age on the treatment of late-acquired sounds in children with speech sound disorders. Clin Linguist Phon. 2023 Sep 2;37(9):783-801. doi: 10.1080/02699206.2022.2093130. Epub 2022 Jul 8.

  PMID: 35801558 DERIVED

MeSH Terms

Conditions

Speech Sound Disorder; Articulation Disorders; Speech Disorders; Language Development Disorders

Condition Hierarchy (Ancestors)

Communication Disorders; Neurodevelopmental Disorders; Mental Disorders; Language Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Breanna I. Krueger, PhD

  University of Wyoming

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Young children (age 4-5) and Old children (age 7-8) will be enrolled in either a Motoric behavioral treatment arm or phonological treatment arm.

Study Record Dates

• First Submitted: August 31, 2018
• First Posted: September 10, 2018
• Study Start: June 11, 2018
• Primary Completion: April 30, 2020
• Study Completion: April 30, 2020
• Last Updated: June 18, 2020

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)