NCT03972449

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.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started May 2024

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 27, 2019

Completed
3 months until next milestone

First Posted

Study publicly available on registry

June 3, 2019

Completed
4.9 years until next milestone

Study Start

First participant enrolled

May 5, 2024

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2025

Completed
Last Updated

March 10, 2023

Status Verified

March 1, 2023

Enrollment Period

1.4 years

First QC Date

February 27, 2019

Last Update Submit

March 8, 2023

Conditions

Outcome Measures

Primary Outcomes (3)

  • Speech sound accuracy: dichotomous ratings

    rated by naive, blinded raters

    within two years

  • Speech sound accuracy: visual analog scale ratings

    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.

    within two years

  • Phonetic accuracy

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

    within two years

Secondary Outcomes (6)

  • therapeutic engagement level

    within two years

  • Hopkins Rehabilitation Engagement Rating

    within two years

  • Pittsburgh Rehabilitation Rating Scale

    within two years

  • PROMIS (Patient-Reported Outcomes Measurement Information System) Pediatric Peer Relationship Scale

    within two years

  • Adolescent Communication Questionnaire

    within two years

  • +1 more secondary outcomes

Study Arms (2)

Beatboxing: BEAT-Speech

EXPERIMENTAL
Behavioral: BEAT-Speech

Traditional Articulation Approach

EXPERIMENTAL
Behavioral: Traditional Articulation Approach

Interventions

BEAT-SpeechBEHAVIORAL

BEAT-Speech integrates beatboxing techniques within speech-therapy services for individuals with speech sound disorders.

Beatboxing: BEAT-Speech

The traditional approach to treating speech sound disorders focus on one or two sounds at a time until they are mastered by the client. Perceptual and production training are used with target starting at simple (isolation) and moving to more complex (sentences). A variety of cues such as shaping and phonetic placement cues are used.

Traditional Articulation Approach

Eligibility Criteria

Age8 Years - 16 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Speech Sound Disorder

Condition Hierarchy (Ancestors)

Communication DisordersNeurodevelopmental DisordersMental Disorders
0

Study Design

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

Study Record Dates

First Submitted

February 27, 2019

First Posted

June 3, 2019

Study Start

May 5, 2024

Primary Completion

September 15, 2025

Study Completion

December 15, 2025

Last Updated

March 10, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share