Dynamic Assessment of Phonological Disorders

NCT06075303 | Completed

• 1 other identifier: 186-11
• Study Type: interventional
• Target: 4
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this clinical trial is to learn about (1) how speech skills can be measured and how various tests give speech therapists different types of information for children with speech sound disorder, and (2) whether changes occur in the amount of help children need when they work on easier sounds or harder sounds during treatment. The main questions this study aims to answer are: (1) what does one type of test (dynamic assessment) tell us about speech skills compared to another type of test (static assessment), and (2) does practice of easier or harder sounds show differences in progress. Participants will complete 16 sessions of speech treatment called "modified cycles treatment", and will complete several speech and language tests before, during, and after treatment by pointing to pictures, and saying sounds, words, and sentences.

Conditions

Speech Sound Disorder

Keywords

phonology, delay, disorder, speech

Outcome Measures

Primary Outcomes (1)

• Glaspey Dynamic Assessment of Phonology (GDAP)

  The GDAP is an evaluation of speech sounds when given help while talking about pictures. The child is asked to say all sounds by themselves, in words, or in sentences. The child is given verbal modeling and instructions to help him/her say the sounds correctly to the highest level possible (i.e. sentences without any model).

  Prior to treatment, after four weeks of treatment, and again after eight weeks.

Secondary Outcomes (1)

• Static Assessment of Single Words

  Prior to treatment, after four weeks of treatment, and again after eight weeks.

Study Arms (2)

Easier Targets

EXPERIMENTAL

All participants will participate in a modified Cycles approach where speech targets are worked on for a short period of time and switched within a cycle. During the Easier Targets arm, children will work on target sounds that are "easier" based on their pre-treatment scores of 8, 9, 10, or 11 on the Glaspey Dynamic Assessment of Phonology. Children will complete 8 sessions in this arm that are each 50-minutes long and occur two times per week with each target addressed for 2 sessions.

Behavioral: Modified Cycles

Harder Targets

EXPERIMENTAL

All participants will participate in a modified Cycles approach where speech targets are worked on for a short period of time and switched within a cycle. During the Harder Targets arm, children will work on target sounds that are "harder" based on their pre-treatment scores of 15, 14, 13, or 12 on the Glaspey Dynamic Assessment of Phonology. Children will complete 8 sessions in this arm that are each 50-minutes long and occur two times per week with each target addressed for 2 sessions.

Behavioral: Modified Cycles

Interventions

Modified Cycles BEHAVIORAL

Easier Targets; Harder Targets

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• monolingual English speakers;
• scores in the mild to profound range for phonological disorder based on the Hodson Assessment of Phonological Patterns (Hodson, 2004);
• scores above 9th percentile on receptive language and cognitive abilities based on measures from the Preschool Language Scale-4 (PLS-4) (Zimmerman, Steiner, \& Pond, 2002) and the Peabody Picture Vocabulary Test (PPVT) (Dunn \& Dunn, 1997);
• perform adequately on a structural-functional examination adapted from the Oral and Speech Motor Control Protocol (Robbins \& Klee, 1987) and Motor Speech Examination (Strand \& McCauley, 1999);
• exhibit voice and fluency skills within normal limits,
• pass a hearing screening adequate for understanding speech.

You may not qualify if:

• will not exhibit the prime characteristics of developmental apraxia of speech and/or dysarthria

Sponsors & Collaborators

• University of Montana: lead

MeSH Terms

Conditions

Speech Sound Disorder; Speech

Condition Hierarchy (Ancestors)

Communication Disorders; Neurodevelopmental Disorders; Mental Disorders; Verbal Behavior; Communication; Behavior

Study Officials

• Amy M Glaspey, Ph.D.

  University of Montana

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The participating children will not be aware of the targets identified as "easier" or "harder"
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Children will engage in 4 weeks of treatment on easier targets and 4 weeks of treatment on harder targets. The order (easier first or harder first) will be counterbalanced across participants.

Study Record Dates

• First Submitted: October 3, 2023
• First Posted: October 10, 2023
• Study Start: October 4, 2011
• Primary Completion: May 11, 2012
• Study Completion: May 11, 2012
• Last Updated: October 10, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share