A Phase II Trial of Telehealth Delivery of the Lidcombe Program of Early Stuttering Intervention Purpose: The aims of this study were to evaluate the efficacy of telehealth delivery of the Lidcombe Program of Early Stuttering Intervention, compared with a control group, and to determine the number of children who could be regarded as “responders.”Method: A speech-language pathologist provided telehealth delivery of the ... Research
Research  |   May 2008
A Phase II Trial of Telehealth Delivery of the Lidcombe Program of Early Stuttering Intervention
 
Author Affiliations & Notes
  • Christine Lewis
    Australian Stuttering Research Centre, The University of Sydney
  • Ann Packman
    Australian Stuttering Research Centre, The University of Sydney
  • Mark Onslow
    Australian Stuttering Research Centre, The University of Sydney
  • Judy M. Simpson
    The University of Sydney
  • Mark Jones
    Queensland Clinical Trials Centre, University of Queensland, and Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  • Contact author: Mark Onslow, Director, Australian Stuttering Research Centre, Faculty of Health Sciences, The University of Sydney, P.O. Box 170, Lidcombe, NSW 1825, Australia. E-mail: m.onslow@usyd.edu.au.
  • © 2008 American Speech-Language-Hearing AssociationAmerican Speech-Language-Hearing Association
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Telepractice & Computer-Based Approaches
Research   |   May 2008
A Phase II Trial of Telehealth Delivery of the Lidcombe Program of Early Stuttering Intervention
American Journal of Speech-Language Pathology, May 2008, Vol. 17, 139-149. doi:10.1044/1058-0360(2008/014)
History: Received December 11, 2006 , Accepted September 1, 2007
 
American Journal of Speech-Language Pathology, May 2008, Vol. 17, 139-149. doi:10.1044/1058-0360(2008/014)
History: Received December 11, 2006; Accepted September 1, 2007
Web of Science® Times Cited: 35

Purpose: The aims of this study were to evaluate the efficacy of telehealth delivery of the Lidcombe Program of Early Stuttering Intervention, compared with a control group, and to determine the number of children who could be regarded as “responders.”

Method: A speech-language pathologist provided telehealth delivery of the Lidcombe Program during telephone consultations with parents in their homes, remote from the clinic. The study design was an open plan, parallel group, randomized controlled trial with blinded outcome assessment. Children in the no-treatment control group who were still stuttering after 9 months then received the same treatment. The primary outcome measure was frequency of stuttering, gathered from audiotape recordings of participants' conversational speech in everyday, nontreatment situations, before and after treatment.

Results: Analysis of covariance showed a 73% decrease in frequency of stuttering at 9 months after randomization in the treatment group, as compared with the control group (95% confidence interval = 25%–90%, p = .02). Measures of treatment time showed that telehealth delivery of the Lidcombe Program requires around 3 times more resources than standard presentation.

Conclusions: Telehealth delivery of the Lidcombe Program is an efficacious treatment for preschool children who cannot receive the standard, clinic-based Lidcombe Program. Avenues for improving efficiency are considered.

Acknowledgment
This study was supported by Project Grant 153762 from the National Health and Medical Research Council of Australia.
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