The Effects of Behavioral Speech Therapy on Speech Sound Production With Adults Who Have Cochlear Implants Purpose In this study, the authors examined the treatment efficacy of a behavioral speech therapy protocol for adult cochlear implant recipients. Method The authors used a multiple-baseline, across-behaviors and -participants design to examine the effectiveness of a therapy program based on behavioral principles and methods to improve the ... Research Note
Research Note  |   April 01, 2013
The Effects of Behavioral Speech Therapy on Speech Sound Production With Adults Who Have Cochlear Implants
 
Author Affiliations & Notes
  • Frances M. Pomaville
    California State University, Fresno
  • Chris N. Kladopoulos
    Capella University, Minneapolis, Minnesota
  • Correspondence to Frances M. Pomaville: fpomavil@csufresno.edu
  • Editor: Jody Kreiman
    Editor: Jody Kreiman×
  • Associate Editor: Ewa Jacewicz
    Associate Editor: Ewa Jacewicz×
Article Information
Speech, Voice & Prosodic Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Speech, Voice & Prosody / Speech / Research Note
Research Note   |   April 01, 2013
The Effects of Behavioral Speech Therapy on Speech Sound Production With Adults Who Have Cochlear Implants
Journal of Speech, Language, and Hearing Research, April 2013, Vol. 56, 531-541. doi:10.1044/1092-4388(2012/12-0017)
History: Received January 11, 2012 , Revised July 1, 2012 , Accepted August 28, 2012
 
Journal of Speech, Language, and Hearing Research, April 2013, Vol. 56, 531-541. doi:10.1044/1092-4388(2012/12-0017)
History: Received January 11, 2012; Revised July 1, 2012; Accepted August 28, 2012
Web of Science® Times Cited: 3

Purpose In this study, the authors examined the treatment efficacy of a behavioral speech therapy protocol for adult cochlear implant recipients.

Method The authors used a multiple-baseline, across-behaviors and -participants design to examine the effectiveness of a therapy program based on behavioral principles and methods to improve the production of target speech sounds in 3 adults with cochlear implants. The authors included probe items in a baseline protocol to assess generalization of target speech sounds to untrained exemplars. Pretest and posttest scores from the Arizona Articulation Proficiency Scale, Third Revision (Arizona–3; Fudala, 2000) and measurement of speech errors during spontaneous speech were compared, providing additional measures of target behavior generalization.

Results The results of this study provided preliminary evidence supporting the overall effectiveness and efficiency of a behavioral speech therapy program in increasing percent correct speech sound production in adult cochlear implant recipients. The generalization of newly trained speech skills to untrained words and to spontaneous speech was demonstrated.

Conclusion These preliminary findings support the application of behavioral speech therapy techniques for training speech sound production in adults with cochlear implants. Implications for future research and the development of aural rehabilitation programs for adult cochlear implant recipients are discussed.

Acknowledgments
We thank Katie Nemeth, the graduate student who served as our second researcher during the collection of interrater reliability data, and Don Freed, department chair at California State University, Fresno.
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