Lidcombe Program Webcam Treatment for Early Stuttering: A Randomized Controlled Trial Purpose Webcam treatment is potentially useful for health care in cases of early stuttering in which clients are isolated from specialized treatment services for geographic and other reasons. The purpose of the present trial was to compare outcomes of clinic and webcam deliveries of the Lidcombe Program treatment (Packman et ... Research Article
Research Article  |   October 01, 2016
Lidcombe Program Webcam Treatment for Early Stuttering: A Randomized Controlled Trial
 
Author Affiliations & Notes
  • Kate Bridgman
    Australian Stuttering Research Centre, The University of Sydney, New South Wales
    School of Allied Health, La Trobe University, Victoria, Australia
  • Mark Onslow
    Australian Stuttering Research Centre, The University of Sydney, New South Wales
  • Susan O’Brian
    Australian Stuttering Research Centre, The University of Sydney, New South Wales
  • Mark Jones
    School of Population Health, The University of Queensland, Australia
  • Susan Block
    School of Allied Health, La Trobe University, Victoria, Australia
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Mark Onslow: mark.onslow@sydney.edu.au
  • Editor: Jody Kreiman
    Editor: Jody Kreiman×
  • Associate Editor: Hans-Georg Bosshardt
    Associate Editor: Hans-Georg Bosshardt×
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Speech / Research Articles
Research Article   |   October 01, 2016
Lidcombe Program Webcam Treatment for Early Stuttering: A Randomized Controlled Trial
Journal of Speech, Language, and Hearing Research, October 2016, Vol. 59, 932-939. doi:10.1044/2016_JSLHR-S-15-0011
History: Received January 8, 2015 , Revised August 17, 2015 , Accepted January 27, 2016
 
Journal of Speech, Language, and Hearing Research, October 2016, Vol. 59, 932-939. doi:10.1044/2016_JSLHR-S-15-0011
History: Received January 8, 2015; Revised August 17, 2015; Accepted January 27, 2016

Purpose Webcam treatment is potentially useful for health care in cases of early stuttering in which clients are isolated from specialized treatment services for geographic and other reasons. The purpose of the present trial was to compare outcomes of clinic and webcam deliveries of the Lidcombe Program treatment (Packman et al., 2015) for early stuttering.

Method The design was a parallel, open plan, noninferiority randomized controlled trial of the standard Lidcombe Program treatment and the experimental webcam Lidcombe Program treatment. Participants were 49 children aged 3 years 0 months to 5 years 11 months at the start of treatment. Primary outcomes were the percentage of syllables stuttered at 9 months postrandomization and the number of consultations to complete Stage 1 of the Lidcombe Program.

Results There was insufficient evidence of a posttreatment difference of the percentage of syllables stuttered between the standard and webcam Lidcombe Program treatments. There was insufficient evidence of a difference between the groups for typical stuttering severity measured by parents or the reported clinical relationship with the treating speech-language pathologist.

Conclusions This trial confirmed the viability of the webcam Lidcombe Program intervention. It appears to be as efficacious and economically viable as the standard, clinic Lidcombe Program treatment.

Acknowledgment
This research was supported by Program Grant 633007 from the National Health and Medical Research Council of Australia, awarded to the Australia Stuttering Research Centre.
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