Back to resultsAge-related Correlates of Treatment for Late-acquired Sounds (ARC)
Primary Purpose
Speech Sound Disorder, Phonology Disorder, Phonology Impairment
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
articulation therapy
phonologic treatment
Sponsored by
About this trial
This is an interventional treatment trial for Speech Sound Disorder focused on measuring treatment, efficacy, efficiency, late-acquired sounds
Eligibility Criteria
Inclusionary Criteria:
- Normal Hearing
- Typical Receptive Language
- Speech Sound Disorder
- No motor speech impairment
- Typical non-verbal intelligence
- Produces at least one late-acquired sound with <7% accuracy
- Monolingual English-speaking
- Typical in terms of motoric and neurological development
Exclusionary Criteria:
- Neurological disorder
- Hearing loss
- Nonverbal IQ < 16th percentile
Sites / Locations
- University of Wyoming
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Motoric Arm
Phonologic Arm
Arm Description
Children will participate in an intervention based on traditional articulation approaches to speech therapy.
Children will receive intervention that targets the conceptual representation of sounds.
Outcomes
Primary Outcome Measures
Treatment Efficacy: Number of correct productions of treated speech sounds in treatment words
Accurate Production of treatment sound at baseline and at posttest
Treatment Efficiency: Number of sessions required to meet accuracy criteria
Number of treatment sessions required to meet accuracy criteria (90% accuracy across three consecutive sessions or a maximum of 35 treatment sessions)
Session Length: Mean duration of sessions in minutes
Start and end time of session is recorded on scoresheet, then number of minutes for each session for each participant is found and the mean across all sessions is calculated.
Secondary Outcome Measures
Accuracy of production of untreated sounds measured on pretest and posttest probes
Some children may generalize their skills learned through treatment to sounds that were not treated in the trial.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03663972
Brief Title
Age-related Correlates of Treatment for Late-acquired Sounds
Acronym
ARC
Official Title
Age-related Correlates of Treatment Efficacy and Efficiency for Late-acquired Sounds
Study Type
Interventional
2. Study Status
Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
June 11, 2018 (Actual)
Primary Completion Date
April 30, 2020 (Actual)
Study Completion Date
April 30, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Wyoming
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Late-acquired sounds, such as /r/ are difficult to learn and many children experience persistent errors on these sounds. The purpose of the present study is to determine whether treating these sounds earlier in the child's life may result in better outcomes.
Detailed Description
Late-acquired sounds, such as /r/ are difficult to learn and many children experience persistent errors on these sounds. However, these sounds are often treated later in a child's life because they are not expected to be fully acquired until quite late--age 7-8 for some sounds. This practice places treatment in a time of the child's development in which they struggle to learn new sounds.The purpose of the present study is to determine whether treating these sounds earlier in the child's life may result in better outcomes, and to examine treatment efficacy and efficiency for two methods of treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Speech Sound Disorder, Phonology Disorder, Phonology Impairment, Phonological Disorder, Articulation Disorders in Children, Developmental Phonological Disorder, Speech Disorders, Speech Delay, Articulation Disorders, Developmental
Keywords
treatment, efficacy, efficiency, late-acquired sounds
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Young children (age 4-5) and Old children (age 7-8) will be enrolled in either a Motoric behavioral treatment arm or phonological treatment arm.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Motoric Arm
Arm Type
Active Comparator
Arm Description
Children will participate in an intervention based on traditional articulation approaches to speech therapy.
Arm Title
Phonologic Arm
Arm Type
Active Comparator
Arm Description
Children will receive intervention that targets the conceptual representation of sounds.
Intervention Type
Behavioral
Intervention Name(s)
articulation therapy
Intervention Description
children receive instruction in producing new sounds at the isolation, syllable and word level.
Intervention Type
Behavioral
Intervention Name(s)
phonologic treatment
Intervention Description
children receive instruction in producing new sounds at the word level
Primary Outcome Measure Information:
Title
Treatment Efficacy: Number of correct productions of treated speech sounds in treatment words
Description
Accurate Production of treatment sound at baseline and at posttest
Time Frame
baseline until accuracy criterion is met; up to 18 weeks after final baseline session
Title
Treatment Efficiency: Number of sessions required to meet accuracy criteria
Description
Number of treatment sessions required to meet accuracy criteria (90% accuracy across three consecutive sessions or a maximum of 35 treatment sessions)
Time Frame
baseline until accuracy criterion is met; up to 18 weeks after final baseline session
Title
Session Length: Mean duration of sessions in minutes
Description
Start and end time of session is recorded on scoresheet, then number of minutes for each session for each participant is found and the mean across all sessions is calculated.
Time Frame
First treatment session until final treatment session. Final treatment session occurs when accuracy of treatment sound is met (90% accuracy across three consecutive sessions or a maximum of 35 treatment sessions)
Secondary Outcome Measure Information:
Title
Accuracy of production of untreated sounds measured on pretest and posttest probes
Description
Some children may generalize their skills learned through treatment to sounds that were not treated in the trial.
Time Frame
baseline and at posttest up to 18 weeks after final baseline session
10. Eligibility
Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
8 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusionary Criteria:
Normal Hearing
Typical Receptive Language
Speech Sound Disorder
No motor speech impairment
Typical non-verbal intelligence
Produces at least one late-acquired sound with <7% accuracy
Monolingual English-speaking
Typical in terms of motoric and neurological development
Exclusionary Criteria:
Neurological disorder
Hearing loss
Nonverbal IQ < 16th percentile
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Breanna I. Krueger, PhD
Organizational Affiliation
University of Wyoming
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Wyoming
City
Laramie
State/Province
Wyoming
ZIP/Postal Code
82071
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Age-related Correlates of Treatment for Late-acquired Sounds
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