None listed
Conditions
Brief summary
Rapid Syllable Transition Treatment (ReST; McCabe et al., 2017) is a motor speech intervention that aims to improve speech intelligibility. It involves the use of non-words to practice and improve the ability to say syllables and words fluently using the right sounds and beats. ReST uses principle of motor learning which have been shown to promote motor skill acquisition in motor speech interventions (Maas et al., 2005). This study aims to investigate if ReST improves speech intelligibility and the child’s ability to take part in daily conversations, referred to as communication participation. The hypothesis is that ReST will improve speech intelligibility and communication participation in children with cerebral palsy more than usual care.
Interventions
Adherence to the intervention will be monitored in the following way:
The speech pathology students will receive training in the ReST protocol by the speech pathologist.The speech pathologist and the students will receive supervision and do joint sessions until the student is considered proficient to deliver the intervention.
Treatment fidelity will be checked by the students and the speech pathologists from 20 % of randomly selected intervention videos against the accuracy of feedback and the t
Adherence to the intervention will be monitored in the following way: The speech pathology students will receive training in the ReST protocol by the speech pathologist.The speech pathologist and the students will receive supervision and do joint sessions until the student is considered proficient to deliver the intervention. Treatment fidelity will be checked by the students and the speech pathologists from 20 % of randomly selected intervention videos against the accuracy of feedback and the timing of feedback. The study treatment is The Rapid Syllable Transition treatment The Rapid Syllable Transition Treatment (ReST; McCabe et al., 2017) is a motor speech intervention. It involves the use of multisyllabic pseudowords to improve the ability to transition rapidly and fluently from one sound/syllable to the next, and control of the melody in the form of relative emphasis, or stress, placed on each syllable within a word (McCabe et al., 2017). The speech pathologist uses games and other age-appropriate reinforcers to elicit the child to repeat the targeted pseudo words. The session includes a pre -practice phase during which the child practices saying the target sounds. This is followed by a practice phase during which the child repeats 100 pseudo words in total. The practice phase includes a break after 20 repetitions when the child is free to play a game of their choice. The therapy is delivered by a speech pathologist or a speech pathology student under the supervision of a speech pathologist. Therapy will be delivered individually via teleconference or face to face. A parent/ carer will also attend the sessions. Therapy will be delivered three times a week for six weeks. Each session will take 45 minutes. The location will be either teleconference, The University of Sydney on-campus speech pathology clinic, the child’s home or school, or any combination of these.
Sponsors
The University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
8 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
1) Aged between 8-14 years 2) Diagnosis of CP 3) Viking Speech Scale classification II-III 4) No diagnosed intellectual disability 5) Normal or adjusted-to-normal hearing and vision
Exclusion criteria
1) non-CP diagnoses or multiple diagnosis 2) Intellectual disability, such as the participant is unable to repeat words and sounds 3) Viking Speech Scale (VSS) classification I or IV. This means that the participant's speech is too good or too severely effected. 5) Hearing impairment that is not corrected, such as what impacts on hearing speech and intelligibility 6) Age younger than 8 and older than 14 years.
Outcome results
None listed