Articulation Disorders in Children, Communication Disorder, Childhood, Frequency of Therapy, Language Disorders in Children, Mode of Therapy, Pediatric, Speech Therapy
Conditions
Brief summary
Examination of frequency of therapy and effect on clinical outcomes.
Detailed description
The goal of this clinical trial is to compare speech therapy outcomes in children ages 18 months to 16 years who participate in weekly speech therapy with home programming versus every-other week speech therapy with home programming in outpatient speech therapy. The main question it aims to answer is: Does a change in how often speech therapy sessions are delivered show an increased benefit in language and articulation standardized test scores? Participants will be randomly assigned to either (1) weekly or (2) every-other-week speech therapy for a total of 8 sessions. Researchers will compare these two groups to see if there are differences in speech outcomes.
Interventions
BEHAVIORALSpeech Therapy
Delivery of speech therapy services
Sponsors
Connecticut Children's Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Months to 16 Years
Healthy volunteers
Yes
Inclusion criteria
* Medical order for speech therapy * Patients eligible for speech therapy at Connecticut Children's (qualify for receptive, expressive language and/or articulation therapy) * Diagnosis of communication disorder.ICD-10 codes will be utilized pertaining to expressive, receptive language and articulation disorders (ICD-10 code specific to patient: F80.0, F80.1, F80.2, F80.4, F80.9, R47.89, R41.841) * Patient recommended for individual (i.e. not group) treatment * 18 months to 16 years of age * Completed 1 plan of care (POC) with a duration of 8 sessions * Attended at least 80% of scheduled visits during their plan of care period (still completing 8 sessions of therapy, may have extended time to completion). * Services for a full 8-session plan of care.
Exclusion criteria
* \- Seeking speech therapy care for treatment of disorders related to diagnosis of voice, feeding, fluency, and/or cognition * Patient unable to complete standardized tests (EOWPVT-4, ROWPVT-4, GFTA-3, REEL-4) * Patients in group speech therapy * Patients younger than 18 months or older than 16 years of age * Not willing to complete a full POC (8 sessions) * Unable/unwilling to attend 80% of scheduled visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Articulation and intelligibility | Baseline, immediately after treatment (up to 4 months) | Scores on the following standardized measures: Goldman Fristoe Test of Articulation- Third Edition (GFTA-3) ; Average Standard Score range is from 86-114; an increase in standard score indicates improvement in intelligibility. |
| Change in Receptive vocabulary skills | Baseline, immediately after treatment (up to 4 months) | Scores on the following standardized measure: Receptive One Word Picture Vocabulary Test- Fourth Edition (ROVPVT-4); Average Standard Score range is from 85-115; an increase in standard score indicates improvement in understanding vocabulary. |
| Change in Expressive vocabulary skills | Baseline, immediately after treatment (up to 4 months) | Scores on the following standardized measure: Expressive One Word Picture Vocabulary Test- Fourth Edition (EOWPVT-4); Average Standard Score range is from 85-115; an increase in standard score indicates improvement in understanding or labeling vocabulary. |
| Change in Receptive and expressive early language skills | Baseline, immediately after treatment (up to 4 months) | Scores on the following standardized measures: Receptive-Expressive Emergent Language Scale- Fourth Edition (REEL-4); Average Standard Score range is from 90-109; an increase in standard score indicates improvement in language ability score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Home Exercise Plan (HEP) provision | up to 4 months | Parent-reported compliance with home therapy programming |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORVirginia Van Epps, M.Ed.
Connecticut Children's Medical Center
STUDY_DIRECTORMary Dortenzio, MS
Connecticut Children's Medical Center
STUDY_DIRECTORJodi Urzua, MS
Connecticut Children's Medical Center
STUDY_DIRECTOREmma Mendillo, MA
Connecticut Children's Medical Center
STUDY_DIRECTORMorgan Daur-Schierholz, MS
Connecticut Children's Medical Center
Outcome results
None listed