学龄儿童佩林口吃治疗与常规治疗:一项随机对照试验可行性研究

IF 2.1 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
S.K. Millard , S. Murphy , G. Barton , L. Rixon , L. Shepstone , E. Sims , V. Joffe
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引用次数: 0

摘要

尽管对一些8-14岁的口吃儿童有明确的需求和基于证据的治疗,但没有高水平的有效性证据,言语和语言治疗师对知识和信心的评价很低。一个可能解决这些需求、增加服务可用性和改善结果的项目是针对学龄儿童的佩林口吃治疗(Palin STSC(8−14))。目的研究进行一项明确的随机对照试验,比较Palin STSC(8−14)与常规治疗的可行性。目标是确定:征聘率和保留率;结果措施的适当性;研究和Palin STSC治疗的可接受性(8−14);治疗忠诚;以及成本效益措施的适当性。方法采用双组、集群随机试验,治疗师随机化,按服务分层。8岁、0-14岁和11岁的儿童及其父母被分配给治疗师,并在治疗前和6个月后完成问卷调查。评估是根据其测量或预测治疗结果的潜力而选择的。治疗师在试验开始和结束时完成了测量。采用半结构化访谈和治疗保真度检验进行过程分析。结果超额完成招募目标(儿童n = 67;志贺样毒素n = 37)。研究过程在很大程度上是可以接受的,佩林STSC(8−14)疗法也是如此。治疗保真度很高,SLT依从性为85.7 %,佩林STSC(8 - 14)的平均每名儿童治疗次数为6.9次,而常规治疗为3.5次。结论达到了可行性指标。基于招募、保留和依从率以及我们的结果测量,一项全面的随机对照试验似乎是可行的,并且有理由评估Palin STSC的有效性(8 - 14)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Palin Stuttering Therapy for School aged Children and usual treatment: A randomised controlled trial feasibility study

Background

Despite a clear need for and evidence-based therapy for some children who stutter aged 8–14, there is no high-level evidence of effectiveness, with Speech and Language Therapists rating knowledge and confidence low. One programme which might address these needs, increase availability of services and improve outcomes, is Palin Stammering Therapy for School aged Children (Palin STSC(8−14)).

Aim

To investigate the feasibility of conducting a definitive randomised controlled trial comparing Palin STSC(8−14) with usual treatment. Objectives were to establish: recruitment and retention rates; appropriateness of the outcome measures; acceptability of the research and Palin STSC(8−14) therapy; treatment fidelity; and, appropriateness of the cost-effectiveness measures.

Method

A two-arm, cluster-randomised trial, with randomisation of therapists, stratified by service. Children aged 8;0–14;11, and their parent(s), were allocated to therapist and completed questionnaires pre-therapy and six months later. Assessments were selected for their potential to measure or predict therapy outcome. Therapists completed measures at the start and end of the trial. A process analysis was conducted, incorporating semi-structured interviews and treatment fidelity examination.

Results

Recruitment targets were exceeded (Children n = 67; SLTs n = 37). Research processes were largely acceptable, as was Palin STSC(8−14) therapy. Treatment fidelity was high, with SLT adherence at 85.7 % Mean number of sessions per child for Palin STSC(8−14) was 6.9 compared to 3.5 for usual treatment.

Conclusions

The feasibility targets were met. Based on recruitment, retention and adherence rates and our outcome measures, a full-scale randomised controlled trial appears feasible and warranted to assess the effectiveness of Palin STSC(8−14).
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来源期刊
Journal of Fluency Disorders
Journal of Fluency Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.70
自引率
14.30%
发文量
23
审稿时长
>12 weeks
期刊介绍: Journal of Fluency Disorders provides comprehensive coverage of clinical, experimental, and theoretical aspects of stuttering, including the latest remediation techniques. As the official journal of the International Fluency Association, the journal features full-length research and clinical reports; methodological, theoretical and philosophical articles; reviews; short communications and much more – all readily accessible and tailored to the needs of the professional.
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