Randomized controlled non‐inferiority trial of a telehealth treatment for chronic stuttering: the Camperdown Program

Carey, Brenda; O’Brian, Sue; Onslow, Mark; Block, Susan; Jones, Mark; Packman, Ann

doi:10.3109/13682820902763944

Cited by 96 publications

(65 citation statements)

References 45 publications

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“…The other 2 participants attained better outcomes, with equivalent reductions from 21.8 to 2.5%SS and 9.2 to 1.6%SS. The participants required treatment times of 8 h 18 min, 15 h 0 min, and 9 h 35 min, a result which was consistent with the results from the phase I study comparing telephone delivery of the Camperdown Program with traditional in-clinic treatment with adults [31]. Self-report stuttering severity scores for speaking situations confirmed those results.…”

Section: Resultssupporting

confidence: 78%

“…The first study to compare standard in-clinic delivery of treatment with telehealth was a phase II randomized control study of the Camperdown Program [31]. This study aimed to establish that telephone delivery of the Camperdown Program was not inferior to traditional in-clinic delivery in terms of speech treatment outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…The primary outcome was collected with similar methods to the telehealth stuttering treatment studies for adults [29,31]. Percent syllables stuttered was measured from two 10-min conversations of participants conversing with a stranger during unscheduled, clinic-initiated telephone calls pre-treatment and 1 day, 6 months and 12 months after entry to the Camperdown Program maintenance program.…”

Section: Resultsmentioning

confidence: 99%

“…The application of the telephone for telehealth delivery of stuttering treatment in the studies reviewed [15,17,19,29,31], while considered low-tech, was a viable telehealth delivery option due to the constraints of infrastructure in Australia at the time. The delivery of telephone treatment is convenient for speech-language pathologist and client, cost-effective, and eliminates the need for client travel to clinical sites.…”

Section: Discussionmentioning

confidence: 99%

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Review of Telehealth Stuttering Management

Lowe

O’Brian

Onslow³

2013

Folia Phoniatr Logop

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Objective: Telehealth is the use of communication technology to provide health care services by means other than typical in-clinic attendance models. Telehealth is increasingly used for the management of speech, language and communication disorders. The aim of this article is to review telehealth applications to stuttering management. Methods: We conducted a search of peer-reviewed literature for the past 20 years using the Institute for Scientific Information Web of Science database, PubMed: The Bibliographic Database and a search for articles by hand. Results: Outcomes for telehealth stuttering treatment were generally positive, but there may be a compromise of treatment efficiency with telehealth treatment of young children. Our search found no studies dealing with stuttering assessment procedures using telehealth models. No economic analyses of this delivery model have been reported. Conclusion: This review highlights the need for continued research about telehealth for stuttering management. Evidence from research is needed to inform the efficacy of assessment procedures using telehealth methods as well as guide the development of improved treatment procedures. Clinical and technical guidelines are urgently needed to ensure that the evolving and continued use of telehealth to manage stuttering does not compromise the standards of care afforded with standard in-clinic models.

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Section: Resultssupporting

confidence: 78%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Review of Telehealth Stuttering Management

Lowe

O’Brian

Onslow³

2013

Folia Phoniatr Logop

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“…Further research into the strength of modelling and attempts could compare a task component in both a feedback and non-feedback condition to reveal more about the role of the clinician in the pre-practice phase of acquisition. Some evidence exists for such a model in the Camperdown Program for treating stuttering [46] where in its initial stages, patients practice following a video model without direct clinician feedback.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Clinician Feedback Type on the Acquisition of a Vocal Siren

Joscelyne-May¹,

Madill²,

Thorpe³

et al. 2015

Folia Phoniatr Logop

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Objective: To compare the effects of different types of clinician feedback (auditory knowledge of performance, KP, kinaesthetic KP and knowledge of results, KR) on the production of a voice task during acquisition. KP conditions directed attention to auditory or kinaesthetic cues. KR feedback was provided as to how close the speaker's production was to a model. Patients and Methods: A factorial multivariate 3 × 8 design was used. Thirty-six females were randomly assigned to 3 different feedback groups and trained in the production of a vocal siren. The production of sirens was measured by variants of vocal intensity, cepstral peak prominence, phonation time and pitch phase compliance. Results: All groups showed significant improvement over time in measures of vocal intensity, timing of pitch change and phonation time. The KP group (auditory and kinaesthetic combined) showed significantly more improvement over time in vocal intensity than the KR group. The kinaesthetic KP group maintained better control of vocal clarity across attempts while reducing vocal intensity than the auditory KP group. Conclusion: Optimal feedback paradigms during acquisition may be different depending on the parameters of voicing being trained. Learners may benefit from KP feedback to control intensity, and kinaesthetic cues to control vocal clarity.

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