Stuttering Intervention in Three Service Delivery Models (Direct, Hybrid, and Telepractice): Two Case Studies

Daniel T. Valentine

Abstract


This study assessed outcomes in stuttering intervention across three service delivery models: direct, hybrid, and telepractice for two 11-year old children who stutter. The goal of the study was to investigate whether short-term goals were maintained through the telepractice sessions. The Stuttering Severity Instrument, Fourth Edition (SSI-4) was administered to each child before and after each intervention period and weekly fluency samples (percentage of stuttered syllables in a monologue) were obtained in each of the 10-week intervention periods. In addition, the Communication Attitudes Test-Revised was used to assess the children’s attitudes toward speaking. Following the telepractice period, parents and children completed a questionnaire concerning the therapy experience via telepractice. Both children continued to improve fluency as measured by the weekly fluency samples. SSI-4 severity ratings improved for one child and remained consistent for the other. These outcomes appear to demonstrate that telepractice is viable for improving and maintaining fluency.


References


American Speech-Language-Hearing Association. (2014). Professional issues: Telepractice. Available from http://www.asha.org/Practice-Portal/Professional-Issues/Telepractice/

Armfield, N.R., Gray, L.C., & Smith, A.C. (2012). Clinical use of Skype: A review of the evidence. Journal of Telemedicine and Telecare, 18, 125-127.

Blaiser, K.M., Behl, D., & Callow-Heusser, C. (2013). Measuring costs and outcomes of tele-intervention when serving families of children who are deaf/hard-of-hearing. International Journal of Telerehabilitation, 5(2), 3-10.

Brutten, G.J. (1997). Communication Attitudes Test. University of Nebraska-Lincoln. Retrieved from http://cens.unl.edu/fluency/pdfs/test.pdf

Carey, B., O’Brian, S., Onslow, M., Block, S., Jones, M., & Packman, A. (2010). Randomized controlled non-inferiority trial of a telehealth treatment for chronic stuttering: The Camperdown Program. International Journal of Language and Communication Disorders, 45, 108–120.

Cohn, E.R. (2012). Tele-ethics in telepractice for communication disorders. Perspectives on Telepractice, 2(1), 3-15.

Cohn, E.R., Brannon, J., & Cason, J. (2011). Resolving barriers to licensure portability for telerehabilitation professionals. International Journal of Telerehabilitation, 3(2), 31-33.

Conture, E.G. (2001). Stuttering: Its nature, diagnosis, and treatment. Boston: Allyn and Bacon.

Denton, D.R. (2003). Ethical and legal issues related to telepractice. Seminars in Speech and Language, 24, 313-322.

Grogan-Johnson, S., Alvares, R., Rowan, L., & Creaghead, N. (2010). A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. Journal of Telemedicine and Telecare, 16, 134-139.

Halpern, A.E., Ramig, L.O., Matos, C.E, Petska-Cable, J.A., Spielman, J.L., Pogoda, J.M., …McFarland, D.H. (2012). Innovative technology for the assisted delivery of intensive voice treatment (LSVT LOUD) for Parkinson disease. American Journal of Speech Language Pathology, 21, 354-367.

Harris, E., Onslow, M., Packman, A., Harrison, E., & Menzies, R. (2002). An experimental investigation of the impact of the Lidcombe Program on early stuttering. Journal of Fluency Disorders, 27, 203-214.

Harrison, E., Wilson, L., & Onslow, M. (1999). Distance intervention for early stuttering with the Lidcombe Program on early stuttering. Advances in Speech Language Pathology, 1, 31-36.

Hill, A.J., Theodoros, D.G., Russell, T.G., Cahill, L.M., & Ward, E.C. (2006). An Internet-based telerehabilitation system for the assessment of motor speech disorders: A pilot study. American Journal of Speech-Language Pathology, 15, 45–56.

Howell, S., Tripoliti, E., & Pring, T.R. (2009). Delivering the Lee Silverman Voice Treatment (LSVT) by web camera: A feasibility study. International Journal of Language and Communication Disorders, 44, 287–300.

Irani, F., & Gabel, R. (2011). Intensive stuttering therapy with telepractice follow-up: A case study. Perspectives on Fluency and Fluency Disorders, 21, 11-21.

Gabel, R., Irani, F., Palasik, S., Swartz, E., & Hughes, C. (2010). Treatment outcomes of the intensive stuttering therapy for adolescents and adults. In A.E. Harris (Ed.), Speech Disorders: Causes, Treatment, and Social Effects (pp. 139-159). New York, NY: Nova Science Publishers.

Georgeadis, A.C. Brennan, D.M., Barker, L.M., and Baron, C.R. (2004). Story retelling performance and subject feedback from adults with neurogenic impairments in both face-to-face and remote videoconference settings. Clinical Aphasiology, 18, 639–652.

Guitar, B. (2013). Stuttering: An integrated approach (4th edition). Baltimore: Lippincott Williams & Wilkins.

Karp, W., Grigsby, R., McSwiggan-Hardin, M., Pursely-Crotteau, S., Adams, L., Bell, W.,…Kanto, W.P. (2000). Use of telemedicine for children with special health care needs. Pediatrics, 105, 843-847.

Kully, D. (2000). Telehealth in speech pathology: Applications to the treatment of stuttering. Journal of Telemedicine and Telecare, 6, 39–41.

Lincoln, M.A., & Onslow, M. (1997). Long-term outcome of early intervention for stuttering. American Journal of Speech-Language Pathology, 6, 51-58.

Lewis, C., Packman, A., Onslow, M., Simpson, J.M., & Jones, M. (2008). A phase II trial of telehealth delivery of the Lidcombe Program of early stuttering intervention. American Journal of Speech-Language Pathology, 17, 139-149.

Manning, W.H. (1996). Clinical decision making in the diagnosis and treatment of fluency disorders. Boston: Delmar Publishers.

Mashima, P.A., Birkmire-Peters, D.P., Holtel, M.R., & Syms, M.J. (1999). Telehealth applications in speech-language pathology. Journal of Healthcare Information Management, 13, 71–78.

O’Brian, S., Onslow, M., Cream, A., & Packman, A. (2003). The Camperdown Program: Outcome of a new prolonged-speech treatment model. Journal of Speech, Language, Hearing Research, 46, 933-946.

O’Brian, S., Packman, A., & Onslow, M. (2008). Telehealth delivery of the Camperdown Program for adults who stutter. Journal of Speech, Language, and Hearing Research, 51, 184–195.

O’Brain, S., Smith, K., & Onslow, M. (2014). Webcam delivery of the Lidcombe Program for early stuttering: A phase I clinical trial. Journal of Speech, Language, and Hearing Research, 57, 825-830.

Onslow, M., Packman, A., & Harrison, E. (2003). The Lidcombe Program of Early Stuttering Intervention: A clinician’s guide. Austin, TX: Pro-Ed

Reardon-Reeves, N. & Yaruss, J.S. (2013). School-age stuttering therapy: A practical guide. McKinney, TX: Stuttering Therapy Resources, Inc.

Riley, G. (2009). Stuttering Severity Instrument (4th ed.). Austin, TX: Pro-Ed.

Sicotte, C., Lehoux, P., Fortier-Blanc, J., & Leblanc, Y. (2003). Feasibility and outcome evaluation of a telemedicine application in speech-language pathology. Journal of Telemedicine and Telecare, 9, 253-258.

Schwartz, H. (1999). A primer for stuttering therapy. Boston: Allyn and Bacon.

Theodoros, D., Hill, A., Russell, T., Ward, E., & Wooten, R. (2008). Assessing acquired language disorders in adults via the Internet. Telemedicine and e-Health, 14, 552–559.

Wertz, R.T., Dronkers, N.F., Bernstein-Ellis, E., Shubitowski, Y., Elman, R., Shenaut, G.K.,… Deal, J.L. (1992). Potential of telephonic and television technology for appraising and diagnosing neurogenic communication disorders in remote settings. Aphasiology, 6, 195–202.

Wilson, L., Onslow, M., & Lincoln, M. (2004). Telehealth adaptation of The Lidcombe Program of early stuttering intervention: Five case studies. American Journal of Speech- Language Pathology, 13, 81–93.

Yaruss, J.S. (1998). Real-time analysis of speech fluency: Procedures and reliability training. American Journal of Speech-Language Pathology, 7, 25-37.

Yaruss, J.S. & Quesal, R. (2010). Overall assessment of the speaker's experience of stuttering. Minneapolis, MN: Pearson.




DOI: https://doi.org/10.5195/ijt.2014.6154

  

Refbacks

  • There are currently no refbacks.




Copyright (c) 2015 Daniel T. Valentine

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.