Wilson Linda, Onslow Mark, Lincoln Michelle
Australian Stuttering Research Centre, The University of Sydney, Sydney, Australia.
Am J Speech Lang Pathol. 2004 Feb;13(1):81-93. doi: 10.1044/1058-0360(2004/009).
This article describes and reports data-based outcomes of a low-tech telehealth adaptation of the Lidcombe Program of Early Stuttering Intervention. Participants were 5 children with early stuttering, ranging in age from 3;5 (years;months) to 5;7, and their families. All children met the speech criteria for completion of Stage 1 of the Lidcombe Program. Data suggested that the treatment method may be viable and that favorable outcomes may be achievable. Mean posttreatment stuttering rates in everyday speaking situations were available 12 months posttreatment for 4 children. Two children scored a mean percent syllables stuttered of less than 1.0 at that time, and 2 children scored a mean of below 2.0. As occurs often in standard delivery of the Lidcombe Progam, 1 child relapsed after Stage 1, apparently because of parental noncompliance, but this relapse was managed successfully. Follow up data were unavailable for 1 child. For 4 of the 5 cases, the number of consultations required exceeded established benchmarks for standard Lidcombe Program delivery, suggesting that telephone-based telehealth may be a less efficient version of the treatment. The implications of these preliminary data are discussed.
本文描述并报告了对口吃早期干预的利德combe程序进行的低技术远程医疗适配基于数据的结果。参与者为5名年龄在3岁5个月至5岁7个月之间的口吃儿童及其家庭。所有儿童均符合利德combe程序第一阶段完成的言语标准。数据表明,该治疗方法可能可行,并且可能取得良好的效果。4名儿童在治疗后12个月可获得日常说话情境中的平均治疗后口吃率。当时,2名儿童的平均口吃音节百分比低于1.0,2名儿童的平均口吃音节百分比低于2.0。正如在利德combe程序的标准实施中经常发生的那样,1名儿童在第一阶段后复发,显然是由于家长不依从,但这种复发得到了成功处理。1名儿童没有随访数据。在5个案例中的4个案例中,所需的咨询次数超过了利德combe程序标准实施的既定基准,这表明基于电话的远程医疗可能是该治疗效率较低的版本。本文讨论了这些初步数据的意义。