Bridgman Kate, Onslow Mark, O'Brian Susan, Jones Mark, Block Susan
Australian Stuttering Research Centre, The University of Sydney, New South WalesSchool of Allied Health, La Trobe University, Victoria, Australia.
Australian Stuttering Research Centre, The University of Sydney, New South Wales.
J Speech Lang Hear Res. 2016 Oct 1;59(5):932-939. doi: 10.1044/2016_JSLHR-S-15-0011.
Webcam treatment is potentially useful for health care in cases of early stuttering in which clients are isolated from specialized treatment services for geographic and other reasons. The purpose of the present trial was to compare outcomes of clinic and webcam deliveries of the Lidcombe Program treatment (Packman et al., 2015) for early stuttering.
The design was a parallel, open plan, noninferiority randomized controlled trial of the standard Lidcombe Program treatment and the experimental webcam Lidcombe Program treatment. Participants were 49 children aged 3 years 0 months to 5 years 11 months at the start of treatment. Primary outcomes were the percentage of syllables stuttered at 9 months postrandomization and the number of consultations to complete Stage 1 of the Lidcombe Program.
There was insufficient evidence of a posttreatment difference of the percentage of syllables stuttered between the standard and webcam Lidcombe Program treatments. There was insufficient evidence of a difference between the groups for typical stuttering severity measured by parents or the reported clinical relationship with the treating speech-language pathologist.
This trial confirmed the viability of the webcam Lidcombe Program intervention. It appears to be as efficacious and economically viable as the standard, clinic Lidcombe Program treatment.
对于因地理及其他原因而无法获得专业治疗服务的早期口吃患者，网络摄像头治疗可能对其医疗保健有益。本试验的目的是比较利德combe程序治疗（帕克曼等人，2015年）在诊所和通过网络摄像头实施时，治疗早期口吃的效果。
本设计为标准利德combe程序治疗与实验性网络摄像头利德combe程序治疗的平行、开放式、非劣效随机对照试验。治疗开始时，参与者为49名年龄在3岁0个月至5岁11个月之间的儿童。主要结局指标为随机分组后9个月时口吃音节的百分比，以及完成利德combe程序第一阶段所需的咨询次数。
没有足够的证据表明标准利德combe程序治疗与网络摄像头利德combe程序治疗在治疗后口吃音节百分比上存在差异。在父母测量的典型口吃严重程度或报告的与治疗言语病理学家的临床关系方面，两组之间没有差异的证据。
本试验证实了网络摄像头利德combe程序干预的可行性。它似乎与标准的诊所利德combe程序治疗一样有效且经济可行。
