Furlong Lisa, Erickson Shane, Morris Meg E
School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora 3086, Melbourne, Australia.
J Commun Disord. 2017 Jul;68:50-69. doi: 10.1016/j.jcomdis.2017.06.007. Epub 2017 Jun 15.
With the current worldwide workforce shortage of Speech-Language Pathologists, new and innovative ways of delivering therapy to children with speech sound disorders are needed. Computer-based speech therapy may be an effective and viable means of addressing service access issues for children with speech sound disorders.
To evaluate the efficacy of computer-based speech therapy programs for children with speech sound disorders.
Studies reporting the efficacy of computer-based speech therapy programs were identified via a systematic, computerised database search. Key study characteristics, results, main findings and details of computer-based speech therapy programs were extracted. The methodological quality was evaluated using a structured critical appraisal tool.
14 studies were identified and a total of 11 computer-based speech therapy programs were evaluated. The results showed that computer-based speech therapy is associated with positive clinical changes for some children with speech sound disorders.
There is a need for collaborative research between computer engineers and clinicians, particularly during the design and development of computer-based speech therapy programs. Evaluation using rigorous experimental designs is required to understand the benefits of computer-based speech therapy.
The reader will be able to 1) discuss how computerbased speech therapy has the potential to improve service access for children with speech sound disorders, 2) explain the ways in which computer-based speech therapy programs may enhance traditional tabletop therapy and 3) compare the features of computer-based speech therapy programs designed for different client populations.
鉴于目前全球范围内言语治疗师劳动力短缺，需要新的创新方法为患有语音障碍的儿童提供治疗。基于计算机的言语治疗可能是解决语音障碍儿童服务可及性问题的一种有效且可行的方式。
评估基于计算机的言语治疗项目对语音障碍儿童的疗效。
通过系统的计算机数据库检索，找出报告基于计算机的言语治疗项目疗效的研究。提取关键研究特征、结果、主要发现以及基于计算机的言语治疗项目的详细信息。使用结构化批判性评估工具评估方法学质量。
识别出14项研究，共评估了11个基于计算机的言语治疗项目。结果表明，基于计算机的言语治疗对一些语音障碍儿童有积极的临床改善效果。
计算机工程师和临床医生之间需要开展合作研究，尤其是在基于计算机的言语治疗项目的设计和开发过程中。需要采用严格的实验设计进行评估，以了解基于计算机的言语治疗的益处。
读者将能够1）讨论基于计算机的言语治疗如何有可能改善语音障碍儿童的服务可及性，2）解释基于计算机的言语治疗项目可能增强传统桌面治疗的方式，以及3）比较为不同客户群体设计的基于计算机的言语治疗项目的特点。
