University of Melbourne, Department of Audiology & Speech Pathology, VIC, Australia.
University of Technology Sydney, Australian Stuttering Research Centre, NSW, Australia.
J Fluency Disord. 2024 Jun;80:106057. doi: 10.1016/j.jfludis.2024.106057. Epub 2024 Apr 7.
For children older than 6 years who stutter, there is a gap in clinical research. This is an issue for speech-language pathologists because the tractability of stuttering decreases and the risk of long-term psychological consequences increase with age.
To report a Phase II trial of a telehealth version of the Lidcombe Program with school-age children.
Participants were 37 children who stuttered, 6-12 years of age, from Australia, New Zealand, Hong Kong, and Singapore. Parents were trained by video telehealth how to deliver the Lidcombe Program to their child. Primary and secondary outcomes were stuttering severity and psychosocial functioning measured pre-treatment and at 6 months and 12 months after starting treatment. Parents submitted two 10-minute recordings of their child speaking in conversation, and three measures of anxiety, impact of stuttering, and communication attitude.
Six months after starting treatment, seven children (18.9%) attained Lidcombe Program Stage 2 criteria, 25 children (67.6%) showed a partial response to treatment, and five children (13.5%) showed no response. By 12 months, 12 children (32.4%) had reached Stage 2 criteria. Psychosocial improvements were observed 6 and 12 months after starting treatment.
The Lidcombe Program may eliminate or nearly eliminate stuttering for about one third of children 6-12 years of age. Randomized controlled trials with this age group involving the Lidcombe Program are warranted. In the interim, the Lidcombe Program is a clinical option clinicians can implement with this age group to reduce stuttering and its psychosocial impacts.
对于年龄在 6 岁以上的口吃儿童，临床研究存在空白。这是言语语言病理学家面临的一个问题，因为口吃的可治疗性随着年龄的增长而降低，长期心理后果的风险增加。
报告一项针对学龄儿童远程医疗版 Lidcombe 计划的 II 期试验。
参与者是来自澳大利亚、新西兰、中国香港和新加坡的 37 名 6-12 岁的口吃儿童。家长通过视频远程医疗接受培训，学习如何为孩子实施 Lidcombe 计划。主要和次要结局是治疗前和开始治疗后 6 个月和 12 个月时的口吃严重程度和心理社会功能。家长提交了两段孩子在对话中讲话的 10 分钟录音，以及三项焦虑、口吃影响和沟通态度的测量。
开始治疗后 6 个月，7 名儿童（18.9%）达到 Lidcombe 计划第 2 阶段标准，25 名儿童（67.6%）对治疗有部分反应，5 名儿童（13.5%）无反应。12 个月时，12 名儿童（32.4%）达到第 2 阶段标准。开始治疗 6 个月和 12 个月后观察到心理社会改善。
对于 6-12 岁的儿童，Lidcombe 计划可能消除或几乎消除口吃。需要针对该年龄组开展涉及 Lidcombe 计划的随机对照试验。在此期间，Lidcombe 计划是临床医生可以为该年龄组实施的一种减少口吃及其心理社会影响的临床选择。
