Treatment Efficacy for Developmental Motor Speech Disorders
NCT ID: NCT02105402
Last Updated: 2017-09-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
45 participants
INTERVENTIONAL
2014-01-31
2017-06-30
Brief Summary
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The intervention of choice is the Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) approach, which has been effective in treating motor speech disorders in adults and in children with autism and cerebral palsy.
Detailed Description
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The study integrity will be monitored by an arms-length, external agency, The Applied Health Research Centre (AHRC) at St. Michael's Hospital in Toronto. The study is coordinated by the Department of Speech-Language Pathology at the University of Toronto and funded by the PROMPT Institute in Santa Fe, New Mexico.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Intervention Group - PROMPT therapy
Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT)
PROMPT
The PROMPT approach utilizes a motor-speech hierarchy (MSH) to guide speech language pathologists (SLP) in selecting speech movement goals for treatment. PROMPT treatment generally proceeds systematically in a bottom-up fashion starting with the lowest subsystem in the hierarchy where a child has control issues. Furthermore, in the PROMPT approach specific techniques are used to stimulate sensory input that are assumed to facilitate the formation of sensory-motor pathways required for the acquisition and accurate production of speech movement patterns. As the speech motor behaviors are established, the clinician reduces the number of cues and the frequency and immediacy of feedback and practices transfer and generalization activities.
Waitlist or Delay Group
Participants in this group are on the waitlist for 10 weeks
No interventions assigned to this group
Interventions
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PROMPT
The PROMPT approach utilizes a motor-speech hierarchy (MSH) to guide speech language pathologists (SLP) in selecting speech movement goals for treatment. PROMPT treatment generally proceeds systematically in a bottom-up fashion starting with the lowest subsystem in the hierarchy where a child has control issues. Furthermore, in the PROMPT approach specific techniques are used to stimulate sensory input that are assumed to facilitate the formation of sensory-motor pathways required for the acquisition and accurate production of speech movement patterns. As the speech motor behaviors are established, the clinician reduces the number of cues and the frequency and immediacy of feedback and practices transfer and generalization activities.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* English is the primary language spoken by the primary caregiver at home.
* Hearing/Vision (corrected is acceptable- e.g., spectacles) is within normal limits.
* Readiness for direct speech therapy.
* Age appropriate social interaction and play skills.
* Age appropriate or mildly delayed receptive language skills.
* Normal to any amount of delay in expressive language development.
* Moderate to severe speech sound disorder.
* Age appropriate or slight delay non-verbal intelligence.
* 4 red flags for motor speech involvement.
Exclusion Criteria
* Signs and symptoms suggesting Autism Spectrum Disorders.
* Oral structural deficits.
* Feeding impairments.
* Signs of Dysarthric speech or significant drooling.
* Prosodic and / or resonance disorders.
* Diagnosis of Childhood Apraxia of Speech features
3 Years
10 Years
ALL
Yes
Sponsors
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The Prompt Institute
OTHER
Responsible Party
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Principal Investigators
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Aravind Namasivayam, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Toronto
Deborah Hayden, M.A.
Role: STUDY_DIRECTOR
The PROMPT Institute, Santa Fe, NM, 87505 USA
Pascal van Lieshout, Ph.D.
Role: STUDY_CHAIR
University of Toronto
Locations
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ErinoakKids Centre for Treatment and Development
Mississauga, Ontario, Canada
The Speech and Stuttering Institute
Toronto, Ontario, Canada
The John McGivney Children's Centre of Essex County
Windsor, Ontario, Canada
Countries
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Other Identifiers
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PROMPT-29142
Identifier Type: -
Identifier Source: org_study_id