Project PAIR: Parent-implemented Articulation Intervention With Recast

Vanderbilt University

Status: Not yet enrolling

Conditions: Hearing Impaired Children

Treatments: Behavioral: Broad Target Speech Recast; Behavioral: Traditional Speech Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06936696

240777

Details and patient eligibility

About

Using a single-case multiple baseline across participants design, this study aims to explore the effectiveness of parent-implemented Broad Treatment Speech Recast supplemented with traditional clinician-led articulation therapy on speech production in elementary-aged deaf and hard of hearing children.

To address these objectives, the following research questions will be investigated:

1. Does drill-based articulation therapy, administered by a speech-language pathologist, improve speech sound production in DHH children when parent-implemented BTSR is concurrently utilized at home?
2. Does the combination of parent-implemented BTSR and clinician-led traditional articulation therapy result in generalization of speech sound accuracy at the conversation level?

Enrollment: 10 estimated patients

Sex: All

Ages: 4 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 4;0-9;11
• Permanent, prelingual sensorineural hearing loss
• Uses spoken English as their primary home language (≥ 51% of the time)
• Standard score ≥70 on the Leiter
• Standard score ≥70 on the OWLS-II Listening Comprehension
• At least two speech sound errors appropriate to target based on speech norms and general stimulability

Exclusion criteria

• Motor speech disorder (e.g., childhood apraxia of speech)
• Oral structural functional disorder (e.g., cleft palate)
• Diagnosis of autism spectrum disorder
• Diagnosis of ADHD
• Uncorrected vision impairment (i.e., identified vision loss without the use of corrective lenses)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

Articulation Therapy

Experimental group

Description:

Participants engage in two conditions: (1) Parent-implemented Broad Target Speech Recast (BTSR), (2) Parent-implemented BTSR combined with clinician-implemented speech therapy This is a nonconcurrent multiple probe single-case experimental design with staggered introduction of conditions across participants. All participants receive both interventions, but the interventions are introduced in separate phases and evaluated independently and in combination. This is not a crossover or parallel group design. Rather than having separate arms or randomization, each participant serves as their own control over time, allowing for individualized evaluation of intervention effects.

Treatment:

Behavioral: Traditional Speech Therapy

Behavioral: Broad Target Speech Recast