Parent verbal contingencies during the Lidcombe Program: observations and statistical modeling of the treatment process

Autor: Sue O'Brian, Mark Jones, Ross G. Menzies, Michelle C. Swift, Ann Packman, Mark Onslow
Přispěvatelé: Swift, Michelle C, Jones, Mark, O'Brian, Sue, Onslow, Mark, Ann Packman, Ross Menzies
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Speech-Language Pathology & Audiology
Program evaluation
Male
Parents
Linguistics and Language
Health Knowledge
Attitudes
Practice

Stuttering
Time Factors
Cognitive Neuroscience
Treatment duration
Treatment outcome
parent-delivered treatment
Experimental and Cognitive Psychology
Speech Therapy
Language and Linguistics
Speech therapy
Developmental psychology
030507 speech-language pathology & audiology
03 medical and health sciences
Speech and Hearing
0302 clinical medicine
Speech Production Measurement
medicine
Early Intervention
Educational

Humans
Speech
Duration (project management)
Association (psychology)
Models
Statistical

Communication
Treatment process
Australia
11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
20 Language
Communication and Culture

Lidcombe Program
LPN and LVN
Treatment Outcome
Child
Preschool

Female
medicine.symptom
0305 other medical science
Psychology
early childhood stuttering
030217 neurology & neurosurgery
Program Evaluation
Popis: usc Purpose: The purpose of this study was to document parent presentation of the Lidcombe Program verbal contingencies and model potential relationships between contingency pro-vision and treatment duration. Methods: Forty parent-child pairs undertaking the Lidcombe Program participated, 26 of whom completed Stage 1. All participants were included in the analyses. Parents completed weekly audio-recordings of treatment during practice sessions and a diary of treatment during natural conversations. The number and types of contingencies provided during practice sessions were counted for 520 recordings. Accelerated failure time modeling was used to investigate associations between contingency provision during the first 4 weeks of treatment and duration of time to complete Stage 1. Results: During practice sessions 91% of contingencies were for stutter-free speech, 6.8%were for stuttering and 2.7% were incorrectly applied. Parents often combined several verbal contingencies into one. During natural conversations, the number of verbal contingencies reportedly provided across the day was low, an average of 8.5 (SD = 7.82) contingencies for stutter-free speech and 1.7 (SD = 2.43) for unambiguous stuttering. There was a positive, significant relationship between the number of verbal contingencies for stuttering provided during the first 4 weeks of treatment and time taken to complete Stage 1. Conclusion: Parents mostly provided the expected types of contingencies but the number was lower than expected. An unexpected association was found between number of verbal contingencies for stuttering and treatment duration. Further research is required to explore the relation between rates of parent verbal contingencies, treatment process duration, and treatment outcome. Refereed/Peer-reviewed
Databáze: OpenAIRE