North-American Lidcombe Program file audit: Replication and meta-analysis

Koushik, Sarita; Hewat, Sally; Shenker, Rosalee C.; Jones, Mark; Onslow, Mark

doi:10.3109/17549507.2011.538434

Cited by 25 publications

(23 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NIHR Journals Library www.journalslibrary.nihr.ac.uk 69 Koushik et al 2011, 121 Laiho and Klippi 2007, 70 Lattermann et al 2008, 26 Lincoln et al 1996, 77 Lincoln and Onslow 1997, 122 Mallard 1998, 79 O'Brian et al 2013, 86 Onslow et al …”

Section: Results Of the Effectiveness Reviewmentioning

confidence: 99%

“…Children with more severe stuttering pre-intervention (≥ 5% of syllables stuttered) required a longer treatment time. Pre-treatment severity also predicted number of clinic sessions received in the Koushik et al 121 and Rousseau et al 96 studies. In Koushik et al, 69 there was no association between sex, age or onset to treatment time and outcome; however, there was a seemingly counter-intuitive association between more frequent attendance and longer treatment time.…”

Section: Femrell Et Almentioning

confidence: 90%

“…Twenty-two papers considered aspects of the programme including effectiveness in the short and longer term, predictors of treatment time, predictors of responsiveness, applicability in different countries and components of intervention delivery such as telehealth. 22,[24][25][26][27]29,42,51,58,65,68,69,77,82,86,88,96,112,113,[121][122][123] These papers compared intervention with no intervention and originate predominantly from Australia. An additional paper 54 compared the LP with Demands and Capacities intervention and is therefore considered in detail in the section on papers comparing programmes.…”

Section: Behaviour Modificationmentioning

confidence: 99%

See 2 more Smart Citations

Non-pharmacological treatments for stuttering in children and adults: a systematic review and evaluation of clinical effectiveness, and exploration of barriers to successful outcomes

Baxter

Johnson

Blank

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

BackgroundDespite many years of research, there is no certainty regarding the cause of stuttering. Although numerous interventions have been developed, a broad-based systematic review across all forms of intervention for adults and children was needed including views and perceptions of people who stutter.ObjectiveThe aims of the study were to report the clinical effectiveness of interventions for people who stutter (or clutter), to examine evidence regarding the views of people who stutter and the views of professionals regarding interventions.Data sourcesA systematic review of quantitative and qualitative literature was carried out between August 2013 and April 2014. The following electronic databases were searched: (1) MEDLINE, (2) EMBASE, (3) The Cochrane Library (including The Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Health Technology Assessment Database and NHS Economic Evaluations Database), (4) PsycINFO, (5) Science Citation Index, (6) Social Science Citation Index, (7) Cumulative Index to Nursing and Allied Health Literature, (8) ASSIA, (9) Linguistics and Language Behavior Abstracts, (10) Sociological Abstracts and (11) the EPPI Centre. Reference lists of included papers and other reviews were screened and also key journals in the subject area were hand-searched.Review methodsThe searches aimed to identify (1) evidence of clinical effectiveness in populations of pre-school children, school-aged children, adolescents and adults, and (2) data relating to perceptions of barriers and facilitators to intervention clinical effectiveness among staff and people who stutter. A metasynthesis of the two linked elements via development of a conceptual model was also carried out to provide further interpretation of the review findings.ResultsA systematic search of the literature identified a large number of potentially relevant studies. Of these, 111 studies examining the clinical effectiveness of interventions, 25 qualitative papers and one mixed-methods paper met the criteria for inclusion in this review. Review of the effectiveness literature indicated evidence of positive outcomes across all types of interventions. Virtually all evidence we identified reported at least some positive effect for some participants. However, there was evidence of considerable individual variation in outcome for study participants. The qualitative literature highlighted the need for programmes to be tailored to individual need with variation at the levels of the intervention, the individual and interpersonal/social elements. Metasynthesis of the data highlighted the complexity of elements that need to be considered in evaluation of long-term impacts following stuttering interventions.LimitationsAround two-thirds of the studies were considered to be at higher risk of bias. The heterogeneous nature and variability in outcomes meant that we were unable to complete a meta-analysis.ConclusionsAlthough much of the evidence we identified was from studies at risk of bias, it is suggested that most available interventions for stuttering may be of benefit to at least some people who stutter. There is a requirement for greater clarity regarding what the core outcomes following stuttering intervention should be and also enhanced understanding of the process whereby interventions effect change. Further analysis of those for whom interventions have not produced a significant benefit may provide additional insights into the complex intervention–outcomes pathway.Study registrationThis study is registered as PROSPERO CRD42013004861.FundingThe National Institute for Health Research Health Technology Assessment programme.

show abstract

Section: Results Of the Effectiveness Reviewmentioning

confidence: 99%

Section: Femrell Et Almentioning

confidence: 90%

Section: Behaviour Modificationmentioning

confidence: 99%

See 1 more Smart Citation

Non-pharmacological treatments for stuttering in children and adults: a systematic review and evaluation of clinical effectiveness, and exploration of barriers to successful outcomes

Baxter

Johnson

Blank

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…Another problem with determining outcomes for the study is that pre-treatment, post-treatment and 6-month follow-up assessments were based on a %SS measure collected from in-clinic video recordings, rather than speech recordings during everyday conversations, as is the generally accepted method for modern clinical research. Additionally, while all participants demonstrated a reduction in stuttering frequency post-treatment, stuttering reductions were modest, with mean reductions of 48% post-treatment and 46% at follow-up, 1 which are well below benchmarks established with clinical research of those age groups [22,23,24,25,26,27]. Pre-treatment %SS ranged from 13 to 36%SS, post-treatment from 2 to 26%SS, and at the end of follow-up from 4 to 32%SS.…”

Section: Resultsmentioning

confidence: 99%

Review of Telehealth Stuttering Management

Lowe

O’Brian

Onslow³

2013

Folia Phoniatr Logop

Self Cite

View full text Add to dashboard Cite

Objective: Telehealth is the use of communication technology to provide health care services by means other than typical in-clinic attendance models. Telehealth is increasingly used for the management of speech, language and communication disorders. The aim of this article is to review telehealth applications to stuttering management. Methods: We conducted a search of peer-reviewed literature for the past 20 years using the Institute for Scientific Information Web of Science database, PubMed: The Bibliographic Database and a search for articles by hand. Results: Outcomes for telehealth stuttering treatment were generally positive, but there may be a compromise of treatment efficiency with telehealth treatment of young children. Our search found no studies dealing with stuttering assessment procedures using telehealth models. No economic analyses of this delivery model have been reported. Conclusion: This review highlights the need for continued research about telehealth for stuttering management. Evidence from research is needed to inform the efficacy of assessment procedures using telehealth methods as well as guide the development of improved treatment procedures. Clinical and technical guidelines are urgently needed to ensure that the evolving and continued use of telehealth to manage stuttering does not compromise the standards of care afforded with standard in-clinic models.

show abstract

“…On the basis of a total of 620 children who were treated in four file audit studies (Jones, Onslow, Harrison, & Packman, 2000;Kingston, Huber, Onslow, Jones, & Packman, 2003;Koushik, Hewat, Shenker, Jones, & Onslow, 2011;Onslow, Harrison, Jones, & Packman, 2002) and one clinical trial (Rousseau, Packman, Onslow, Harrison, & Jones, 2007), a median of 15.4 clinical hours is required to complete Stage 1. Subsequently, 8-12 clinic visits are required during Stage 2 (Packman et al, 2011).…”

mentioning

confidence: 99%