Three Lidcombe program clinic visit options: a phase II trial

Koushik, Sarita; Hewat, Sally; Onslow, Mark; Shenker, Rosalee C.; Jones, Mark; O’Brian, Sue; Packman, Ann; Menzies, Ross G.; Harrison, Elisabeth; Wilson, Linda

doi:10.1016/j.jcomdis.2019.105919

Cited by 6 publications

(2 citation statements)

References 26 publications

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“…This enabled comparison with data collected at an equivalent time in the O'Brian et al. ( 2013 ) study and with the standard arm of randomized clinical trials of the Lidcombe Program (Arnott et al., 2014 ; Bridgman et al., 2016 ; Jones et al., 2005 ; Koushik et al., 2019 ; Lewis et al., 2008 ; Trajkovski et al., 2019 ). The primary outcome was the mean %SS score from the two beyond‐clinic, post‐recruitment audio‐recordings.…”

Section: Methodsmentioning

confidence: 99%

Lidcombe Program translation to community clinics in Australia and England

O’Brian

Hayhow

Jones

et al. 2022

Intl J Lang & Comm Disor

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Background: Early intervention is essential healthcare for stuttering, and the translation of research findings to community settings is a potential roadblock to it. Aims: This study was designed to replicate and extend the Lidcombe Program community translation findings of O'Brian et al. (2013) but with larger participant numbers, incorporating clinicians (speech pathologists/speech anlanguage therapists) and their clients from Australia and England. Methods & Procedures: Participants were 51 clinicians working in public and private clinics across Australia (n = 36) and England (n = 15), and 121 of their young stuttering clients and their families. Outcome measures were percentage of syllables stuttered (%SS), parent severity ratings at 9 months post-recruitment, number of clinic visits to complete Stage 1 of the Lidcombe Program, and therapist drift.Outcomes & Results: Community clinicians in both countries achieved similar outcomes to those from randomized controlled trials. Therapist drift emerged as an issue with community translation. Speech and language therapists in England attained outcomes 1.0%SS above the speech pathologists in Australia, although their scores were within the range attained in randomized trials. Conclusions & Implications: Community clinicians from Australia and England can attain Lidcombe Program outcome benchmarks established in randomized trials. This finding is reassuring in light of the controlled conditions in clinical trials of the Lidcombe Program compared with its conduct in community practice. The long-term impact of therapist drift in community clinical practice with the Lidcombe Program has yet to be determined.

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Section: Methodsmentioning

confidence: 99%

Lidcombe Program translation to community clinics in Australia and England

O’Brian

Hayhow

Jones

et al. 2022

Intl J Lang & Comm Disor

Self Cite

View full text Add to dashboard Cite

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“…The first two are each supported by a randomized trial, conducted by de Sonneville-Koedoot et al (2015) and Trajkovski et al (2019), respectively. The Lidcombe Program is supported by eight randomized trials (Arnott et al 2014, Bridgman et al 2016, de Sonneville-Koedoot et al 2015, Jones et al 2005, Koushik et al 2019, Lattermann et al 2008, Lewis et al 2008, Trajkovski et al 2019 and an estimated effect size of 7.5 (Onslow et al 2012) based on four comparisons of the treatment with a no treatment control group. There is evidence of its translation to clinical communities (O'Brian et al 2013) and its adaptability to telepractice (Bridgman et al 2016, Harrison et al 1999, Lewis et al 2008, Wilson et al 2004 and group treatment formats (Arnott et al 2014.…”

Section: Predictors Of Early Stuttering Interventionmentioning

confidence: 99%

Predictors of Lidcombe Program treatment dropout and outcome for early stuttering

Park

Onslow

Lowe

et al. 2020

Intl J Lang & Comm Disor

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Background: Information is available about what predicts Lidcombe Program treatment time, but nothing is known about what predicts treatment prognosis. Aims: To investigate the predictors of treatment dropout and treatment outcome for children who were treated for early stuttering with the Lidcombe Program (N = 277). Methods & Procedures: A total of 32 variables were used as predictors in regression analyses of short-and mediumterm Lidcombe Program outcome, and of treatment dropout. Outcomes & Results: Regression analyses associated children who have better language skills and easy temperament with better treatment outcome, although only a small portion of the variance of treatment outcome was accounted for by these variables. There was an association between treatment dropout and parental scores on a personality screening tool relating to their impulsivity. Conclusions & Implications: Variables identified as predictors of Lidcombe Program treatment outcome were statistically significant, but not clinically significant. They did not account for a clinically substantive portion of treatment outcomes. Findings about parental impulsivity and their relationship with intervention drop-out require replication with prospective methods and comprehensive assessment of parent psychological status. This is particularly important because parents are involved in conducting all early interventions.

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