학술논문

Treatment of Phonological Disorder: A Feasibility Study With Focus on Outcome Measures.
Document Type
Article
Source
American Journal of Speech-Language Pathology. May2018, Vol. 27 Issue 2, p536-552. 17p.
Subject
*ANALYSIS of covariance
*ANALYSIS of variance
*ARTICULATION disorders
*HEALTH outcome assessment
*PROBABILITY theory
*RESEARCH funding
*SPEECH therapy
*PILOT projects
*STATISTICAL power analysis
*STATISTICAL significance
*EFFECT sizes (Statistics)
*REPEATED measures design
*DATA analysis software
*CHILDREN
Language
ISSN
1058-0360
Abstract
Purpose: In a feasibility study for a randomized controlled trial of treatments for phonological disorders conducted over a period of 8 months, we examined 6 clinically relevant outcome measures. We took steps to reduce error variance and to maximize systematic variance. Method: Six children received traditional treatment (Van Riper, 1939) and 7 received expansion points (Smit, 2000), a treatment program with both phonological and traditional elements. Outcome measures, which were applied to both word list and conversational samples, included percentage of consonants correct (PCC; Shriberg & Kwiatkowski, 1982), PCC for late and/or difficult (L /D) consonants and number of L/D consonants acquired. Results: In repeated-measures analyses of variance, all measures showed significant differences from pretreatment to posttreatment, and the word list measures were associated with very high power values. In analyses of covariance for between-groups contrasts, the adjusted expansion points mean exceeded the adjusted traditional treatment mean for every measure; however, no differences reached significance. For the L /D PCC (conversation) measure, the contrast between groups was associated with a large effect size. Conclusion: We recommend that practitioners use outcome measures related to a word list. We recommend that researchers consider using L/D PCC on the basis of conversational samples to detect differences among treatment groups. [ABSTRACT FROM AUTHOR]