Table to Tablet (T2T): A Novel Intervention Framework for Children With Speech Sound Disorders

Sponsor

Aveiro University (Other)

Overall Status

Completed

CT.gov ID

NCT02490826

Collaborator

(none)

Enrollment

Location

Arms

Duration (Months)

0.6

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The primary aim of this study is to develop software as a tool in speech and language therapy for the treatment of children (Portuguese and English) with phonologically based Speech Sound Disorders (SSD). Further, this project aims to test the effectiveness of this approach with two groups of preschool and school aged children with phonologically based SSD, with one group consisting of European Portuguese (EP) speakers and one group of British English (BE) speakers. Performance across the two groups will be compared. The total duration of the project will be 30 month.

Condition or Disease	Intervention/Treatment	Phase
Speech Disorders	Other: Table-based T2T intervention Other: Tablet-based T2T intervention	N/A

Detailed Description

The Table to Tablet (T2T) project aims to develop software as a tool in speech and language therapy for the treatment of children (Portuguese and English) with phonologically based Speech Sound Disorders (SSD). Further, this project aims to test the effectiveness of this approach with two groups of children aged between 3 years and 6 months and 6 years and 6 months with phonologically based Speech Sound Disorders (SSD).

One group consists of European Portuguese (EP) speakers and one group of British English (BE) speakers. Each group should include 20 children with the referred criteria and the performance across the two groups will be compared.

The total duration of the project will be 30 month (software development over the first 12 months and an intervention study during following 18 months).

The T2T team includes 3 Speech and Language Therapists and 3 engineers/researchers plus a designer that will develop the T2T material.

Study Design

Study Type:

Interventional

Actual Enrollment :

22 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Other

Official Title:

Intervention Software for Children With Speech Sound Disorders

Study Start Date :

Oct 1, 2014

Actual Primary Completion Date :

Oct 1, 2017

Actual Study Completion Date :

Oct 1, 2017

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Table-based T2T intervention A combined phonological awareness therapy, listening and discrimination and auditory bombardment activities intervention will be applied. This will be based in a table top material version. The intervention will consist of 12 weekly sessions (individual) of 45 min in duration, divided into two blocks (6+6) without any breaks.	Other: Table-based T2T intervention Phonological therapy consists of a combination of phonological awareness activities, auditory and discrimination and auditory bombardment activities. This activities will be based on table top materials. The items used in the intervention will be based on the child's target speech production goals. This intervention will include the following areas: Auditory Bombardment; Auditory and discrimination; Letter-sound knowledge; Phoneme identity and phoneme matching; Blending; Segmentation; Rhyme; Phoneme manipulation.
Active Comparator: Tablet-based T2T intervention A combined phonological awareness therapy, listening and discrimination and auditory bombardment activities intervention will be applied. This will be based in a tablet (digital) material version. The intervention will consist of 12 weekly sessions (individual) of 45 min in duration, divided into two blocks (6+6) without any breaks.	Other: Tablet-based T2T intervention Phonological therapy consists of a combination of phonological awareness activities, auditory and discrimination and auditory bombardment activities. This activities will be based on digital materials presented on a tablet. The items used in the intervention will be based on the child's target speech production goals. This intervention will include the following areas: Auditory Bombardment; Auditory and discrimination; Letter-sound knowledge; Phoneme identity and phoneme matching; Blending; Segmentation; Rhyme; Phoneme manipulation.

Arm

Intervention/Treatment

Active Comparator: Table-based T2T intervention

A combined phonological awareness therapy, listening and discrimination and auditory bombardment activities intervention will be applied. This will be based in a table top material version. The intervention will consist of 12 weekly sessions (individual) of 45 min in duration, divided into two blocks (6+6) without any breaks.

Other: Table-based T2T intervention

Phonological therapy consists of a combination of phonological awareness activities, auditory and discrimination and auditory bombardment activities. This activities will be based on table top materials. The items used in the intervention will be based on the child's target speech production goals. This intervention will include the following areas: Auditory Bombardment; Auditory and discrimination; Letter-sound knowledge; Phoneme identity and phoneme matching; Blending; Segmentation; Rhyme; Phoneme manipulation.

Active Comparator: Tablet-based T2T intervention

A combined phonological awareness therapy, listening and discrimination and auditory bombardment activities intervention will be applied. This will be based in a tablet (digital) material version. The intervention will consist of 12 weekly sessions (individual) of 45 min in duration, divided into two blocks (6+6) without any breaks.

Other: Tablet-based T2T intervention

Phonological therapy consists of a combination of phonological awareness activities, auditory and discrimination and auditory bombardment activities. This activities will be based on digital materials presented on a tablet. The items used in the intervention will be based on the child's target speech production goals. This intervention will include the following areas: Auditory Bombardment; Auditory and discrimination; Letter-sound knowledge; Phoneme identity and phoneme matching; Blending; Segmentation; Rhyme; Phoneme manipulation.

Outcome Measures

Primary Outcome Measures

Percentage of Consonants Correct [one year]
Calculation of the percentage of the correct produced consonants

Secondary Outcome Measures

Parental Reports [one and a half year]
Questionnaire focused on: speech improvement; enjoyment of therapy; effect of therapy on their understanding of their child.
Intelligibility Score [one year]
How well a client's speech is understood by other individuals, i.e. understandability of speech.
Percentage of occurence of phonological processes [one year]
Calculations of the percentage of occurence of phonological processes
Generalisation Score [one year]
Generalization probe of the trained phonological process to five non-intervention words.
Phonetic Inventory [one year]
List of produces consonants
Percentage of Correct Vowels [one year]
Calculation of the percentage of the correct produced vowels
Percentage of Phonemes Correct [one year]
Calculation of the percentage of the correct produced phonemes

Eligibility Criteria

Criteria

Ages Eligible for Study:

42 Months to 78 Months

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Diagnose of Phonologically based Speech and Sound Disorder;
Portuguese as native language;
Audition of 20 decibels (dB) or lower in the frequencies 500, 1000, 2000 and 4000;
Normal non-verbal ability (NVIQ) according to age;
Receptive language skills within normal limits.