Treatment for preschool age children who stutter: Protocol of a randomised, non-inferiority parallel group pragmatic trial with Mini-KIDS, social cognitive behaviour treatment and the Lidcombe Program-TreatPaCS.
[en] Stuttering is a speech disorder in which the flow of speech is disrupted by involuntary repetitions of sounds, syllables, words or phrases, stretched sounds or silent pauses in which the person is unable to produce sounds and sound transitions. Treatment success is the highest if stuttering is treated before the age of 6 years, before it develops into "persistent" stuttering. Stuttering treatment programs that focus directly on the speech of the child, like the Lidcombe Program, have shown to be effective in this age group. Mini-KIDS is also a treatment that focuses directly on the speech of the child. It is possible that capturing the increased brain plasticity at this age in combination with creating optimal conditions for recovery underlie these treatments' success rate. A treatment focusing on the cognitions, emotions and behaviour of the child, the social cognitive behaviour treatment (SCBT), is also frequently delivered in Belgium. In this study we want to compare, and collect data on the effectiveness, of these three treatment programs: Mini-KIDS, SCBT and the Lidcombe Program (protocol registered under number NCT05185726). 249 children will be allocated to one of three treatment groups. Stuttering specialists will treat the child (and guide the parents) with Mini-KIDS, the SCBT or the Lidcombe Program. They will be trained to deliver the programs meticulously. At 18 months after randomisation, the speech fluency of the child and the attitude of the child and parent(s) towards speech will be measured. It is expected that the three programs will achieve the same (near) zero levels of stuttering in nearly all children and a positive attitude towards speech at 18 months after the start of treatment. The amount of treatment hours to reach the (near) zero levels of stuttering will be compared between the different programmes. For families as well as for the health system this could generate important information.
Disciplines :
Treatment & clinical psychology Speech and language therapy
Waelkens, Veerle ; Department of Speech and Language Pathology, Artevelde University of Applied Sciences, Ghent, Belgium
Roelant, Ella; Clinical Trials Center, Antwerp University Hospital (UZA), Antwerp, Belgium
Allegaert, Mathias; Clinical Trials Center, Antwerp University Hospital (UZA), Antwerp, Belgium
Verhaegen, Iris ; Clinical Trials Center, Antwerp University Hospital (UZA), Antwerp, Belgium
Claes, Kim; Clinical Trials Center, Antwerp University Hospital (UZA), Antwerp, Belgium
Dauvister, Estelle ; Université de Liège - ULiège > Département de Logopédie > Logopédie clinique
Snijders, Steffi ; Center of Expertise Care and Wellbeing, Thomas More University of Applied Sciences, Antwerp, Belgium
Eggers, Kurt ; Center of Expertise Care and Wellbeing, Thomas More University of Applied Sciences, Antwerp, Belgium ; Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium ; Department of Psychology and Speech-Language Pathology, Turku University, Turku, Finland
Moyse, Astrid ; Université de Liège - ULiège > Département de Logopédie > Logopédie clinique
Van Eerdenbrugh, Sabine; Center of Expertise Care and Wellbeing, Thomas More University of Applied Sciences, Antwerp, Belgium
Language :
English
Title :
Treatment for preschool age children who stutter: Protocol of a randomised, non-inferiority parallel group pragmatic trial with Mini-KIDS, social cognitive behaviour treatment and the Lidcombe Program-TreatPaCS.
The Belgian Health Care Knowledge Center - KCE, a governmental patient-centred organisation in Belgium, funds this trial under its program \"Investigator-led trials\"(https://kce.fgov. be/nl/kce-trials/calls). Additional information about this organisation will be uploaded (S5a & S5b). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We warmly thank the 30 speech and language therapists who took part in this study for the quality of their work in treating the children and collect the data, and the participating families in the study so far. We also thank Marie-Christine Franken and the patient representatives who are supporting us during this trial. The last author is a member the international Lidcombe Program Trainers' Consortium.
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