Telepractice Treatment of Residual Rhotic Errors Using App-Based Biofeedback: A Pilot Study.
Lang Speech Hear Serv Sch
; 53(2): 256-274, 2022 04 11.
Article
in English
| MEDLINE | ID: covidwho-2062290
ABSTRACT
PURPOSE:
Although mobile apps are used extensively by speech-language pathologists, evidence for app-based treatments remains limited in quantity and quality. This study investigated the efficacy of app-based visual-acoustic biofeedback relative to nonbiofeedback treatment using a single-case randomization design. Because of COVID-19, all intervention was delivered via telepractice.METHOD:
Participants were four children aged 9-10 years with residual errors affecting American English /ɹ/. Using a randomization design, individual sessions were randomly assigned to feature practice with or without biofeedback, all delivered using the speech app Speech Therapist's App for /r/ Treatment. Progress was assessed using blinded listener ratings of word probes administered at baseline, posttreatment, and immediately before and after each treatment session.RESULTS:
All participants showed a clinically significant response to the overall treatment package, with effect sizes ranging from moderate to very large. One participant showed a significant advantage for biofeedback over nonbiofeedback treatment, although the order of treatment delivery poses a potential confound for interpretation in this case.CONCLUSIONS:
While larger scale studies are needed, these results suggest that app-based treatment for residual errors can be effective when delivered via telepractice. These results are compatible with previous findings in the motor learning literature regarding the importance of treatment dose and the timing of feedback conditions. SUPPLEMENTALMATERIAL:
https//doi.org/10.23641/asha.18461576.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Mobile Applications
/
COVID-19
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
Limits:
Child
/
Humans
Language:
English
Journal:
Lang Speech Hear Serv Sch
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS