The Lidcombe Programme for early stuttering intervention is more cost-effective than the Demands and Capacities Model based treatment.
ID
Bron
Aandoening
stuttering pre-schoolers
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
1. The percentage of recovered children at 18 months post randomization;
2. The costs for a recovered child.
Achtergrond van het onderzoek
Stuttering is a frequent problem in three to six year olds: about 5% of children begin to stutter (Bloodstein 1995). The recovery rate four years after onset without intervention is 74% (Yairi & Ambrose 2005). The consensus is that all stuttering children should be treated in the preschool years (Jones et al 2005), because of a higher chance on succesful treatment outcome, presumably so because neural plasticity decreases with age. Also, it is nog yet possible to predict for an individual case who will or will not recover from stuttering. In the Netherlands, the Demands and Capacities Model based treatment is the standard (DCM, Starkweather et al 1990). This treatment uses an indirect approach. The Lidcombe Programme (LP) is the Australian standard for treating pre-school children who stutter. This is a direct treatment, because it aims to increase fluent and decrease stuttered speech. Evidence suggests that both treatments are effective. A RCT with the LP showed that at 9 months after randomization, children who were treated with the LP were stuttering less than children in the no treatment arm (Jones et al 2005). Efficacy of the DCM has been shown in a randomized pilot trial in which the effects of DCM and LP treatment after 12 weeks were compared to each other (Franken et al 2005). To improve the evidence basis underlying stuttertherapies, a cost-effective evaluation of stuttering therapy is relevant. The objective of this study is to determine the relative effectiveness, cost-effectiveness and cost-utility of the Dutch standard for treating stuttering in pre-school children (DCM) compared to the Australian standard (LP).
Outcomes will be analyzed at baseline and at 3, 6, 12 and 18 months post randomization.
Doel van het onderzoek
The Lidcombe Programme for early stuttering intervention is more cost-effective than the Demands and Capacities Model based treatment.
Onderzoeksproduct en/of interventie
Demands and Capacities Model based treatment versus Lidcombe Programme
Publiek
afdeling iBMG,
Postbus 1738
C. Koedoot
Rotterdam 3000 DR
The Netherlands
+31 10-4088617
c.koedoot@erasmusmc.nl
Wetenschappelijk
afdeling iBMG,
Postbus 1738
C. Koedoot
Rotterdam 3000 DR
The Netherlands
+31 10-4088617
c.koedoot@erasmusmc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Age 3.0-6.3;
2. Frequency of stuttering at least 3%;
3. Parent and one therapist agree the child stutters;
4. Parent rating of stuttering severity on an 8-point scale of at least 2;
5. Proficiency in Dutch for children and parents.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Onset of stuttering within 6 months before recruitment;
2. Treatment for stuttering during the previous 12 months;
3. Diagnosed language disorder;
4. Neurologic, emotional, cognitive, behavioral or autism spectrum disorder.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL995 |
| NTR-old | NTR1024 |
| Ander register | : |
| ISRCTN | ISRCTN24362190 |
Samenvatting resultaten
Jones, M., Onslow, M. Packman, A., Williams, S., Ormond, T., Schwarz, I., Gebski, V. (2005). Randomised controlled trial of the Lidcombe programme of early stuttering intervention. British Medical Journal, 331, 659-661.
Gottwald, S.R. & Starkweather, C,W. (1999). Stuttering prevention and early intervention: a multiprocess approach. in; M. Onslow & A. Packman (eds.) The handbook of early stuttering intervention, 53-82. San Diego/London: Singular Publishing Group.