Predictors of Functional Communication Outcomes in Children With Idiopathic Motor Speech Disorders.

Purpose: The purpose of the study was to investigate child- and interventionlevel factors that predict improvements in functional communication outcomes in children with motor-based speech sound disorders. Method: Eighty-five preschool-age children with childhood apraxia of speech (n = 37) and speec...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; pp. 4053 - 4069
Autores principales: Namasivayam, Aravind K., Hyunji Shin, Nisenbaum, Rosane, Pukonen, Margit, van Lieshout, Pascal
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Oct2024 Supplement
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024 Supplement
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00070
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        atl: Predictors of Functional Communication Outcomes in Children With Idiopathic Motor Speech Disorders.
      aug:
        au:
          Namasivayam, Aravind K.
          Hyunji Shin
          Nisenbaum, Rosane
          Pukonen, Margit
          van Lieshout, Pascal
        affil:
          Oral Dynamics Lab, Department of Speech-Language Pathology, University of Toronto, Ontario, Canada
          Speech Research Centre, Toronto, Ontario, Canada
          Applied Health Research Centre, MAP Centre for Urban Health Solutions, St. Michael's Hospital Li Ka Shing Knowledge Institute, Unity Health Toronto, Ontario, Canada
          Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
          The Speech and Stuttering Institute, Toronto, Ontario, Canada
          Rehabilitation Sciences Institute, University of Toronto, Ontario, Canada
      su:
        Facilitated communication
        Communicative disorders
        Communication
        Speech disorders
        Children
        T-test (Statistics)
        Multiple regression analysis
        Fisher exact test
        Intelligibility of speech
        Movement disorders
        Descriptive statistics
        Mann Whitney U Test
        Chi-squared test
        Apraxia
        Odds ratio
        Confidence intervals
        Speech therapy
      sug:
        subj:
          Facilitated communication
          Communicative disorders
          Communication
          Speech disorders
          Children
          T-test (Statistics)
          Multiple regression analysis
          Fisher exact test
          Intelligibility of speech
          Movement disorders
          Descriptive statistics
          Mann Whitney U Test
          Chi-squared test
          Apraxia
          Odds ratio
          Confidence intervals
          Speech therapy
      ab: Purpose: The purpose of the study was to investigate child- and interventionlevel factors that predict improvements in functional communication outcomes in children with motor-based speech sound disorders. Method: Eighty-five preschool-age children with childhood apraxia of speech (n = 37) and speech motor delay (n = 48) participated. Multivariable logistic regression models estimated odds ratios and 95% confidence intervals for the association between minimal clinically important difference in the Focus on the Outcomes of Communication Under Six scores and multiple child-level (e.g., age, sex, speech intelligibility, Kaufman Speech Praxis Test diagnostic rating scale) and intervention-level predictors (dose frequency and home practice duration). Results: Overall, 65% of participants demonstrated minimal clinically important difference changes in the functional communication outcomes. Kaufman Speech Praxis Test rating scale was significantly associated with higher odds of noticeable change in functional communication outcomes in children. There is some evidence that delivering the intervention for 2 times per week for 10 weeks provides benefit. Conclusion: A rating scale based on task complexity has the potential for serving as a screening tool to triage children for intervention from waitlist and/or determining service delivery for this population.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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