A Pathway to Research-Reliable Dynamic Temporal and Tactile Cueing for Children With Childhood Apraxia of Speech: A Multiphase Process for Training Community Clinicians.
Purpose: Mounting research supports the use of motor-based intervention (e.g., Dynamic Temporal and Tactile Cueing [DTTC]) for children with childhood apraxia of speech (CAS), but large randomized controlled trials (RCTs) are needed to better understand optimal treatment conditions. Partnering with...
| Published in: | American Journal of Speech-Language Pathology Vol. 34; pp. 2359 - 2383 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | forms questionnaire/scale research tables/charts Journal Article |
| Published: |
American Speech-Language-Hearing Association
2025 Supplement
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187102564&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187102564 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: 2025 Supplement vid: 34 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 187102564 187102564 187102564 10.1044/2025_AJSLP-24-00239 187102564 ppf: 2359 ppct: 24 formats: tig: atl: A Pathway to Research-Reliable Dynamic Temporal and Tactile Cueing for Children With Childhood Apraxia of Speech: A Multiphase Process for Training Community Clinicians. aug: au: Case, Julie Grigos, Maria I. Velleman, Shelley L. Murray, Elizabeth Thomas, Donna C. Anumandla, Shelby Iuzzini-Seigel, Jenya affil: Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY sug: subj: Apraxia of Speech (Developmental) Cues Speech-Language Pathologists Education Speech Therapy Methods Clinical Competence Task Performance and Analysis Human Linear Regression Speech-Language Pathologist Attitudes Feedback Mentorship United States Child Child: 6-12 years ab: Purpose: Mounting research supports the use of motor-based intervention (e.g., Dynamic Temporal and Tactile Cueing [DTTC]) for children with childhood apraxia of speech (CAS), but large randomized controlled trials (RCTs) are needed to better understand optimal treatment conditions. Partnering with community clinicians may help support recruitment and data collection for large groups of participants with CAS. However, to achieve this, rigorous training is needed to ensure high-fidelity treatment and adherence to research protocols. This work presents a multiphase process for training community clinicians to implement high-fidelity DTTC. We then examined whether clinician factors predicted their performance on assessment tasks used to determine eligibility to be hired as research clinicians and DTTC treatment fidelity. Method: Community clinicians underwent a multiphase process of application, training, and assessment tasks to determine their eligibility as research clinicians for an RCT on DTTC dose frequency. Throughout the RCT, DTTC treatment fidelity was monitored across 20% of all treatment sessions. Linear regressions were performed to determine if clinician factors predicted performance on (a) eligibility assessment tasks and (b) DTTC fidelity with the first RCT participant. Results: DTTC fidelity during the eligibility assessment phase was predicted by clinicians' prior DTTC experience, but not years of overall clinician experience or CAS-specific experience. No clinician factors predicted DTTC fidelity within the RCT. Conclusions: Results suggest that this multiphase process was successful in preparing community clinicians to provide research-reliable DTTC treatment, even when prior clinical experience varied. We posit that multiple and varied learning opportunities, combined with individualized feedback, mentorship, and self-reflection, contributed to these results. pubtype: Academic Journal doctype: forms questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|