A three-arm randomized controlled trial of Lidcombe Program and Westmead Program early stuttering interventions

Natasha Trajkovski, Sue O'Brian, Mark Onslow, Ann Packman, Robyn Lowe, Ross Menzies, Mark Jones, Sheena Reilly

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

PURPOSE: To compare two experimental Westmead Program treatments with a control Lidcombe Program treatment for early stuttering.

METHOD: The design was a three-arm randomized controlled trial with blinded outcome assessments 9 months post-randomization. Participants were 91 pre-school children.

RESULTS: There was no evidence of difference in percentage syllables stuttered at 9 months among groups. Dropout rates were substantive and may have been connected with novel aspects of the trial design: the use of community clinicians, no exclusion criteria, and randomization of children younger than 3 years of age.

CONCLUSION: The substantive dropout rate for all three arms in this trial means that any conclusions about the 9-month stuttering outcomes must be regarded as tentative. However, continued development of the Westmead Program is warranted, and we are currently constructing an internet version.

Original languageEnglish
Article number105708
Pages (from-to)105708
Number of pages8
JournalJournal of Fluency Disorders
Volume61
Early online date8 May 2019
DOIs
Publication statusE-pub ahead of print - 8 May 2019
Externally publishedYes

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Stuttering
Random Allocation
Randomized Controlled Trials
drop-out
Program Development
Internet
Outcome Assessment (Health Care)
preschool child
Therapeutics
exclusion
community
evidence
Randomized Controlled Trial
Randomization
Lidcombe Program
Drop out
Group
Outcome Assessment
Exclusion
World Wide Web

Cite this

Trajkovski, N., O'Brian, S., Onslow, M., Packman, A., Lowe, R., Menzies, R., ... Reilly, S. (2019). A three-arm randomized controlled trial of Lidcombe Program and Westmead Program early stuttering interventions. Journal of Fluency Disorders, 61, 105708. [105708]. https://doi.org/10.1016/j.jfludis.2019.105708
Trajkovski, Natasha ; O'Brian, Sue ; Onslow, Mark ; Packman, Ann ; Lowe, Robyn ; Menzies, Ross ; Jones, Mark ; Reilly, Sheena. / A three-arm randomized controlled trial of Lidcombe Program and Westmead Program early stuttering interventions. In: Journal of Fluency Disorders. 2019 ; Vol. 61. pp. 105708.
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A three-arm randomized controlled trial of Lidcombe Program and Westmead Program early stuttering interventions. / Trajkovski, Natasha; O'Brian, Sue; Onslow, Mark; Packman, Ann; Lowe, Robyn; Menzies, Ross; Jones, Mark; Reilly, Sheena.

In: Journal of Fluency Disorders, Vol. 61, 105708, 01.09.2019, p. 105708.

Research output: Contribution to journalArticleResearchpeer-review

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AB - PURPOSE: To compare two experimental Westmead Program treatments with a control Lidcombe Program treatment for early stuttering.METHOD: The design was a three-arm randomized controlled trial with blinded outcome assessments 9 months post-randomization. Participants were 91 pre-school children.RESULTS: There was no evidence of difference in percentage syllables stuttered at 9 months among groups. Dropout rates were substantive and may have been connected with novel aspects of the trial design: the use of community clinicians, no exclusion criteria, and randomization of children younger than 3 years of age.CONCLUSION: The substantive dropout rate for all three arms in this trial means that any conclusions about the 9-month stuttering outcomes must be regarded as tentative. However, continued development of the Westmead Program is warranted, and we are currently constructing an internet version.

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