Online Telepractice Study Comparing Perception and Production Treatments for Speech Sound Disorder in Children Ages 8 to 17

What this Trial Is About

This research aims to determine if perceptual training improves speech perception and production outcomes in children with Residual Speech Sound Disorders RSSD. It investigates whether initial speech production accuracy predicts how well treatment works and how perceptual ability affects the success of perception-first versus production-first interventions. The trial compares two treatment orders to see if the sequence influences speech improvement, focusing on participants initial abilities. Participants will be randomly assigned to one of two treatment groups delivered via telepractice a group receiving Treatment as Usual TAU plus perception-first training, or a group receiving TAU first. Randomization is carefully balanced based on initial speech production and perception accuracy, categorizing children into high or low accuracy groups. Treatments include visual acoustic biofeedback, which uses real-time speech signal displays to help adjust articulation, and computerized perceptual training involving auditory tasks with feedback. Children will complete pre-treatment evaluations to assess their speech and perception skills. During the study, researchers will measure changes in the accuracy of producing the r sound, along with perception accuracy and socio-emotional well-being. Assessments will occur at baseline, after 4 weeks of visual acoustic biofeedback, and after 12 weeks of treatment. The trial involves telepractice sessions, clinician-rated baselines, and continuous monitoring to understand treatment effects on speech sound accuracy.

Online Rotating Delivery of Perception/Production Enhanced Treatment for Rhotics