Actively Recruiting

Phase Not Applicable
Age: 8Years - 17Years
All Genders
ID06969521

Online Assessment and Enhancement of Auditory Perception for Speech Sound Errors: Online Rotating Delivery of Perception/Production Enhanced Treatment for Rhotics

Led by Montclair State University · Updated on 2025-05-29

60

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

M

Montclair State University

Lead Sponsor

N

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborating Sponsor

AI-Summary

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.

CONDITIONS

Brief Title

Online Rotating Delivery of Perception/Production Enhanced Treatment for Rhotics

Who Can Participate

Age: 8Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Must be between 8 and 17 years old at enrollment
  • Must speak English as the dominant language, beginning by age 2
  • Must speak a rhotic dialect of English
  • Must pass a pure-tone hearing screening at 20dB hearing level
  • Must pass a brief oral structure and function examination
  • Must have less than 30% accuracy on a probe list eliciting rhotics at the word level
  • Must have no more than 3 speech sounds other than /r/ in error on the Goldman-Fristoe Test of Articulation-3 (GFTA-3)
Not Eligible

You will not qualify if you...

  • Must not have a T score more than 1.3 standard deviations below the mean on WASI-2 Matrix Reasoning
  • Must not have a scaled score of 7 or higher on CELF-5 Recalling Sentences and Formulated Sentences subtests
  • Must not have a diagnosis of developmental disability or major neurobehavioral syndrome such as cerebral palsy, Down Syndrome, or Autism Spectrum Disorder

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

screening and enrollment visit

Treatment

Duration - Up to 12 weeks

Participants receive randomized behavioral treatments involving visual-acoustic biofeedback training and perceptual training delivered via telepractice, or a no treatment period. These treatments focus on improving speech sound production and auditory perception of /r/ sounds.

Regular telepractice sessions as scheduled by the study team

Trial Site Locations

Total: 1 location

1

Montclair State University

Montclair, New Jersey, United States, 07403

Actively Recruiting

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Research Team

E

Elaine R. Hitchcock, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

3

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