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A Systematic Review of Treatment for Childhood Apraxia of Speech (Murray et al., 2014)

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journal contribution
posted on 01.08.2014, 00:00 authored by Elizabeth Murray, Patricia McCabe, and Kirrie J. Ballard
Purpose To present a systematic review of single-case experimental treatment studies for childhood apraxia of speech (CAS).
Method A search of 9 databases was used to find peer-reviewed treatment articles from 1970 to 2012 of all levels of evidence with published communication outcomes for children with CAS. Improvement rate differences (IRDs) were calculated for articles with replicated (n > 1), statistically compared treatment and generalization evidence.
Results Forty-two articles representing Phase I and II single-case experimental designs (SCEDs; n = 23) or case series or description studies (n = 19) were analyzed. Six articles showed high CAS diagnosis confidence. Of the 13 approaches within the 23 SCED articles, treatments were primarily for speech motor skills (n = 6), linguistic skills (n = 5), or augmentative and alternative communication (n = 2). Most participants responded positively to treatment, but only 7 of 13 approaches in SCED studies reported maintenance and/or generalization of treatment effects. Three approaches had preponderant evidence (Smith, 1981). IRD effect sizes were calculated for Integral Stimulation/Dynamic Temporal and Tactile Cueing, Rapid Syllable Transition Treatment, and Integrated Phonological Awareness Intervention. Conclusions At least 3 treatments have sufficient evidence for Phase III trials and interim clinical practice. In the future, efficacy needs to be established via maintenance and generalization measures.

Funding

This research was supported by the Douglas and Lola Douglas Scholarship on Child and Adolescent Health, the Speech Pathology Australia Nadia Verrall Memorial Research Grant and Postgraduate Research Award, and the University of Sydney James Kentley Memorial Scholarship and Postgraduate Research Support Scheme awarded to the first author. This research was also supported by an Australian Research Council Future Fellowship awarded to the third author. We thank Catherine Mason and Donna Thomas for assistance coding the data and completing reliability.

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