Treatment of School Age Children with the Lidcombe Program

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Re: Your statement on Lidcombe efficacy is highly misleading

From: Rosalee
Date: 11 Oct 2010
Time: 15:43:56 -0500
Remote Name: 65.92.23.238

Comments

Hi Tom. I am happy to respond to some of your concerns but I will not be able to use this forum for ongoing discussion of this issue. Perhaps we can continue to ‘talk’ in another venue. With respect to your query about ‘eliminating stuttering’, the criteria for moving to Stage 2 of the Lidcombe Program, which is the maintenance stage of treatment, is <1% SS and perceptual severity ratings of mostly ‘1’ and an occasional ‘2’ that would indicate none or very little stuttering, as I stated before. In my practice using the manualized version of the Lidcombe Program, therefore, those children who meet that criteria and continue to meet it throughout Stage 2 of the program have eliminated their stuttering. In the RCT of the LP, the odds of attaining clinically minimal levels of stuttering 9 months after randomization were more than 7 times greater for the treated group of preschool children. In the 2008 Jones et al follow up of the RCT 20/29 children who received the LP and 8/25 controls were followed up, a mean 5 years post randomization. The majority was able to maintain near zero frequency of stuttering. Unfortunately a meaningful comparison with the controls was not possible because of the small number of children located, plus the factor that some of the controls had received treatment after the initial study was completed. This study as well as others indicates that the majority of preschool children are able to complete the Lidcombe Program successfully and remain below 1%SS.


Last changed: 10/23/10