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From: Chris Lewis
Date: 10 Oct 2006
Time: 05:02:34 -0500
Remote Name: 211.29.214.236
Hi Linda, Thankyou for your comment and questions. Yes, you are correct! The results from the recent telehealth trial (Lewis, Packman, Onslow, Jones & Simpson, 2006) showed that the reduction in stuttering frequency at 9 months was comparable with standard delivery of the Lidcombe Program. However, the majority of children had not completed Stage 1 of treatment at this time, and required a mean of 49 telephone consultations over a mean period of 62.9 weeks to reach the criteria for completion of Stage 1 (that is, stuttering at or below 1%SS, and parental severity ratings averaging 1 for a minimum of 3 weeks). A recent prospective study of standard Lidcombe Program delivery (Rousseau, Packman, Onslow, Harrison & Jones, 2006) reported a mean of 17.9 clinic visits over a mean period of 26.9 weeks to reach the same criteria. Clinic based delivery of the Lidcombe Program therefore remains the best practice option, with telehealth offering an efficacious alternative for isolated preschool stuttering children and their families. In regard to follow-up results: 86% of children remained at criteria level 12 months post-treatment, with one child needing to return to Stage 1 until criteria were re-established. Hope this clarifies things for you and thanks again for your interest. Chris Rousseau, I., Packman, A., Onslow, M., Harrison, E., & Jones, M. (2006). An investigation of language and phonological development and the responsiveness of preschool age children to the Lidcombe Program. (Manuscript submitted for publication.).