Effectiveness of systematic articulation training program accessing computers (SATPAC) approach to remediate dentalized and interdental /s, z/: a preliminary study.
ABSTRACT Traditional methods for treating speech distortion errors in older school-age children have tended to yield mixed success. The current study was a preliminary evaluation of an alternative approach called the Systematic Articulation Training Program Accessing Computers (SATPAC), which was tested for the remediation of /s/ and /z/. Procedures involved a sequence of phonetic placement and/or oral-motor placement cues as needed to establish the targets, followed by concentrated drill structured around a facilitating context nonsense word and then advanced to more natural contexts. Participants were 18 children aged 6 years, 9 months to 11 years, 10 months. Treatment involved once per week, individual, 10-min. sessions with an experienced speech-language pathologist. Group A (n = 9) received 15 weeks of treatment, while treatment was delayed for Group B (n = 9). Then the groups were reversed. During period one, Group A (treated) significantly improved their accuracy of /s, z/ in spontaneous speech, while Group B (untreated) showed no significant change. During period two, Group B improved significantly when treatment was applied. The majority of the participants retained proficiency two years later.
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ABSTRACT: One challenging area of speech-language pathology is evaluating treatment change in children with speech sound disorder (SSD) with a motor basis. A clinician’s knowledge and use of outcome measures following treatment are central to evidence-based practice. This narrative review evaluates the use of outcome measures to assess treatment change in motor-based SSDs. Seven databases were searched to identify studies reporting outcomes of treatment in SSDs between 1985 and 2014. Sixty-six studies were identified for analysis, and reported outcome measures were categorized within the International Classification of Functioning, Disability and Health framework (ICF-CY). The majority of studies used perceptual methods (despite their limitations) to evaluate change at the impairment level of the ICF-CY and only three studies examined participation level factors. Accurate outcome measures that reflect the underlying deficit of the SSD as well as activity/participation level factors need to be implemented to document intervention success in this population.09/2015; 2(3). DOI:10.1007/s40474-015-0058-2