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Predicting treatment time with the Lidcombe Program: replication and meta-analysis.

Mary Kingston1, Anna Huber, Mark Onslow

  • 1Speech and Language Therapy Services, Norwich Primary Care Trust NHS, UK. KingstonAMEE@talk21.com

International Journal of Language & Communication Disorders
|May 15, 2003
PubMed
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The Lidcombe Program effectively treats stuttering in preschoolers. Delaying treatment by up to a year does not negatively impact recovery, with stuttering severity and onset-to-treatment interval predicting therapy duration.

Area of Science:

  • Speech-language pathology
  • Pediatric audiology
  • Developmental pediatrics

Background:

  • The Lidcombe Program is an effective treatment for early childhood stuttering.
  • Predicting treatment duration is crucial for clinicians, especially when considering watchful waiting versus immediate intervention.
  • Previous research identified stuttering rate as a predictor of treatment time.

Purpose of the Study:

  • To replicate a prior Australian study on the Lidcombe Program in the UK.
  • To pool data from both studies for a meta-analysis to increase statistical power.
  • To identify predictors of treatment time for the Lidcombe Program.

Main Methods:

  • A UK cohort of 66 preschool children treated with the Lidcombe Program was studied.

Related Experiment Videos

  • Logistic regression analyses were performed on the UK data.
  • Data from the UK and Australian studies were combined for a meta-analysis.

    • Main Results:

    • Stage 1 of the Lidcombe Program took a median of 11 clinic visits to complete, consistent with the Australian study.
    • Stuttering rate at the first visit remained a significant predictor of treatment time.
    • The meta-analysis confirmed stuttering rate as a predictor and identified the onset-to-treatment interval as another significant factor.

    Conclusions:

    • Delaying Lidcombe Program intervention for up to one year after stuttering onset in preschoolers does not appear to compromise treatment responsiveness.
    • Children stuttering for over 12 months progressed through the program faster than those stuttering for less than 12 months.
    • These findings have significant clinical implications for managing preschool stuttering.