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Group lidcombe program treatment for early stuttering: a randomized controlled trial.

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    Journal of Speech, Language, and Hearing Research : JSLHR
    |May 15, 2014
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    Group therapy using the Lidcombe Program is as effective as individual therapy for preschoolers who stutter. This approach requires fewer speech-language pathologist hours and is well-received by parents.

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    Area of Science:

    • Speech-language pathology
    • Childhood communication disorders

    Background:

    • The Lidcombe Program is a well-established treatment for early stuttering.
    • Evidence comparing individual versus group delivery of the Lidcombe Program is limited.

    Purpose of the Study:

    • To compare the efficacy of individual versus group treatment delivery for preschoolers who stutter using the Lidcombe Program.
    • To determine if group treatment is non-inferior to individual treatment.

    Main Methods:

    • A randomized controlled trial involving 54 preschoolers who stutter.
    • Comparison of individual versus a rolling group model for Lidcombe Program delivery.
    • Assessments at baseline, 9 months, and 18 months post-randomization.

    Main Results:

    • No significant differences were found between group and individual treatment in terms of treatment duration, stuttering severity, or parent ratings.
    • Children in the group arm received approximately half the number of speech-language pathologist hours.
    • Faster progress was observed in the group arm as clinicians gained experience, suggesting conservative estimates.

    Conclusions:

    • Group delivery of the Lidcombe Program is an effective alternative to individual therapy for childhood stuttering.
    • Parents reported positive responses to the group treatment model.
    • Speech-language pathologists found group treatment demanding yet rewarding.