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PROMPT intervention for children with severe speech motor delay: a randomized control trial
Aravind K Namasivayam1,2, Anna Huynh3, Francesca Granata3
1Oral Dynamics Laboratory, Department of Speech-Language Pathology, University of Toronto, Toronto, ON, Canada. a.namasivayam@utoronto.ca.
Pediatric Research
|May 2, 2020
Summary
Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) intervention significantly improved speech motor control and intelligibility in children with speech motor delay. This approach offers clinical effectiveness for this population.
Area of Science:
- Speech-Language Pathology
- Pediatric Therapy
- Clinical Research
Background:
- Limited research exists on effective interventions for children with speech motor delay (SMD).
- This study investigates the efficacy of the PROMPT intervention for children diagnosed with SMD.
Purpose of the Study:
- To evaluate the effectiveness of the PROMPT intervention compared to a waitlist and home training control group for children with SMD.
- To assess improvements in speech motor control, articulation, and intelligibility.
Main Methods:
- A randomized control trial (RCT) involving 49 children with SMD.
- Participants were assigned to either the PROMPT intervention group (24 children) or a waitlist control group (25 children).
- Intervention involved 10 weeks of PROMPT therapy twice weekly, with assessments at baseline and 10-week follow-up.
Main Results:
- PROMPT intervention demonstrated significant improvements in speech motor control, articulation, and word-level speech intelligibility.
- Modest improvements were observed in sentence-level intelligibility and functional communication.
Conclusions:
- PROMPT intervention is a clinically effective approach for enhancing speech outcomes in children with SMD.
- These findings support the development of evidence-based care pathways for children with severe speech sound disorders.
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