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Extending Complexity to Word-Final Position via Telepractice: Intervention Effects for English-Speaking Children With

Irina Potapova¹, Abby John², Sonja Pruitt-Lord¹

¹School of Speech, Language, and Hearing Sciences, San Diego State University, CA.

Language, Speech, and Hearing Services in Schools

|November 4, 2024

Summary

Treating complex consonant clusters in word-final positions effectively improves speech sound disorder (SSD) in children. This study shows word-final targets, even with suffixes, yield significant gains with telepractice intervention.

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Published on: July 13, 2019

Area of Science:

Speech-language pathology
Linguistics
Child development

Background:

Phonologically complex targets are known to improve speech sound disorder (SSD).
Existing research primarily focuses on word-initial consonant clusters.
Word-final clusters present unique challenges due to potential suffixation.

Purpose of the Study:

To investigate the efficacy of speech sound intervention targeting complex consonant clusters in word-final positions.
To examine if word-final cluster intervention leads to widespread phonological gains in children with SSD.
To assess the impact of suffixes on intervention outcomes for word-final clusters.

Main Methods:

Eight English-speaking children with SSD participated in 18 telepractice intervention sessions.
Intervention targeted word-final two-element consonant clusters in monomorphemic and bimorphemic verbs.
Pre- and post-intervention assessments were conducted via telepractice.

Main Results:

All participants showed phonological improvements.
Six out of eight participants generalized skills to untreated sounds and words.
Positive changes were observed after a short intervention period (18 sessions).

Conclusions:

Word-final consonant clusters are effective targets for children with SSD.
Telepractice is a viable method for delivering speech sound interventions.
Clinicians can utilize these findings to inform treatment of word-final clusters.