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Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors
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Content validation of the Adapted Cycles Intervention Program (PROCICLOS-A) for children with Speech Sound Disorder -
Carolina Kuntz Ayub1, Haydée Fiszbein Wertzner2
1Programa de Pós-graduação em Ciências da Reabilitação, Departamento de Fonoaudiologia, Fisioterapia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo - USP - São Paulo (SP), Brasil.
Codas
|February 11, 2026
Summary
The Adapted Cycles Intervention Program (PROCICLOS-A) activities show moderate agreement among expert judges for treating children's speech sound disorders. This validation supports its use in speech therapy interventions.
Area of Science:
- Speech-Language Pathology
- Childhood Communication Disorders
- Phonological Intervention
Background:
- Speech sound disorders (SSDs) affect children's communication and literacy.
- Phonological intervention programs require structured, validated activities for efficacy.
- The Adapted Cycles Intervention Program (PROCICLOS-A) was developed to address SSDs.
Purpose of the Study:
- To describe the activities within the PROCICLOS-A.
- To validate the intervention activities for children with SSDs through expert evaluation.
Main Methods:
- A prospective, cross-sectional design with quantitative analysis was used.
- PROCICLOS-A involves 12 sessions targeting phonological processes and specific sounds.
- Expert judges evaluated the program's activities and strategies using the AC1 coefficient for agreement analysis.
Main Results:
- Expert judges demonstrated a moderate level of agreement (AC1 = 0.7125) on the intervention activities.
- The evaluation focused on the appropriateness and structure of the 14 strategies across 5 activity types.
Conclusions:
- The activities within PROCICLOS-A are well-defined and show a good level of agreement among experts.
- This validation supports the use of PROCICLOS-A as a structured intervention for children with speech sound disorders.
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