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Principal Investigator: Sue Ann Soyoung Lee
Organization: TEXAS TECH UNIVERSITY HEALTH SCIS CENTER
Fiscal Year: 2024
Award: $526,834
Funding agency: National Institute of Dental and Craniofacial Research
PROJECT SUMMARY/ABSTRACT
Although the Individuals with Disabilities Education Act (IDEA) ensures that all children with disabilities
are provided with appropriate public education, there is an increasing inequity in the provision of speech-
language services across the U.S. due to the critical shortage of speech-language pathologists (SLPs) in public
school settings. Telepractice is one way to mitigate the shortage issue. Currently available telepractice studies
have been conducted with small sample sizes and varying methodological rigor. In particular, to date no
treatment efficacy studies via telepractice have been conducted on children with a history of cleft palate (CP).
Children with repaired CP often develop compensatory articulation patterns which are not common in children
with speech disorders. It is imperative to identify whether telepractice is efficacious for children with repaired CP
to treat compensatory articulation. In evaluation of compensatory articulation errors, two major limitations exist
in the current literature. First, these errors are mainly examined based on the listener's auditory-perceptual
judgement without instrumental analysis; second, how speech perception plays a role in production of
compensatory articulation has not been fully investigated although ample evidence suggests interplay between
perception and production skills.
As a Phase I randomized controlled trial (RCT), this proposal responds to the NIDCR Behavioral Social
Intervention Clinical Trial Planning & Implementation Cooperative Agreement (UG3/UH3). This proposal fits with
NIDCR's Strategic Plan in that it aims to develop and test an effective behavioral intervention for children with
oral and craniofacial disorders. Our aim during the UG3 one-year planning period is to (1) finalize the intervention
protocols, (2) develop the Manual of Operations, (3) develop custom software for the data management system,
and (4) stimuli and software development for the speech perception experiment in order to complete an unbiased
RCT design for the UH3 phase. Our primary aims during the UH3 phase are (Aim 1) to establish the efficacy of
telepractice speech intervention for children with repaired CP, and (Aim 2) to quantitatively define compensatory
articulation errors using instrumentation analyses, and (Aim 3) to determine speech perception deficits in children
with CP. This research will be clinically significant because Aim 1 will assist clinicians to make evidence-based
decisions to adopt a telepractice service delivery model to treat children with repaired CP. Aims 2-3 will provide
important clinical rationales to evaluate speech production using instrumental analyses and to identify speech
perception deficits when clinicians treat children with CP. The importance of this study is highlighted by the
current COVID-19 pandemic. The associated social-distancing restrictions have been imposed upon school
teachers and SLPs to adopt telepractice while continuing to provide educational and therapeutic services. Thus,
the results of the proposed study will meet an increasing demand for telepractice efficacy studies for children
with speech disorders.
Terms: <0-11 years old><Acoustics><Adopted><Affect><Agreement><Articulation><Auditory><Behavior><Behavior Conditioning Therapy><Behavior Modification><Behavior Therapy><Behavior Treatment><Behavioral><Behavioral Conditioning Therapy><Behavioral Modification><Behavioral Therapy><Behavioral Treatment><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Certification><Characteristics><Child><Child Youth><Children (0-21)><Children with Disabilities><Cleft Palate><Clinical><Clinical Trials><Communication><Computer software><Conditioning Therapy><Cooperative Agreements><Custom><Data><Data Management Resources><Data Management System><Development><Disabled Children><Education><Educational aspects><Emotional><Ensure><Evaluation><Gene Transcription><Genetic Transcription><Goals><Handicapped Children><Healthcare><History><Image><Individual><Individuals with Disabilities Education Act><Inequity><Intervention><Intervention Strategies><Intervention Studies><Judgment><Language><Literature><Manuals><Measures><Methodology><Methods><Mission><Modeling><Monitor><Mouth Diseases><NIDCR><NIDR><NIH><National Institute of Dental Research><National Institute of Dental and Craniofacial Research><National Institutes of Health><Oral Cavity Disease><Oral Cavity Disorder><Oral Disease><Oral Disorder><Output><Parents><Pathologist><Patients><Pattern><Perception><Pharyngeal structure><Pharynx><Phase><Phonetics><Physical distancing><Physiologic><Physiological><Population><Prediction of Response to Therapy><Process><Production><Protocol><Protocols documentation><RNA Expression><Randomized, Controlled Trials><Recording of previous events><Reporting><Research><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Safety><Sample Size><School Teachers><School-Age Population><Schools><Self-control as a personality trait><Service delivery model><Service model><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Severities><Social Distance><Software><Speech><Speech Disorders><Speech Manifestations><Speech Perception><Speech and language services><Stimulus><Strategic Planning><Technology><Testing><Therapeutic><Throat><Transcription><Treatment Efficacy><Treatment Protocols><Treatment Regimen><Treatment Schedule><Treatment outcome><U-Series Cooperative Agreements><United States><United States National Institutes of Health><assess effectiveness><behavior intervention><behavioral intervention><care delivery model><clinical significance><clinically significant><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><craniofacial disorder><customs><determine effectiveness><develop software><developing computer software><developmental><effectiveness assessment><effectiveness evaluation><efficacy research><efficacy study><efficacy testing><emotional factor><evaluate effectiveness><evidence base><examine effectiveness><executive control><executive function><experiment><experimental research><experimental study><experiments><functional outcomes><glottis><health care><health care delivery model><health care service><healthcare delivery model><healthcare service><histories><imaging><improved><innovate><innovation><innovative><instrumentation><intervention efficacy><intervention program><intervention research><interventional research><interventional strategy><interventional study><interventions research><kids><language impairment><mouth disorder><non-speaking><non-verbal><non-vocal><operation><operations><parent><predict therapeutic response><predict therapy response><programs><public education><randomized control trial><repair><repaired><rural area><rural location><rural region><school age><self control><service delivery><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><skills><social><social interventions><software development><therapeutic efficacy><therapy efficacy><therapy prediction><treatment effect><treatment prediction><treatment response prediction><trial comparing><trial design><trial planning><urban area><urban location><urban region><youngster>