Evidence map›Paper›PMID 30705241›Full record

Trial reportBMJ open2019

Internet delivery of intensive speech and language therapy for children with cerebral palsy: a pilot randomised controlled trial.

Lindsay Pennington, Elaine Stamp, Johanna Smith, Helen Kelly, Naomi Parker, Katy Stockwell, Patricia Aluko, Mohammad Othman, Katie Brittain, Luke Vale

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Tele-Assessment of Oral Personal Narratives in Arabic- and Hebrew-Speaking Children Using the Global TALES Protocol.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Communication Modes and Functions in Children With Cerebral Palsy.Journal of speech, language, and hearing research : JSLHR · 2020
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Lindsay PenningtonInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-4540-2586
Elaine StampInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Johanna SmithInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Helen KellySpeech and Language Therapy, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Naomi ParkerInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Katy StockwellInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Patricia AlukoInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Mohammad OthmanOpen Lab, Newcastle University, Newcastle upon Tyne, UK.
Katie BrittainDepartment of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK.
Luke ValeInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Newcastle University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorthumbria University · GB

Funding

Department of Health PB-PG-0712-28077Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

objectivesTo test the feasibility of recruitment, retention, outcome measures and internet delivery of dysarthria therapy for young people with cerebral palsy in a randomised controlled trial.

designMixed methods. Single blind pilot randomised controlled trial, with control offered Skype therapy at end of study. Qualitative study of the acceptability of therapy delivery via Skype.

settingNine speech and language therapy departments in northern England recruited participants to the study. Skype therapy was provided in a university setting.

participantsTwenty-two children (14 M, 8 F) with dysarthria and cerebral palsy (mean age 8.8 years (SD 3.2)) agreed to take part. Participants were randomised to dysarthria therapy via Skype (n=11) or treatment as usual (n=11).

interventionsChildren received either usual speech therapy from their local therapist for 6 weeks or dysarthria therapy via Skype from a research therapist. Usual therapy sessions varied in frequency, duration and content. Skype dysarthria therapy focused on breath control and phonation to produce clear speech at a steady rate, and comprised three 40 min sessions per week for 6 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: Feasibility and acceptability of the trial design, intervention and outcome measures.

resultsDepartments recruited two to three participants. All participants agreed to random allocation. None withdrew from the study. Recordings of children's speech were made at all time points and rated by listeners. Families allocated to Skype dysarthria therapy judged internet delivery of the therapy to be acceptable. All families reported that the study design was acceptable. Treatment integrity checks suggested that the phrases practised in one therapy exercise should be reduced in length.

conclusionsA delayed treatment design, in which dysarthria therapy is offered at the end of the study to families allocated to treatment as usual, is acceptable. A randomised controlled trial of internet delivered dysarthria therapy is feasible.

Indexed as

Internet-Based InterventionCerebral PalsyChildChild, PreschoolDysarthriaEnglandFeasibility StudiesFemaleHumansMalePatient Acceptance of Health CarePilot ProjectsQualitative ResearchSingle-Blind MethodSpeech Therapyclinical trialsspeech pathology

Identifiers

PMID30705241
PMCPMC6359732
OpenAlexW2901136442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.