A Telehealth Adaptation Of A Treatment For Chronic Stuttering
Funder
National Health and Medical Research Council
Funding Amount
$389,400.00
Summary
Stuttering can have devastating effects on psychological development, social adjustment, and the realisation of educational and vocational potential. Best practice treatments for chronic stuttering in adulthood and late adolescence stop or reduce stuttering with a systematic process of speech restructuring. However, speech restructuring treatment for chronic stuttering is specialised and resource intensive. Probably half of Australians with chronic stuttering cannot access such specialised treat ....Stuttering can have devastating effects on psychological development, social adjustment, and the realisation of educational and vocational potential. Best practice treatments for chronic stuttering in adulthood and late adolescence stop or reduce stuttering with a systematic process of speech restructuring. However, speech restructuring treatment for chronic stuttering is specialised and resource intensive. Probably half of Australians with chronic stuttering cannot access such specialised treatment services because of distance and lifestyle factors, and because clinicians do not have the resources to provide the treatment. These problems present a research challenge. The present project aims to meet this challenge by developing an innovative treatment model for adults who stutter based on telehealth. This treatment model will make the treatment accessible to all rural and urban dwelling patients with chronic stuttering, and will make the treatment deliverable by every clinician. The research will have significant impact for many end users.Read moreRead less
The Contribution Of Dopamine To Regulation Of Orofacial, Limb And Trunk Control: System Or Function Specific Effects?
Funder
National Health and Medical Research Council
Funding Amount
$493,124.00
Summary
Treatment for Parkinson's disease, including dopamine replacement therapy and deep brain stimulation, fail to produce the same beneficial effects on all movement systems. Whereas limb function is the primary beneficiary of these treatments, other functions such as speech and postural control are less responsive. Critical to the research is the postulate that such differences may have arisen due to the fact that previous studies of dopamine and movement control have investigated distinct motor sy ....Treatment for Parkinson's disease, including dopamine replacement therapy and deep brain stimulation, fail to produce the same beneficial effects on all movement systems. Whereas limb function is the primary beneficiary of these treatments, other functions such as speech and postural control are less responsive. Critical to the research is the postulate that such differences may have arisen due to the fact that previous studies of dopamine and movement control have investigated distinct motor systems via the assessment of distinct movement constructs, making cross system comparisons an impossible task. The proposed research will assess the effect of Parkinson's disease, deep brain stimulation and dopamine on identical muscle functions within the orofacial, trunk and limb muscle systems. To this end, the results generated from this resarch have the potential to reconceptualise working models of brain-muscle relationships. Further the research will provide guidance for future studies that aim to eradicate trade-off effects (e.g. limb function improved but not speech) relating to symptom relief for people with Parkinson's disease.Read moreRead less
Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced und ....Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced understanding of the cognitive and brain mechanisms involved in word production and its treatment after stroke, and (3) postgraduate training in state-of-the-art cognitive neuroimaging and language neuroscience research. Read moreRead less
Children's Changing Speech Error Patterns: Articulating, Listening, and Thinking. When children are learning to talk, they make many errors of pronunciation. Between speech onset and five years of age, their pronunciations change, gradually approaching adult pronunciations of words. Most children share the same error patterns, although 6% have difficulty acquiring intelligible speech, that affects their academic and social development. The investigation will examine factors that contribute to ....Children's Changing Speech Error Patterns: Articulating, Listening, and Thinking. When children are learning to talk, they make many errors of pronunciation. Between speech onset and five years of age, their pronunciations change, gradually approaching adult pronunciations of words. Most children share the same error patterns, although 6% have difficulty acquiring intelligible speech, that affects their academic and social development. The investigation will examine factors that contribute to the acquisition of speech in normally developing and speech-disordered populations: oro-motor skills, auditory and cognitive processing. Experiments will determine the importance of each domain for speech development. The efficacy of a novel intervention programme for children with speech disorders will be evaluated.Read moreRead less
An investigation of respiration in stuttering. Australia leads the world in stuttering research, and this project will maintain that profile. The research aims to establish if breathing has a causal role in stuttering. The new knowledge produced will support or weaken current theories of the cause of stuttering and will contribute to understanding the nature of the disorder. In particular, it will be applied to develop more effective and efficient treatments for chronic stuttering.
Establishing the relationship between anxiety and stuttering. The present project will establish basic knowledge about the disorder of stuttering, which will contribute to offsetting the personal and community costs of the disorder by guiding empirical investigations into its nature and the development of future treatments. Further benefits at the population level will occur by provision to the public of basic information about the disorder assembled from this project. By conveying information f ....Establishing the relationship between anxiety and stuttering. The present project will establish basic knowledge about the disorder of stuttering, which will contribute to offsetting the personal and community costs of the disorder by guiding empirical investigations into its nature and the development of future treatments. Further benefits at the population level will occur by provision to the public of basic information about the disorder assembled from this project. By conveying information from the present project to clinicians who treat stuttering patients, the project will benefit Australians who stutter.Read moreRead less
Stuttering in childhood: Patterns of recovery and persistence. This project will benefit the 1 in 20 Australian children who stutter and their families. We will learn for the first time how stuttering impacts on child development in the early school years and document the relationship between stuttering and other childhood conditions. The study will produce much needed information about recovery from stuttering and stuttering persistence. Therefore new knowledge will result to inform the scienti ....Stuttering in childhood: Patterns of recovery and persistence. This project will benefit the 1 in 20 Australian children who stutter and their families. We will learn for the first time how stuttering impacts on child development in the early school years and document the relationship between stuttering and other childhood conditions. The study will produce much needed information about recovery from stuttering and stuttering persistence. Therefore new knowledge will result to inform the scientific community and provide professionals and families with much needed evidence-based information about stuttering progression. Together this information will inform intervention approaches and help direct resources to those children who need them most. Read moreRead less
Communication outcomes of preterm children: prevalence, description and intervention. Premature birth places children at risk of major disability, yet the majority of children are considered neurologically normal and disability free. However in follow-up studies at school age, preterm children are found to have lower verbal and nonverbal abilities that affects their academic and social development. Preterm children are six times more likely to require special educational support. This investigat ....Communication outcomes of preterm children: prevalence, description and intervention. Premature birth places children at risk of major disability, yet the majority of children are considered neurologically normal and disability free. However in follow-up studies at school age, preterm children are found to have lower verbal and nonverbal abilities that affects their academic and social development. Preterm children are six times more likely to require special educational support. This investigation will examine the communication skills, cognitive processes and academic progress of children born preterm. The findings will provide an evidence base for decisions about monitoring and intervention of preterm infants at greater risk for poorer speech-language and academic outcomes.Read moreRead less
Speaking my language: International speech acquisition in Australia. It is important to differentiate between children who have communication impairment (difficulty learning all languages) from those who only have difficulty learning subsequent language(s). Communication impairment in multilingual children is both undiagnosed and over-diagnosed due to lack of culturally-sensitive measurement tools. Early intervention can ameliorate communication impairment in children and can reduce subsequent e ....Speaking my language: International speech acquisition in Australia. It is important to differentiate between children who have communication impairment (difficulty learning all languages) from those who only have difficulty learning subsequent language(s). Communication impairment in multilingual children is both undiagnosed and over-diagnosed due to lack of culturally-sensitive measurement tools. Early intervention can ameliorate communication impairment in children and can reduce subsequent educational, social and occupational outcomes of untreated communication impairment. By working with people around the world, this Fellowship will result in the development of the International Speech Assessment designed to differentially identify children and to specify holistic early intervention goals.Read moreRead less