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
Predictors And Correlates Of Developmental Language Problems: A Longitudinal Study From Infancy To Pre-school Age
Funder
National Health and Medical Research Council
Funding Amount
$537,750.00
Summary
Language impairment is a disabling condition, thought to affect between 7% and 15% of 4 year old children. It has serious and lasting implications for social and emotional development, cognition, behaviour and literacy. A link has been demonstrated between language impairment and later psychiatric disorders in adolescence and adulthood. Given the potential of enhancing the language development of young children, it is critical that effective prevention and early intervention programs are availab ....Language impairment is a disabling condition, thought to affect between 7% and 15% of 4 year old children. It has serious and lasting implications for social and emotional development, cognition, behaviour and literacy. A link has been demonstrated between language impairment and later psychiatric disorders in adolescence and adulthood. Given the potential of enhancing the language development of young children, it is critical that effective prevention and early intervention programs are available. However, current knowledge is liminted in that there are no entirely satisfactory methods for detecting children who at much younger ages, 8 months, 12 months, 2 years and 3 years, are at risk of later impairment. In this study we aim to: examine the risk factors (many are thought to exist) that contribute to language impairment learn more about the natural history of this disabling disorder in children between 8 months and 4 years of age Ultimately, we aim to identify early signs that might warn health professionals and parents of language impairment so that such problems can be detected much earlier. Early identification will mean that help is available at an earlier age to children who currently go on to have persisting and extremely disabling language impairment.Read moreRead less
Improving The Communication Of People With Severe Traumatic Brain Injury: A Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$448,293.00
Summary
Traumatic brain injury is the leading cause of disability in young Australians, and is particularly prevalent in young men. The condition disturbs thinking and problem solving. Ultimately, these problems manifest in impaired verbal communication. Communication problems following traumatic brain injury can make critical relationships-such as father, husband, and employee-impossible to sustain. Those affected are socially inappropriate and uncomfortable to be around, which causes a lifetime of los ....Traumatic brain injury is the leading cause of disability in young Australians, and is particularly prevalent in young men. The condition disturbs thinking and problem solving. Ultimately, these problems manifest in impaired verbal communication. Communication problems following traumatic brain injury can make critical relationships-such as father, husband, and employee-impossible to sustain. Those affected are socially inappropriate and uncomfortable to be around, which causes a lifetime of lost friendships, unemployability, and social isolation. Minimisation of these lifelong effects is of the utmost importance to the health of those affected, and is critical to reducing the economic burden of the condition. Two approaches have been shown to improve the communication of those with traumatic brain injury. Training in social skills is helpful, as is training partners to deal with difficult communication behaviours. However, to date, no research has concurrently studied these two approaches to rehabilitation. Consequently, it is unknown whether best results are achieved with either one of the two methods, or both. The present project uses a clinical trials approach in an innovative evaluation of three methods of treating those with traumatic brain injury compared with a control group. The trial involves the conceptual advances of including cost effectiveness of treatment as an outcome measure, and inclusion of advanced methods to measure the intricacies of verbal communication. The multidisciplinary team of Chief Investigators has international track records in the requisite disciplines for the study of traumatic brain injury and its rehabilitation.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
Use Of Innovative Mobile Telehealth Technology To Enable A New Service Delivery Solution For Dysphagia Management
Funder
National Health and Medical Research Council
Funding Amount
$207,231.00
Summary
Dysphagia, the term used to describe a swallowing difficulty, affects up to 30% of people over 65 years of age. Speech pathologists are responsible for diagnosing and managing dysphagia, however there is a shortfall between the number of clinicians available and the large number of individuals with this condition. The study aims to validate a way to assess dysphagia using telehealth, to increase access to speech pathology services particularly for patients in rural health settings.
The Effects Of Treating Comorbid Social Phobia In Adults Who Stutter
Funder
National Health and Medical Research Council
Funding Amount
$196,245.00
Summary
Stuttering is a distressing and common speech disorder that prevents normal communication, hinders attainment of occupational potential, and can cause a lifetime of embarrassment and anxiety in everyday speaking situations. Around half of all adults who stutter have a condition called social phobia, which involves excessive anxiety in social situations. This is an important observation, because it is well known that treatments for adults who stutter are not particularly effective for some patien ....Stuttering is a distressing and common speech disorder that prevents normal communication, hinders attainment of occupational potential, and can cause a lifetime of embarrassment and anxiety in everyday speaking situations. Around half of all adults who stutter have a condition called social phobia, which involves excessive anxiety in social situations. This is an important observation, because it is well known that treatments for adults who stutter are not particularly effective for some patients. In this research project, we investigate the possibility that this is because existing treatments have not addressed the fact that many adults who stutter have levels of social anxiety in everyday speaking situations. In this experiment, half the subjects receive a standard treatment and the other half receive a standard treatment plus cognitive behaviour therapy designed to alleviate their social anxiety.Read moreRead less
Home-based Speech Treatment For Parkinsons Disease Via Telerehabilitation : Clinical And Economic Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$485,793.00
Summary
Parkinson's Disease affects a person's ability to speak clearly. Speech pathologists can provide effective treatment for this speech disorder. Access to a speech pathologist, however, is difficult for many people with Parkinson's Disease due to their physical difficulties and the limited availability of speech pathology services in rural areas. This study demonstrates the use of telerehabilitation to deliver speech treatment to people with Parkinson's Disease in their own homes via the Internet.
Randomised Trial Of An Innovative Treatment For Early Stuttering.
Funder
National Health and Medical Research Council
Funding Amount
$482,568.00
Summary
Stuttering begins early in life and has destructive effects on human development. These include failure to attain occupational potential and psychiatric illness. This project is a clinical trial to compare a new treatment with best practice. The new treatment has many potential benefits. It is simpler and may take less time, and can be used more easily by clinicians.
Auditory Processing Deficits In Specific Language Impairment And Specific Reading Disability:Their Effects And Treatment
Funder
National Health and Medical Research Council
Funding Amount
$314,250.00
Summary
One possible cause of specific language impairment (SLI) and specific reading disability (SRD; commonly known as dyslexia) is an inability to discriminate between sounds. Such an impairment could affect the ability to discriminate between simple speech sounds (phonemes) which are the basic building blocks for developing spoken language and reading skills. How many children with SLI or SRD have poor sound discrimination? What pattern of spoken language and reading impairments do these children ha ....One possible cause of specific language impairment (SLI) and specific reading disability (SRD; commonly known as dyslexia) is an inability to discriminate between sounds. Such an impairment could affect the ability to discriminate between simple speech sounds (phonemes) which are the basic building blocks for developing spoken language and reading skills. How many children with SLI or SRD have poor sound discrimination? What pattern of spoken language and reading impairments do these children have as a result of this impairment? Can poor sound discrimination be fixed? If it can, does it improve spoken language and reading impairments? And if it does, does it have an immediate effect or does it take some time to make a difference? These are some of the questions that will be addressed by this research. The answers will help us develop a training program that focuses specifically on improving the sound discrimination abilities of children who really need it. This will be a more efficient and inexpensive (if not free) than the Fast ForWord program that trains multiple non-verbal and verbal processing abilities regardless of whether a child has an impairment in all (or any) of these abilities and is therefore time consuming (approximately 80 hours) and expensive (approximately $AUD2000). The data will also help up better identify the spoken and written language profiles that characterise children who have sound discrimination deficits so we can better predict whether they would benefit from training programs such as Fast ForWord. And the data will tell use whether impaired sound discrimination can be used to predict whether infants might be at risk for later spoken language and reading problems.Read moreRead less
What People With Aphasia Want: Towards Person-centred Goal-setting In Aphasia Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$427,702.00
Summary
Consumers of health services expect their concerns and priorities to form part of their health care. People with aphasia have difficulty communicating their needs and speech pathologists are challenged to plan therapy to meet aphasic clients' needs. Family members of people with aphasia also have unrecognised concerns. The first aim of this study is to determine the goals of people with aphasia and their families and to gain their perspective of whether these goals were addressed in speech thera ....Consumers of health services expect their concerns and priorities to form part of their health care. People with aphasia have difficulty communicating their needs and speech pathologists are challenged to plan therapy to meet aphasic clients' needs. Family members of people with aphasia also have unrecognised concerns. The first aim of this study is to determine the goals of people with aphasia and their families and to gain their perspective of whether these goals were addressed in speech therapy. The study will then seek the perspective of their treating speech pathologists about the goals of therapy and the challenges that speech pathologists face in practising person-centered goal setting. This study will not only provide a framework for aphasia services in Australia but also provide data that will inform professional educational programs about person-centered practice for speech pathologists and other health professionals. It will also contribute to current theories on collaborative goal setting in a rehabilitation context.Read moreRead less