title: Webcam delivery of the Lidcombe program for early stuttering: a phase I clinical trial.
abstract: OBJECTIVE
  The Lidcombe Program is an operant treatment for early stuttering shown with meta-analysis to have a favorable odds ratio. However, many clients are unable to access the treatment because of distance and lifestyle factors. In this Phase I trial, we explored the potential efficacy, practicality, and viability of an Internet webcam Lidcombe Program service delivery model.
  
  
  METHODS
  Participants were 3 preschool children who stuttered and their parents, all of whom received assessment and treatment using webcam in their homes with no clinic attendance.
  
  
  RESULTS
  At 6 months post-Stage 1 completion, all children were stuttering below 1.0% syllables stuttered. The webcam intervention was acceptable to the parents and appeared to be practical and viable, with only occasional audiovisual problems. At present, there is no reason to doubt that a webcam-delivered Lidcombe Program will be shown with clinical trials to have comparable efficacy with the clinic version.
  
  
  CONCLUSIONS
  Webcam-delivered Lidcombe Program intervention is potentially efficacious, is practical and viable, and requires further exploration with comparative clinical trials and a qualitative study of parent and caregiver experiences.
authors.forename: Sue
authors.initials: S
authors.lastname: O'Brian
authors.forename: Kylie
authors.initials: K
authors.lastname: Smith
authors.forename: Mark
authors.initials: M
authors.lastname: Onslow
mesh_terms: D017668:Age of Onset; D002648:Child; D018479:Early Intervention, Educational / Q000379:methods / Q000458:organization & administration; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D020407:Internet; D007805:Language Development Disorders / Q000628:therapy; D008297:Male; D010290:Parents; D013060:Speech; D013068:Speech Production Measurement; D013070:Speech Therapy / Q000379:methods* / Q000458:organization & administration; D013342:Stuttering / Q000628:therapy*; D017216:Telemedicine / Q000379:methods* / Q000458:organization & administration; D013813:Therapy, Computer-Assisted / Q000379:methods / Q000458:organization & administration; D016896:Treatment Outcome