Effects of Preintervention Environmental Modification on Training in the Lidcombe Program

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  • 小児吃音に対するリッカムプログラム導入前に環境調整法を行うことが訓練効果に及ぼす影響
  • ショウニ キツオン ニ タイスル リッカムプログラム ドウニュウ マエ ニ カンキョウ チョウセイホウ オ オコナウ コト ガ クンレン コウカ ニ オヨボス エイキョウ

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Abstract

Objective: The Lidcombe Program （LP）, as an intervention for childhood stuttering, has demonstrated effectiveness. However, a substantial number of children who stutter await implementation in Japan. Conversely, environmental modification techniques share commonalities with LP in terms of the skills required by parents. Therefore, implementing environmental modification interventions during the LP waiting period may enable parents to acquire some of the necessary skills for LP. This study aimed to investigate the effects of environmental modification interventions during the LP waiting period, rather than mere observation, on the subsequent LP implementation. Methods: This study retrospectively analyzed the medical records of children who underwent LP during the study period. Cases with environmental modification intervention before LP introduction were classified as group I, whereas those without such intervention were classified as group II. The progression of stuttering symptoms after the LP introduction was investigated. Additionally, one case with similar baseline information was extracted from each group for comparison. Results: Group I consisted of three cases, and an overall improvement trend was observed despite instances of temporary worsening of stuttering symptoms after LP introduction. In contrast, group II, comprising three cases, demonstrated no significant improvement in stuttering symptoms. Conclusion: Conducting environmental modification interventions before LP introduction may cause parents to acquire some of the necessary skills for LP, thereby potentially exerting a positive influence on training after LP introduction.

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