JCPSLP Vol 17 No 3 2015

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JCPSLP Volume 17, Number 3 2015 129
Lowe, R., O’Brian, S., & Onslow, M. (2014). Review
of telehealth stuttering management. Folia Phoniatrica et
Logopaedica, 65(5), 223–238. doi: 10.1159/000357708
O’Brian, S., Smith, K., & Onslow, M. (2014). Webcam
delivery of the Lidcombe Program for early stuttering:
Phase I clinical trial. Journal of Speech, Language and
Hearing Research, 57, 825–830.
Packman, A., Onslow, M., Webber, M., Harrison, E.,
Lees, S., Bridgman, K., et al. (2011). The Lidcombe
Program of early stuttering intervention treatment guide.
Retrieved from
docs/lp_manual_2011.pdf
Packman, A., Onslow, M., Webber, M., Harrison, E.,
Lees, S., Bridgman, K., et al. (2014). The Lidcombe
Program of early stuttering intervention treatment guide.
Retrieved from
docs/lp_treatment_guide_0314.pdf
Speech Pathology Australia. (2014). Position statement:
Telepractice in speech pathology. Melbourne: Author.
Retrieved from
Telepractice%20in%20Speech%20Pathology%20
Position%20Statement%202.pdf
Taylor, O. D., Armfield, N. R., Dodril, P., & Smith, A. C.
(2014). A review of the efficacy and effectiveness of using
telehealth for paediatric speech and language assessment.
Journal of Telemedicine and Telecare, 20(7), 405–412.
Verdon, S., Wilson, L., Smith-Tamaray, M., & McAllister,
L. (2011). An investigation of equity or rural speech-
language pathology services for children: A geographical
perspective. International Journal of Speech-Language
Pathology , 13(3), 239–250.
Yairi, E. (1983). The onset of stuttering in two- and three-
year-old children: A preliminary report. Journal of Speech &
Hearing Disorders, 48(2), 171–177.
Resources
Resource materials are required for daily treatment in the
Lidcombe Program regardless of how consultations are
delivered. Families using webcam are not required to have
any more resources than clinic families. Part of the initial
weeks of treatment for both groups involves discussing the
resource materials available to respective families and
adapting them for treatment accordingly. The SLP in the
RCT used general paediatric clinical resource materials for
both groups interchangeably. These included books, cards,
turn-taking games, magnetic and felt boards, pretend-play
sets, figurines, and construction toys.
Conclusion
A clinical trial (Bridgman et al., 2014) investigating webcam
treatment delivery of the Lidcombe Program showed no
difference in stuttering reduction measures or the number of
sessions required to reach the end of Stage 1. This article
outlines additional clinical observations of trends, unique to
webcam delivery, during the trial. While they did not impact
the outcomes as a group, individual adjustments and
considerations were made throughout the treatment
process. SLPs engaging in webcam treatment delivery with
families should consider and plan for issues and
perceptions related to convenience, clinical behaviour,
treatment preparation, defining the clinical space, behaviour
management, and developing relationships to maximise
outcomes.
References
Bridgman, K. (2014). Webcam delivery of the Lidcombe
Program for preschool children who stutter: A randomised
controlled trial. Doctor of Philosophy, The University of
Sydney.
Bridgman, K., Block, S., Onslow, M., O’Brian, S., &
Jones, M. (2014). Webcam preschool stuttering treatment:
Outcomes and experiences from a clinical trial. Paper
presented at the 10th Oxford Dysfluency Conference,
Oxford, United Kingdom.
Ciccia, A. H., Whitford, B., Krumm, M., & McNeal, K.
(2011). Improving the access of young urban children to
speech, language and hearing screening via telehealth.
Journal of Telemedicine and Telecare, 17(5), 240–244.
Jones, M., Onslow, M., Packman, A., Williams, S.,
Ormond, T., Schwarz, I., & Gebski, V. (2005). Randomised
controlled trial of the Lidcombe programme of early
stuttering intervention. BMJ: British Medical Journal,
331(7518), 659-661. doi:10.1136/bmj.38520.451840.E0
Kate Bridgman completed her PhD investigating webcam
delivery of the Lidcombe Program compared with in-clinic delivery.
The study was supported by The University of Sydney and
conducted at La Trobe University. Susan Block is senior lecturer
at La Trobe University. Sue O’Brian is a postdoctoral fellow at the
Australian Stuttering Research Centre.
Correspondence to:
Dr Kate Bridgman
The University of Melbourne
email: