JCPSLP Vol 17 No 3 2015

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

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 http://sydney.edu.au/health_sciences/asrc/ 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 http://sydney.edu.au/health-sciences/asrc/ docs/lp_treatment_guide_0314.pdf Speech Pathology Australia. (2014). Position statement: Telepractice in speech pathology . Melbourne: Author. Retrieved from http://www.speechpathologyaustralia. org.au/library/position_statements/20150130%20-%20 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. 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: kate.bridgman@unimelb.edu.au

129

JCPSLP Volume 17, Number 3 2015

www.speechpathologyaustralia.org.au