Abstract
Introduction: When speech sound errors persist beyond childhood they are classified as residual speech errors (RSE) and may have detrimental impacts on an individual’s social, educational and employment participation. Despite this, individuals who present with RSE are usually not prioritised on large caseloads.
Aim: This literature review aimed to examine what intervention approaches are available in remediating RSE, and how effective are they for adolescents and adults?
Methods: A systematised review was undertaken. Comprehensive and systematic searching included search of terms across seven databases, forward and reverse citation searching, and key author contact. Thirty articles underwent critical appraisal before data extraction. Inductive thematic analysis before completion of a narrative review.
Results: Twenty-three (76.6%) of the articles were from the US and most studies involved intervention for ‘r’ (90%). Intervention approaches for RSE involved traditional articulation therapy, auditory perceptual training, instrumental approaches, and approaches based on principles of motor learning. Twenty-one studies (70%) investigated the use of more than one intervention approach. Measures of intervention efficacy varied between studies; however, any intervention approach tended to be more successful if delivered in a more intensive schedule.
Conclusions: A variety of approaches can be used for RSE, but a combination of high intensity, traditional therapy with adjunctive instrumental biofeedback may be most effective, especially with highly motivated individuals. Unfortunately, this requires costly equipment and training to implement. More information about best dosage and intensity intervention for RSE, evaluated for a larger number of phonemes across other languages and dialects is required.
Aim: This literature review aimed to examine what intervention approaches are available in remediating RSE, and how effective are they for adolescents and adults?
Methods: A systematised review was undertaken. Comprehensive and systematic searching included search of terms across seven databases, forward and reverse citation searching, and key author contact. Thirty articles underwent critical appraisal before data extraction. Inductive thematic analysis before completion of a narrative review.
Results: Twenty-three (76.6%) of the articles were from the US and most studies involved intervention for ‘r’ (90%). Intervention approaches for RSE involved traditional articulation therapy, auditory perceptual training, instrumental approaches, and approaches based on principles of motor learning. Twenty-one studies (70%) investigated the use of more than one intervention approach. Measures of intervention efficacy varied between studies; however, any intervention approach tended to be more successful if delivered in a more intensive schedule.
Conclusions: A variety of approaches can be used for RSE, but a combination of high intensity, traditional therapy with adjunctive instrumental biofeedback may be most effective, especially with highly motivated individuals. Unfortunately, this requires costly equipment and training to implement. More information about best dosage and intensity intervention for RSE, evaluated for a larger number of phonemes across other languages and dialects is required.
| Original language | English |
|---|---|
| Publication status | Published - May 2023 |
| Event | Speech Pathology Australia 2023 National Conference - Hotel Grand Chancellor, Hobart, Australia Duration: 21 May 2023 → 24 May 2023 https://conference.speechpathologyaustralia.org.au/speech-pathology-australia-2023-national-conference/ https://conference.speechpathologyaustralia.org.au/speech-pathology-australia-2023-national-conference/program (Program) |
Conference
| Conference | Speech Pathology Australia 2023 National Conference |
|---|---|
| Abbreviated title | Reflect respect respond |
| Country/Territory | Australia |
| City | Hobart |
| Period | 21/05/23 → 24/05/23 |
| Other | On behalf of the Conference Planning Committee, I warmly welcome everyone to join us for the Speech Pathology Australia 2023 National Conference in Hobart. For many, the 2023 conference will be an opportunity to reunite with colleagues across the country and the globe for the first time in years. The 2023 conference will be a place for us to reconnect and share our collective enthusiasm for real and sustained progress in our profession. We look forward to you joining us as we take time to reflect on our experiences and passions, respect our resilience and diversity, and respond with energy and innovation. |
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