[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100590600":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":35,"centralContacts":39,"locations":45,"responsibleParty":64,"collaborators":66,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":76,"eligibilityCriteria":77,"healthyVolunteers":72,"sex":78,"minAge":79,"maxAge":80,"enrollmentInfo":81,"targetDuration":24,"studyType":84,"phases":85,"briefSummary":87,"conditions":88,"keywords":90,"overallStatus":47,"whyStopped":24,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"Montclair State University","OTHER",[8,14,20],{"label":9,"type":10,"description":11,"interventionNames":12},"ORDER: Visual acoustic biofeedback training","ACTIVE_COMPARATOR","The investigators will use the following approach, adopted successfully for the RCT in the previous funding cycle:\n\n(1) Participants will be randomized after providing informed consent, meeting eligibility requirements, and completing the tasks and clinician-rated baselines that determine response group (High, Low). (2) For each perception accuracy group, the statistician will develop 2 batches of 10 concealed envelopes for assignment, one for high production accuracy participants and one for low production accuracy participants. Each will contain 10 participant assignments in random order: 5 TAU+ Perception-first, 5 TAU-first. Thus, once the investigators have recruited the first 10 participants for one subgroup (e.g., Low Perceptual Accuracy, Low Production Accuracy), another batch of 10 envelopes will be generated to allocate the next 10 children recruited in that subgroup.",[13],"Behavioral: Visual acoustic biofeedback: ORDER",{"label":15,"type":16,"description":17,"interventionNames":18},"ORDER: Perceptual training","EXPERIMENTAL","The investigators will use the following approach, adopted successfully for the RCT in the previous funding cycle: (1) Participants will be randomized after providing informed consent, meeting eligibility requirements, and completing the tasks and clinician-rated baselines that determine response group (High, Low). (2) For each perception accuracy group, the statistician will develop 2 batches of 10 concealed envelopes for assignment, one for high production accuracy participants and one for low production accuracy participants. Each will contain 10 participant assignments in random order: 5 TAU+ Perception-first, 5 TAU-first. Thus, once we have recruited the first 10 participants for one subgroup (e.g., Low Perceptual Accuracy, Low Production Accuracy), another batch of 10 envelopes will be generated to allocate the next 10 children recruited in that subgroup.",[19],"Behavioral: Perception Training: ORDER",{"label":21,"type":22,"description":23,"interventionNames":24},"ORDER: No treatment","NO_INTERVENTION","No treatment, 4-week period of no treatment",null,[26,31],{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":24},"BEHAVIORAL","Visual acoustic biofeedback: ORDER","In visual-acoustic biofeedback treatment, elements of traditional articulation treatment are used, including auditory models, verbal descriptions of correct articulator placement, cues for repetitive motor practice via images and diagrams of the vocal tract as visual aids. These strategies are supplemented with a dynamic display of the speech signal in the form of the real-time LPC (Linear Predictive Coding) spectrum (Sona-Match module of PENTAX Sona- Speech software). Because correct vs incorrect productions of \u002Fr\u002F contrast acoustically in the frequency of the third formant (F3), participants will be cued to make their real-time LPC spectrum match a visual target characterized by a low F3 frequency. They will be encouraged to attend to the visual display while adjusting the placement of their articulators and observing how those adjustments impact F3. Knowledge of performance feedback will typically involve reference to the location of the third peak on the visual display.",[9],{"type":27,"name":32,"description":33,"armGroupLabels":34,"otherNames":24},"Perception Training: ORDER","Description: Perceptual training involves self-paced presentation of auditory stimuli via a computerized software program (Gorilla). Stimuli are organized into three separate tasks. In tasks 1 and 3, which train category goodness judgment, participants will hear 75 naturally produced speech tokens containing \u002Fr\u002F from various speakers, with a balance of correct and incorrect productions. They will classify each \u002Fr\u002F as correct or incorrect and receive feedback on the accuracy of their classification. Tasks 1 and 3 differ in that task 1 will feature a subset of items designed to provide focused practice on a specific context (e.g., initial \u002Fr\u002F as in red; \u002Fr\u002F as syllable nucleus as in sir), with increasing difficulty over time, whereas task 3 will feature randomly selected items representing all contexts and difficulty levels. In task 2, participants will hear 75 items drawn from the synthetic rake-wake continuum used in the identification task administered at baseline, but they will recei",[15],[36],{"name":37,"affiliation":5,"role":38},"Elaine Hitchcock, PhD","PRINCIPAL_INVESTIGATOR",[40],{"name":41,"role":42,"phone":43,"phoneExt":24,"email":44},"Elaine R. Hitchcock, PhD","CONTACT","973-229-3797","hitchcocke@montclair.edu",[46],{"facility":5,"status":47,"city":48,"state":49,"zip":50,"country":51,"countryCode":52,"cosmosGeoPoint":53,"geoPoint":58,"contacts":59},"RECRUITING","Montclair","New Jersey","07403","United States","US",{"type":54,"coordinates":55},"Point",[56,57],-74.20903,40.82593,{"lat":57,"lon":56},[60],{"name":61,"role":42,"phone":62,"phoneExt":24,"email":63},"Laura Ochs, Project Manager, MA","908-334-4140","ochsl@montclair.edu",{"type":65,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR",[67],{"name":68,"class":69},"National Institute on Deafness and Other Communication Disorders (NIDCD)","NIH","100590600","online-rotating-delivery-of-perceptionproduction-enhanced-treatment-for-rhotics-100590600",false,"NCT06969521","Online Rotating Delivery of Perception\u002FProduction Enhanced Treatment for Rhotics","Online Assessment and Enhancement of Auditory Perception for Speech Sound Errors: Online Rotating Delivery of Perception\u002FProduction Enhanced Treatment for Rhotics","ORDER","Inclusion Criteria:\n\nMust be between 8;0 and 17;11 years of age at the time of enrollment. Must speak English as the dominant language (i.e., must have begun learning English by age 2, per parent report).\n\nMust speak a rhotic dialect of English. Must pass a pure-tone hearing screening at 20dB hearing level. Must pass a brief examination of oral structure and function. Must exhibit less than 30% accuracy, based on consensus across 2 trained listeners, on a probe list eliciting rhotics in various phonetic contexts at the word level.\n\nMust exhibit no more than 3 sounds other than \u002Fr\u002F in error on the Goldman-Fristoe Test of Articulation-3 (GFTA-3).\n\nExclusion Criteria:\n\nMust not receive a T score more than 1.3 SD below the mean on the Wechsler Abbreviated Scale of Intelligence-2 (WASI-2) Matrix Reasoning Must not receive a scaled score of 7 or higher on the Recalling Sentences and Formulated Sentences subtests of the Clinical Evaluation of Language Fundamentals-5 (CELF-5).\n\nMust not have an existing diagnosis of developmental disability or major neurobehavioral syndrome such as cerebral palsy, Down Syndrome, or Autism Spectrum Disorder","ALL","8 Years","17 Years",{"count":82,"type":83},60,"ESTIMATED","INTERVENTIONAL",[86],"NA","The goal of this clinical trial is to determine whether perceptual training enhances speech perception and production outcomes in children with Residual Speech Sound Disorders (RSSD). The main questions it aims to answer are:\n\nDoes pre-treatment speech production accuracy predict treatment response?\n\nDoes perceptual acuity influence the effectiveness of perception-first versus production-first interventions?\n\nResearchers will compare TAU+Perception-first and TAU-first treatment conditions to see if the order of intervention affects speech improvement outcomes, particularly based on participants' initial perception and production accuracy.\n\nParticipants will:\n\nComplete pre-treatment evaluations to assess \u002Fr\u002F production and speech perception.\n\nBe grouped into high or low production and perception accuracy categories based on established thresholds.\n\nBe randomly assigned (using a blocked randomization procedure) to one of two treatment arms via telepractice.\n\nParticipate in the assigned treatment condition designed to target speech sound accuracy.\n\nRandomization is stratified to ensure treatment groups are balanced based on pre-treatment severity in both the perception and production domains.",[89],"Speech Sound Disorder",[91,92,93],"speech sound disorder","auditory perception","articulation","2025-05-22",{"date":96,"type":97},"2025-05-29","ACTUAL",{"date":99,"type":97},"2025-05-10",{"date":101,"type":83},"2027-07-01",{"name":5,"class":6},1]