Comparing traditional service delivery and telepractice for speech sound production using a functional outcome measure

Kathy Coufal, Douglas Parham, Melissa Jakubowitz, Cassandra Howell, Jared Reyes

Research output: Contribution to journalArticle

3 Scopus citations


Purpose: Using American Speech-Language-Hearing Association’s (ASHA’s) National Outcomes Measurement System (NOMS) Functional Communication Measure (FCM) as a common metric, this investigation compared traditional service delivery and telepractice service delivery for children receiving therapy for the NOMS diagnostic category of “speech sound production.” Method: De-identified cases were secured from ASHA’s NOMS database and a proprietary database from a private e-learning provider. Cases were included if they met 3 criteria: (a) children received treatment exclusively for speech sound production, (b) they were between 6.0 and 9.5 years old, and (c) they received therapy lasting between 4 and 9 months. A total of 1,331 ASHA NOMS cases and 428 telepractice cases were included. The 2 groups were matched by initial FCM scores. Mann–Whitney U tests were completed to compare differences in the median change scores (the difference between the initial and final FCM scores) between the 2 groups. Results: There were no significant differences in the median change scores between the traditional group and the telepractice group. Conclusions: These results suggest comparable treatment outcomes between traditional service delivery and telepractice for treatment of children exhibiting speech sound disorders. The findings provide support for the use of telepractice for school-age children.

Original languageEnglish (US)
Pages (from-to)82-90
Number of pages9
JournalAmerican journal of speech-language pathology
Issue number1
Publication statusPublished - Feb 2018


ASJC Scopus subject areas

  • Otorhinolaryngology
  • Developmental and Educational Psychology
  • Linguistics and Language
  • Speech and Hearing

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