Clinical and quality of life outcomes of speech treatment for Parkinson’s disease delivered to the home via telerehabilitation: a noninferiority randomized controlled trial

Theodoros, Deborah G., Hill, Anne J. and Russell, Trevor G. (2016) Clinical and quality of life outcomes of speech treatment for Parkinson’s disease delivered to the home via telerehabilitation: a noninferiority randomized controlled trial. American Journal of Speech-Language Pathology, 25 2: 214-232. doi:10.1044/2015_AJSLP-15-0005


Author Theodoros, Deborah G.
Hill, Anne J.
Russell, Trevor G.
Title Clinical and quality of life outcomes of speech treatment for Parkinson’s disease delivered to the home via telerehabilitation: a noninferiority randomized controlled trial
Journal name American Journal of Speech-Language Pathology   Check publisher's open access policy
ISSN 1058-0360
1558-9110
Publication date 2016-05-01
Year available 2016
Sub-type Article (original research)
DOI 10.1044/2015_AJSLP-15-0005
Open Access Status Not Open Access
Volume 25
Issue 2
Start page 214
End page 232
Total pages 19
Place of publication Rockville, MD, United States
Publisher American Speech - Language - Hearing Association
Collection year 2017
Language eng
Formatted abstract
Purpose: This study investigated the noninferiority and validity of an intensive speech treatment for people with Parkinson’s disease (PD) delivered via telerehabilitation to the home. The effect of location on online delivery was also investigated.

Method: In this single-blinded, randomized controlled noninferiority trial, 31 participants with dysarthria associated with PD from a metropolitan area were randomly assigned to either face-to-face or online Lee Silverman Voice Treatment (LSVT LOUD). A cohort of 21 participants from nonmetropolitan areas was also recruited and treated online. Outcomes were assessed using acoustic, perceptual, and quality of life measures.

Results:
Noninferiority of online treatment was confirmed through comparable clinical and quality of life outcomes for the metropolitan online and face-to-face treatment groups. Significant improvements posttreatment were achieved for several acoustic, perceptual, and quality of life measures across the groups. No significant effect of online treatment location was identified.

Conclusions: Clinical and quality of life outcomes supported the noninferiority and validity of online delivery of intensive speech treatment to people with PD in the home. Future research should address the implementation of online treatment in a clinical service, cost analyses, and potentially technology-enabled clinical pathways for people with PD in order to maintain optimal communication and quality of life.
Keyword Intensive speech treatment
Parkinson's disease
Telerehabilitation
Dysarthria
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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