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Trial registered on ANZCTR
Registration number
ACTRN12613001108707
Ethics application status
Approved
Date submitted
29/08/2013
Date registered
3/10/2013
Date last updated
6/08/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
A pilot study to measure the efficacy of a manualised oral narrative intervention programme for school-age children with narrative delay
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Scientific title
For school-age children with narrative delay is a manualised oral narrative intervention programme more effective than typical practice as measured by narrative macrostructure, microstructure and quality: A pilot study
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Secondary ID [1]
283108
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oral language delay
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Condition category
Condition code
Physical Medicine / Rehabilitation
290325
290325
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0
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Speech therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Phase One: Designing, Manualising and Piloting the Treatment Programme
1. Design narrative programme structure and develop manual to include scope and sequence of intervention targets and parameters of intervention.
2. Map structure to intervention sessions and goals/targets for each session.
3. Develop teaching scripts for each narrative element, to include a definition, model and examples.
4. Develop scripted contingent responses for macrostructure and microstructure elements.
5. Create scoring procedure to evaluate participants’ performance for macrostructure and microstructure as well as a pre and post measure of narrative quality.
Intervention sessions will consist of a range of activities such as book sharing, story generation, picture sequencing, story re-tells and character maps. These activities are commonly used in Speech Pathology sessions with young children. Each intervention session will last for 45 minutes.
The programme will be piloted with 6 monolingual English speaking participants, aged between 5.5 and 6.5. Intervention will be carried out in 2 groups of three, 3 times a week for 6 weeks. Changes to the programme will be made as needed, based on participant engagement and clinician judgment. Reasons for changes will be documented for future reference.
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Intervention code [1]
287827
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Treatment: Other
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Comparator / control treatment
Single subject repeated measures multiple baseline across participants research design
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Pre- and post-treatment data collection will use the Test of Narrative Language. Narratives will be analysed according to the test guidelines, utilizing SALT. Samples will be scored on narrative quality, using a like-ert scale. Measures of narrative quality include; amount of scaffolding and support required, use of paralinguistic features and engagement.
Gillam, R. B., & Pearson, N. A. (2004). Test of Narrative Language. Austin, TX: Pro-Ed.
Miller, J., & Iglesias, A. (2008). Systematic Analysis of Language Transcripts (SALT) [Computer Software]: LLC.
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Assessment method [1]
290359
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Timepoint [1]
290359
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Pre-treatment will be carried out in the week prior to intervention commencing and post-treatment will be carried out in the week following intervention.
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Primary outcome [2]
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Measures of narrative macrostructure and microstructure, will use a researcher generated analysis method to profile the samples in more detail. Measures will be collected during each intervention session.
Repeated measures analysis of the DVs will be completed using the macro and microstructure measures collected during baseline and treatment to determine change, and determine if changes are related to onset of treatment. Visual and statistical methods will be used to evaluate clinical and statistical significance.
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Assessment method [2]
290360
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Timepoint [2]
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During each intervention session (3 times per week for 6 weeks).
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Six monolingual English-speaking children between the ages of 5.5 to 6.5 with narrative delay will be selected from a metropolitan mainstream school. The school will be implementing typical classroom practice that does not include explicit teaching of narrative. A parent/teacher questionnaire will be used to ensure all participants are typically developing with no evidence of significant hearing, vision, behavioural, language and educational or medical issues present.
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Minimum age
5
Years
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Maximum age
6
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Evidence of significant hearing, vision, behavioural, language and educational or medical issues.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/03/2014
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Actual
3/03/2014
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Date of last participant enrolment
Anticipated
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Actual
14/03/2014
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Date of last data collection
Anticipated
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Actual
31/10/2014
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Sample size
Target
9
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Accrual to date
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Final
11
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Curtin University
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Address [1]
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Curtin University
GPO Box U1987
Perth
WA
6845
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Country [1]
287862
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
Curtin University
GPO Box U1987
Perth
WA
6845
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
286591
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Country [1]
286591
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289805
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Curtin University HREC
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Ethics committee address [1]
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Human Research Ethics Committee Office of Research & Development Curtin University GPO Box U1987 Perth WA 6845
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/08/2013
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Approval date [1]
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19/11/2013
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Ethics approval number [1]
289805
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Summary
Brief summary
This project will design, develop and investigate efficacy of a manualised theoretically driven oral narrative programme. Intervention will involve explicitly teaching macrostructure to 12 Pre-Primary children with narrative difficulties in small groups in a mainstream school. Multiple baseline repeated measures single-case design will be used to evaluate changes. Measures will include narrative macrostructure, microstructure and quality. The relationship between vocabulary and memory and response to intervention will also be investigated. This study has practical and theoretical significance as it will add to evidence for narrative intervention focusing on macrostructure and investigate the influence on vocabulary and sentence development.
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Trial website
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Trial related presentations / publications
Glisson, L., Claessen, M., & Leitão, S. (Under review) The efficacy of a small-group oral narrative intervention for mainstream school-aged children with narrative difficulty https://espace.curtin.edu.au/handle/20.500.11937/59145
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Public notes
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Contacts
Principal investigator
Name
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Dr Suze Leitao
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Address
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School of Psychology & Speech Pathology
Curtin University
GPO Box U1987
Perth
WA 6845
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Country
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Australia
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Phone
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+ 61 8 9266 7620
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Suze Leitao
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Address
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School of Psychology & Speech Pathology
Curtin University
GPO Box U1987
Perth
WA 6845
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Country
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Australia
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Phone
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+ 61 8 9266 7620
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Suze Leitao
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Address
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School of Psychology & Speech Pathology
Curtin University
GPO Box U1987
Perth
WA 6845
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Country
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Australia
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Phone
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+ 61 8 9266 7620
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Fax
42532
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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