0:00:13.091,0:00:16.777 Good afternoon everyone. 0:00:17.347,0:00:25.848 My name is Sarita Koushik. 0:00:26.518,0:00:31.522 Five weeks ago I gave birth [br]to my first child. 0:00:31.792,0:00:39.958 His name is Marley. 0:00:43.058,0:00:46.631 I was asked to deliver my speech today [br]in approximately five minutes. 0:00:47.621,0:00:48.813 As you can see, 0:00:48.813,0:00:51.902 five minutes might not be enough time [br]for a person who stutters 0:00:51.902,0:00:53.673 to really get their message across. 0:00:54.643,0:00:55.860 As a matter of fact, 0:00:55.860,0:00:59.142 many adults who stutter will not speak [br]in a public event like this. 0:01:00.972,0:01:04.984 Research shows that advanced stuttering [br]is linked to mental health disorders 0:01:05.424,0:01:07.585 including social phobia and anxiety; 0:01:07.875,0:01:10.846 therefore, an early intervention program [br]is essential. 0:01:12.786,0:01:15.219 However, receiving treatment [br]in a timely manner 0:01:15.219,0:01:17.814 is not always possible, for two reasons. 0:01:18.464,0:01:23.102 One: The demands for speech and language [br]pathology have increased around the world 0:01:23.592,0:01:28.178 and have doubled to 16 months in parts of [br]Australia during the last year. 0:01:29.458,0:01:32.017 And two: To meet those demands, 0:01:32.267,0:01:36.801 clinical institutions are reducing the [br]number of allocated treatment sessions 0:01:37.211,0:01:41.017 which may not be enough for stuttering [br]child to complete the treatment process. 0:01:42.207,0:01:45.018 One such treatment is called [br]the Lidcombe Program; 0:01:45.018,0:01:47.761 it's an early intervention [br]approach for stuttering. 0:01:49.521,0:01:52.038 There are two stages of [br]a Lidcombe program. 0:01:52.508,0:01:57.148 In stage one, the parent and child [br]visit clinician on a weekly basis 0:01:57.548,0:02:01.790 and this continues until the child reaches[br]near zero levels of stuttering 0:02:02.740,0:02:06.031 and then the child enters the [br]second stage which is maintenance. 0:02:07.441,0:02:08.591 So the question is: 0:02:08.591,0:02:13.130 How long does sessions [br]take during stage one? 0:02:14.160,0:02:19.751 Well, evidence shows that in stage one [br]it takes 21 weekly clinic visits 0:02:20.111,0:02:25.024 for 90% of children to reach [br]zero level of stuttering; 0:02:25.504,0:02:29.411 however, with increased caseloads [br]and decreased numbers of clinic visits, 0:02:29.931,0:02:32.653 clinicians are not adhering [br]to weekly sessions, 0:02:32.973,0:02:33.973 but instead they're offering 0:02:33.973,0:02:34.973 more intensive 0:02:34.973,0:02:36.012 and less intensive treatment 0:02:36.012,0:02:37.729 than the standard. 0:02:38.299,0:02:43.965 So, the aim of my research is to evaluate [br]the effects of varying treatment schedules 0:02:44.265,0:02:48.230 on number of clinic visits during [br]stage one of the Lidcombe program. 0:02:49.640,0:02:53.778 Children in my study are randomly assigned[br]to one of three treatment options. 0:02:54.198,0:02:55.198 In the first group 0:02:55.198,0:02:56.601 they're receiving 0:02:56.601,0:02:58.004 weekly treatment 0:02:58.004,0:02:59.423 and we'll compare that 0:02:59.423,0:03:00.841 to the other two groups. 0:03:00.841,0:03:02.260 In the second they receive [br]twice weekly treatment 0:03:02.580,0:03:05.569 and in the third group they receive [br]treatment every fortnight. 0:03:06.829,0:03:11.031 So findings from my study will help [br]clinicians better manage their caseloads 0:03:11.491,0:03:14.281 will help clinical institutions make [br]informed decision 0:03:14.281,0:03:16.543 regarding optimal treatment sessions, 0:03:16.923,0:03:19.651 but ultimately my research [br]will benefit the children. 0:03:20.231,0:03:23.823 Not only will they receive an [br]effective treatment schedule 0:03:23.823,0:03:26.183 in the management of their stuttering, 0:03:26.183,0:03:30.111 but we will stop the stuttering [br]before it advances, 0:03:30.401,0:03:34.453 ao that each child will have the equal [br]opportunity to speak in public events 0:03:34.453,0:03:36.154 like TEDxNewy. 0:03:36.394,0:03:38.029 Thank you very much. 0:03:38.029,0:03:40.329 (Applause)