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