Palin PCI vs. Lidcombe question and answer with verified content

Palin PCI vs. Lidcombe question and answer with verified content Theoretical Model of Palin PCI -Demands and Capacities -Multifactorial view of stuttering (with internal and external factors) Theoretical Model of Lidcombe -NOT based on a specific causal theory of stuttering -Based on studies that showed the clinical promise of VERBAL RESPONSE CONTINGENT STIMULATION with preschoolers who stutter -Administered by parents (under the direct supervision of the clinician) Treatment Goals of Palin PCI -To establish a decreasing trend in stuttering -To reduce parental anxiety -To increase parental confidence in managing the stuttering Treatment goals of Lidcombe -OVERARCHING GOAL = to reduce stuttering to 0 -Behavioral Treatment of verbal contingent stimulation: 1. The parent reporting speech rate of 1-2, a majority being 1 for 3 consecutive weeks 2. The child meets %SS at 1% of below for 3 consecutive weeks Similarities between Palin PCI & Lidcombe -There is parental involvement -There are 1 hour weekly sessions with the clinician (initially) -There are parent-child 1-on-1 time -There is research to support efficacy of both -There is a focus on modifying external pressures to increase fluency (i.e. in the home environment, conversational style of family) -They both have maintenance/home consolidation programs Components of Palin PCI that are DIFFERENT from Lidcombe -Individualized from child to child -The goal is not to eliminate stuttering completely -The structure/dosage is different -Based on different theoretical approaches/frameworks -Has a 6-week home consolidation period Components of Lidcombe that are DIFFERENT than Palin PCI -Theoretical basis is on implementing effective evidence based strategies -There are structured stages and steps to the program (tx is the same in content and methods) -Focuses on eradicating disfluencies -Has a more gradual, maintenance progression Palin PCI is a better choice when... -May be appropriate for earlier intervention with younger clients -Possibly better for generalization because of the off-cycles at home -More beneficial if child is really complex because of the initial extensive evaluation Lidcombe is a better choice when... -You need to be able to compare and track progress using specific severity rating scales -You need to keep track of progression/regression closely over a longer period of time