{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T11:18:38Z","timestamp":1789903118222,"version":"4.0.1"},"reference-count":40,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["LSHSS"],"published-print":{"date-parts":[[2019,7,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Operationalized treatments for school-age children with speech sound disorders may result in more replicable and evidence-based interventions. This tutorial describes Speech Motor Chaining (SMC) procedures, which are designed to build complex speech around core movements by incorporating several principles of motor learning. The procedures systematically manipulate factors such as feedback type and frequency, practice variability, and stimulus complexity based on the child's performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The rationale and procedures for SMC are described. Examples are presented of how to design stimuli, deliver feedback, and adapt the approach. Free resources are provided to guide clinicians through implementation of the procedure. Data on fidelity of implementation and dose per session are presented. Clinical and research evidence is provided to illustrate likely outcomes with the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>SMC is a method that can result in successful acquisition of target speech patterns and generalization to untrained words. Most clinicians can implement the procedure with over 90% fidelity, and most children can achieve over 200 trials per session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians and researchers can use or adapt the operationally defined SMC procedures to incorporate several principles of motor learning into treatment for school-age children with speech sound disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Supplemental Material<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/5jmf9\/\">https:\/\/osf.io\/5jmf9\/<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2018_lshss-18-0081","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T18:05:38Z","timestamp":1556906738000},"page":"343-355","source":"Crossref","is-referenced-by-count":25,"title":["Tutorial: Speech Motor Chaining Treatment for School-Age Children With Speech Sound Disorders"],"prefix":"10.1044","volume":"50","author":[{"given":"Jonathan L.","family":"Preston","sequence":"first","affiliation":[{"name":"Department of Communication Sciences and Disorders, Syracuse University, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan C.","family":"Leece","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, Syracuse University, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaclyn","family":"Storto","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, Syracuse University, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1162\/jocn.2009.21306"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.3803.362"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2011\/09-0005)"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3200\/JMBR.36.2.212-224"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699206.2014.956232"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461.1902.211"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1972.5-233"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461.1302.66"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5101.24"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2008\/025)"},{"key":"e_1_3_2_12_1","volume-title":"Seeing speech","author":"McLeod S.","year":"2009"},{"key":"e_1_3_2_13_1","volume-title":"Opti-Speech: A newly developed biofeedback software for persistent speech sound disorders","author":"Mental R.","year":"2016"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1353\/lan.2016.0019"},{"issue":"112","key":"e_1_3_2_15_1","article-title":"A comparison of two treatments for childhood apraxia of speech: Methods and treatment protocol for a parallel group randomised control trial","volume":"12","author":"Murray E.","year":"2012","journal-title":"BMC Pediatrics"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2007\/032)"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2013.852901"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP-16-0232"},{"issue":"440","key":"e_1_3_2_19_1","article-title":"Intensive treatment with ultrasound visual feedback for speech sound errors in childhood apraxia","volume":"10","author":"Preston J. 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