PROMPT: An Approach to Improving Speech Intelligibility

PROMPT: An Approach to Improving Speech Intelligibility

Does it feel like your child’s speech is so hard to understand you don’t know where to start? Has he or she been working on the same speech sounds in therapy with little or no progress? If you answered yes to one or both of these questions, it is possible that your child’s speech delay is caused by motor-speech or motor planning difficulties. When this is the case, traditional articulation therapy can often feel frustrating and yield minimal results. A PROMPT-based approach is a viable alternative that clients and families should consider.

What is PROMPT?

PROMPT stands for Prompts for Restructuring Oral Muscular Phonetic Targets. The PROMPT-based approach treats speech as a motor act that can be effectively targeted with visual, auditory, and tactile cues paired with repeated practice. It can only be completed by a trained therapist due to the specific process that must be followed for evaluation and treatment planning and mastery of specific techniques that are required for implementation.
How is PROMPT different from traditional articulation therapy?

What is most unique about PROMPT is the tactile, or touch, cues the speech-language pathologist uses on the client’s face to support and shape the correct motor movement. When paired with the auditory and visual prompts of traditional articulation therapy, this multi-modal approach allows the client to feel where their articulators should be in order to produce particular sounds. PROMPT also helps to reduce unnecessary muscle movements such as jaw sliding, supporting movements that are controlled and graded.

PROMPT is also functional therapy approach, not simply focused on sound or word drills. Target words are formulated based on a client’s motor needs and are integrated into functional play-based activities to support reprogramming the motor speech system within a variety of contexts.

Who is PROMPT for?

PROMPT is most often used to treat articulation impairments, motor speech difficulties, and childhood apraxia of speech.
How long will my child need to do PROMPT therapy?
The frequency and duration of treatment will vary from child to child. PROMPT may be needed as short as 3 months or for multiple years. As with any treatment, greater intensity or frequency can often yield greater gains. Twice a week is often ideal as PROMPT can only be performed by a trained therapist.

Interested in learning more? Contact Morgan Occupational and Speech Therapy today for a consultation with our PROMPT-trained speech pathologist, Katherine Murphy Beck, M.S, CCC-SLP.

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