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Table 2 Levels of adaptive difficulty implemented in the staRt software. Parameters (represented in columns) change on a rotating basis between levels; the parameter that was changed in a given level is in bold

From: Protocol for visual-acoustic intervention with service delivery in-person and via telepractice (VISIT) non-inferiority trial for residual speech sound disorder

Level

Complexity

Feedback Frequency

Mode of Elicitation

1

Syllable

3 KR, 2 KP + model; biofeedback at 80%

Read independently

2

1 syllable word

3 KR, 2 KP + model; biofeedback at 80%

Read independently

3

1 syllable word

3 KR, 2 KP + model; biofeedback to 50%

Read independently

4

1 syllable word

3 KR, 2 KP + model; biofeedback at 50%

Blocked prosodic manipulation

5

1 syllable word with competing /l/ or /w/

3 KR, 2 KP + model; biofeedback at 50%

Blocked prosodic manipulation

6

1 syllable word with competing /l/ or /w/

3 KR, 1 KP + model; biofeedback at 50%

Blocked prosodic manipulation

7

1 syllable word with competing /l/ or /w/

3 KR, 1 KP + model; biofeedback to 20%

Randomized prosodic manipulation

8

1 syllable word with competing /l/ or /w/

3 KR, 1 KP + model; biofeedback at 20%

Randomized prosodic manipulation

9

2 syllable word

3 KR, 1 KP + model; biofeedback at 20%

Randomized prosodic manipulation

10

2 syllable word

2 KR, 1 KP + model; biofeedback at 20%

Randomized prosodic manipulation

11

2 syllable word

2 KR, 1 KP + model; biofeedback to 0%

Randomized prosodic manipulation

12

2 syllable word with competing /l/ or /w/

2 KR, 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation

13

2 syllable word with competing /l/ or /w/

2 KR with self-evaluation; 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation

14

Words in carrier phrases

2 KR with self-evaluation; 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation

15

Words in sentences

2 KR with self-evaluation; 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation

16

Sentences with multiple /r/ targets, clinician scores only one

2 KR with self-evaluation; 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation

17

Sentences with multiple /r/ targets, clinician scores both

2 KR with self-evaluation; 1 KP + model; biofeedback at 0%

Randomized prosodic manipulation