Summary: Objective: The purpose of this investigation was to determine if the cycles approach was an effective intervention to remediate the phonological processes velar fronting and cluster reduction delivered through teletherapy in preschool children with severe to profound phonological disorders. Method: This study used a modified cycles approach, targeting two phonological processes. Five participants with severe to profound phonological disorders participated in two cycles of teletherapy in an A-B research design. Treatment sessions included auditory stimulation, production practice with the targeted sound, experiential play, and phonological awareness activities. Results: Three out of five participants exhibited clinically significant improvements in speech intelligibility, as indicated by a 15% improvement or more on the percentage of consonants correct during a conversational speech sample. Conclusion: Results of the investigation supported the hypothesis that the cycles approach delivered through teletherapy appears to be an effective phonological treatment program for children with severe to profound phonological disorders.
