Which statement best describes the DTTC therapy approach?

• A. To re-establish accurate motor programs for meaningful utterances through hierarchically cued imitation with gradual cue fading and intensive practice.
• B. To implement a purely cue-based approach with no modeling.
• C. To focus on semantic restructuring rather than motor planning.
• D. To train non-speech movements as the primary goal.

Answer: (A)

DTTC therapy builds accurate speech motor plans by using dynamic prompting and modeling, with cues arranged hierarchically and gradually faded as the client demonstrates mastery. Therapy starts with strong modeling and prompts (often including tactile cues) and then slowly reduces support, all within intensive practice blocks focused on meaningful utterances. The aim is to re-establish the motor sequences for speech, not to teach semantics or non-speech movements as the primary goal. This makes the statement describing re-establishing motor programs through hierarchically cued imitation with cue fading and intensive practice the best fit.