Contemporary clinical conversations about stuttering: Can intervention stop early stuttering development?

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Speech-Language Pathology Pub Date : 2024-09-01 DOI:10.1080/17549507.2024.2371870
Brooke L Edwards, Eric S Jackson, Elaina Kefalianos, Stacey Sheedy, Mark Onslow
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Abstract

Purpose: To discuss whether early intervention can stop stuttering development. To inform junior clinicians and students of speech-language pathology about contemporary views on this issue.

Method: The issue was discussed by two university researchers and two speech-language pathologists who provide public clinical services. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, each participant provided 200 words of final reflection about the issue.

Result: Most differences that emerged centred on the clinical evidence base for early intervention, which emphasises stuttering reduction, and how it should be interpreted.

Conclusion: The evidence base for early intervention has limitations and it should be interpreted cautiously. One interpretation is that reducing stuttering severity is a justifiable core of early management. Another interpretation focuses on ease of communication, anticipation of stuttering, and covert stuttering.

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关于口吃的当代临床对话:干预能阻止口吃的早期发展吗?
目的:讨论早期干预能否阻止口吃的发展。让初级临床医生和言语病理学学生了解当代对这一问题的看法:两名大学研究人员和两名提供公共临床服务的言语病理学家讨论了这一问题。交流中的书面对话轮流进行,每人限 100 字。书面对话结束后,每位参与者就这一问题进行 200 字的最后反思:结果:大多数分歧都集中在强调减少口吃的早期干预的临床证据基础,以及如何解释这一基础:结论:早期干预的证据基础存在局限性,应谨慎解读。一种解释是,减少口吃的严重程度是早期管理的合理核心。另一种解释则侧重于沟通的便利性、对口吃的预期以及隐蔽性口吃。
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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
期刊介绍: International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.
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