Behavioral stuttering interventions for children and adolescents: a systematic review and meta-analysis.

Chad Nye, Martine Vanryckeghem, Jamie B Schwartz, Carl Herder, Herbert M Turner, Courtney Howard
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Abstract

Purpose: To evaluate the effectiveness of behavioral interventions designed to treat stuttering in children.

Method: Studies were included for review if (a) the treatment was a behavioral intervention, (b) participants were between 2 and 18 years old, (c) the design was an experimental or quasi-experimental group design, and (d) the reported outcome measure assessed stuttering. An electronic search of 8 databases yielded a total of 9 studies, representing 327 treated participants across 7 different intervention types. Data were extracted for participant, treatment, and outcome characteristics as well as for methodological quality.

Results: An analysis of the treatment effects yielded significant positive effects approaching 1 SD when compared with a nontreatment control group. No significant differences emerged for studies comparing 2 different treatments.

Conclusion: Conclusions drawn from the extant research suggest that data to support the efficacy of behavioral intervention in children exists for a limited number of intervention strategies, based on a meager number of methodologically acceptable studies.

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儿童和青少年的行为口吃干预:系统回顾和荟萃分析。
目的:评价行为干预治疗儿童口吃的效果。方法:纳入以下研究进行审查:(a)治疗是行为干预,(b)参与者年龄在2至18岁之间,(c)设计是实验或准实验组设计,以及(d)报告的结果测量评估口吃。通过对8个数据库的电子检索,共获得9项研究,涉及7种不同干预类型的327名治疗参与者。提取的数据包括受试者、治疗和结局特征以及方法学质量。结果:治疗效果分析显示,与未治疗对照组相比,治疗效果接近1 SD。比较两种不同治疗方法的研究没有显著差异。结论:从现有研究中得出的结论表明,基于少量方法学上可接受的研究,支持儿童行为干预效果的干预策略数量有限。
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