Journal of Fluency Disorders最新文献

英文中文

Experiences and therapy expectations of parents of preschool children who stutter

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-04-19 DOI: 10.1016/j.jfludis.2025.106117

Havva Nur Yırtık , Nurdan Cankuvvet

Purpose: The study aimed to inquire about the experiences and therapy expectations of parents of preschool children who stutter in Türkiye. Methods: This qualitative research used a phenomenological design. Eight parents (four mothers and four fathers) of preschool children (between 4 and 6 years) who stutter participated in the study. The data were collected through semi-structured interviews and analyzed via thematic analysis. Results: Analysis of data resulted in four main themes and nine sub-themes. The findings showed that children and their parents had been adversely affected by stuttering before therapy. The parents may unintentionally engage in behaviors such as interrupting, finishing sentences, or pressuring their child to speak fluently; had limited knowledge about stuttering; and consulted information sources other than speech and language pathologists before therapy. During therapy, the adverse effects of stuttering on parents decreased; parental attitudes changed; and parents’ knowledge about stuttering increased. Parents expected that therapy would reduce the adverse impacts of stuttering during therapy, to obtain accurate information, and to see a quality interaction between speech and language pathologists and their children. Conclusion: The study reveals that therapy process transforms parents' negative experiences and corrects the inaccuracies in their knowledge about stuttering. The research highlights the importance of considering parents' experiences and expectations, as well as the cultural background of families when conducting therapies.

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引用次数: 0

Turkish adaptation of the palin parent rating scales: A validity and reliability assessment

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-04-07 DOI: 10.1016/j.jfludis.2025.106118

M. Emrah Cangi , Nihal Aydin , Sharon K. Millard

Purpose

The Palin Parent Rating Scales (Palin PRS) is a standardized tool designed to measure (1) the impact of stuttering on a child, (2) the severity of stuttering and its impact on parents, and (3) parents' knowledge about stuttering and their confidence in managing it. This study examines the validity and reliability of the Turkish adaptation of the scale.

Methods

Participants included 193 parents of 118 children who stutter aged 3;0–14;1 years. Analyses included confirmatory factor analysis (CFA), item response theory using the graded response model, internal consistency analyses (Cronbach's alpha, McDonald's omega, and Guttman's lambda), composite reliability, and test-retest reliability.

Results

The CFA supported the scale’s original structure and validated the model after reordering three item pairs within the factors, with the final model showing acceptable fit indices (χ² = 387.78, χ²/df = 2.67, p < .01; IFI =.91; CFI =.90, and RMSEA =.09). The results supported measurement invariance between mothers and fathers, with values from .71 to 6.44. Composite reliability values ranging from .82 to.92 provided evidence of convergent validity. Reliability coefficients were satisfactory (≥.83), and test-retest results confirmed temporal stability (r = .64–.72).

Conclusion

The results of the psychometric analyses, including validity and reliability assessments, confirmed the three-factor, 19-item structure of the original version in its Turkish adaptation (Palin PRS-TR). Therefore, the Palin PRS-TR is a valid and reliable instrument for use in clinical and scientific settings.

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引用次数: 0

How reliable and useful are social media videos about stuttering? A comprehensive evaluation of content and credibility

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-03-26 DOI: 10.1016/j.jfludis.2025.106116

Derya Çavdar MsC (Corresponding Author) , Muhsin Dölek , Özlem Oğuz

Adults who stutter (AWS) often turn to social media platforms to connect with others, exchange personal experiences and access informational content. This study aimed to assess the reliability, quality, understandability, and actionability of videos about stuttering on these platforms, evaluating them based on both content and source. The most relevant YouTube keywords related to stuttering were identified using Google Trends, and popular Instagram hashtags were determined through Later Application. Videos from the first three pages for each keyword were analyzed for YouTube, and the top 100 videos with the highest engagement for each hashtag were selected using Python for Instagram. Speech and Language Therapists (SLTs) rated the videos using the Modified Quality Criteria for Consumer Health Information (M-DISCERN), Global Quality Score (GQS), and Patient Education Materials Assessment Tool (PEMAT). The analysis also included the number of ratings and likes on comments. Videos created by SLTs on YouTube and Instagram are more reliable and of higher quality compared to videos on AWS and non-expert sources (p < .001). On YouTube, videos created by SLTs are superior in quality, reliability, comprehensibility compared to videos produced by other healthcare professionals (p < .001). Additionally, videos on AWS receive a greater number of positive comments compared to videos from SLTs and other healthcare professionals (p < .001). AWS should carefully consider the content and source of the videos they watch. There is a need for greater social awareness, and SLTs should be encouraged to produce high-quality content on social media platforms to ensure the dissemination of accurate and helpful information.

口吃成年人（AWS）经常利用社交媒体平台与他人联系、交流个人经历和获取信息。本研究旨在评估这些平台上有关口吃的视频的可靠性、质量、可理解性和可操作性，并根据内容和来源对其进行评估。通过谷歌趋势确定了与口吃最相关的 YouTube 关键词，并通过 Later Application 确定了 Instagram 的流行标签。对于 YouTube，我们分析了每个关键词前三页的视频；对于 Instagram，我们使用 Python 挑选了每个标签参与度最高的前 100 个视频。语言治疗师（SLT）使用消费者健康信息质量标准（M-DISCERN）、全球质量评分（GQS）和患者教育材料评估工具（PEMAT）对视频进行评分。分析还包括评论的评分和点赞数。与 AWS 和非专家来源的视频相比，SLT 在 YouTube 和 Instagram 上创建的视频更可靠、质量更高（p <.001）。在 YouTube 上，与其他医疗保健专业人员制作的视频相比，SLT 制作的视频在质量、可靠性和可理解性方面更胜一筹（p < .001）。此外，与 SLT 和其他医疗专业人员制作的视频相比，AWS 上的视频获得了更多的正面评论（p <.001）。亚博app客服生应仔细考虑所观看视频的内容和来源。需要提高社会意识，应鼓励 SLT 在社交媒体平台上制作高质量的内容，以确保传播准确、有用的信息。

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引用次数: 0

Sleep parameters in children who stutter: A comparison with children who do not stutter using actigraphy

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-03-22 DOI: 10.1016/j.jfludis.2025.106115

Maria Clara Helena Couto , Cristiane Moço Canhetti de Oliveira , Isabella Meneses da Silva , Ana Luiza Decanini Miranda de Souza , Mahara Proença , Tiago V. Barreira , Luciana Pinato

Purpose

This study aimed to compare objective sleep parameters in children who stutter (CWS) with those in children who do not stutter (CWNS) using actigraphy. Previous research, mainly relying on subjective methods such as questionnaires and sleep diaries, has highlighted the high prevalence of sleep disorders in individuals who stutter.

Methods

Sleep parameters, including sleep onset latency, sleep efficiency, sleep duration, and total sleep time, were objectively measured using actigraphy over 14 consecutive days. The study included 30 CWS (aged 4–12 years) and 21 CWNS (also aged 4–12 years). Data were analyzed with SPSS Statistics 28.0 software, expressed as medians with interquartile ranges (25–75 %). Group comparisons were conducted using the Mann-Whitney test. The significance level for all statistical tests was set at p < 0.05.

Results

CWS exhibited significantly longer sleep onset latency (p < 0.001) and lower sleep efficiency (p = 0.01) compared to CWNS. No significant differences were observed in total sleep time or sleep duration between the groups.

Discussion

This study provides objective evidence that CWS experience specific alterations in sleep parameters, particularly in sleep onset latency and sleep efficiency. This suggests a higher prevalence of sleep disturbances within this population. These findings highlight the importance of integrating sleep assessments into the clinical management of stuttering to improve therapeutic outcomes.

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引用次数: 0

Palin Stuttering Therapy for School aged Children and usual treatment: A randomised controlled trial feasibility study

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-03-01 DOI: 10.1016/j.jfludis.2025.106114

S.K. Millard , S. Murphy , G. Barton , L. Rixon , L. Shepstone , E. Sims , V. Joffe

Background

Despite a clear need for and evidence-based therapy for some children who stutter aged 8–14, there is no high-level evidence of effectiveness, with Speech and Language Therapists rating knowledge and confidence low. One programme which might address these needs, increase availability of services and improve outcomes, is Palin Stammering Therapy for School aged Children (Palin STSC(8−14)).

Aim

To investigate the feasibility of conducting a definitive randomised controlled trial comparing Palin STSC(8−14) with usual treatment. Objectives were to establish: recruitment and retention rates; appropriateness of the outcome measures; acceptability of the research and Palin STSC(8−14) therapy; treatment fidelity; and, appropriateness of the cost-effectiveness measures.

Method

A two-arm, cluster-randomised trial, with randomisation of therapists, stratified by service. Children aged 8;0–14;11, and their parent(s), were allocated to therapist and completed questionnaires pre-therapy and six months later. Assessments were selected for their potential to measure or predict therapy outcome. Therapists completed measures at the start and end of the trial. A process analysis was conducted, incorporating semi-structured interviews and treatment fidelity examination.

Results

Recruitment targets were exceeded (Children n = 67; SLTs n = 37). Research processes were largely acceptable, as was Palin STSC(8−14) therapy. Treatment fidelity was high, with SLT adherence at 85.7 % Mean number of sessions per child for Palin STSC(8−14) was 6.9 compared to 3.5 for usual treatment.

Conclusions

The feasibility targets were met. Based on recruitment, retention and adherence rates and our outcome measures, a full-scale randomised controlled trial appears feasible and warranted to assess the effectiveness of Palin STSC(8−14).

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引用次数: 0

A discussion of topics related to teaching a graduate stuttering course

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-02-01 DOI: 10.1016/j.jfludis.2025.106103

Julia S. Kerrigan , Shelley B. Brundage , Christopher D. Constantino , Derek E. Daniels , Naomi H. Rodgers

Purpose

To discuss instruction of graduate stuttering courses with a particular focus on contemporary issues such as the pseudostuttering, counting stuttering, and engaging with materials within the classroom and in clinical practice.

Methods

At a panel discussion at the World Stuttering and Cluttering Organization Congress in May 2024, attendees submitted their questions to a panel of experts in stuttering pedagogy. To document and continue the discussion, each expert responded in turn to the most frequently asked questions.

Results

While the included experts frame key learning activities differently within their respective courses, each takes care to center lived experiences of people who stutter and contextualize learning activities within their clinical purposes.

Conclusions

The pedagogical insights shared in this discussion offer guidance to instructors of stuttering courses to equip students with tools to assess, treat, and counsel their clients who stutter from a humanistic approach.

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引用次数: 0

Reimagining stuttering therapy and outcomes through an acceptance and collaborative lens

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-01-31 DOI: 10.1016/j.jfludis.2025.106105

Farzan Irani , Michael Azios , Michael Boyle , Geoffrey A. Coalson , Scott Palasik , Jack Rodriguez , Eric Swartz

The purpose of this paper is to summarize a panel discussion at the 2024 World Stuttering and Cluttering Organization Congress that aimed to explore and reflect on the shifting landscape of stuttering therapy across the lifespan. The panel comprised of speech-language pathologists who have experience in stuttering therapy as clients, professionals, and researchers. The panel members reflect on the research, their professional experiences, and their own personal journey toward a more acceptance-based therapy and its outcomes. The paper concludes with the panel’s reflections on the future of stuttering therapy across the lifespan.

引用次数: 0

Stuttering as an act of love

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-01-28 DOI: 10.1016/j.jfludis.2025.106104

Christopher Dominick Constantino

For us to love each other we must first know each other. We come to know each other through communication, the purpose of which is communion. Traditionally, we think of stuttering as impairing this communion. Stuttering prevents us from sharing ourselves with others by distorting our message and increasing the effort it takes for us to speak. This need not be the case. Our stuttering is as much a part of us as any other attribute. For others to know us deeply, they must also know our stuttering. Likewise, for us to know others, we must know how they react to us – all of us – including our stuttering. In this paper, I propose that by stuttering openly and sincerely we share more of ourselves with others and, therefore, enter a deeper communion than would be possible if we hid our disfluencies. Stuttering introduces vulnerability into our conversations that would be absent had we been fluent. This vulnerability, when reciprocated, allows for intimacy. Research demonstrates that our stuttering impacts us less negatively when we are more open and speak with more spontaneity. By embracing our stutters, we not only lessen the negative impact of stuttering, but we also increase our ability to know, and therefore, love each other.

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引用次数: 0

The application of non-invasive neuromodulation in stuttering: Current status and future directions

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-01-27 DOI: 10.1016/j.jfludis.2025.106100

Mehdi Bakhtiar , Karim Johari

Non-invasive neuromodulation methods such as transcranial Direct Current Stimulation (tDCS) and Transcranial Magnetic Stimulation (TMS), have been extensively utilized to enhance treatment efficacy for various neurogenic communicative disorders. Recently, these methods have gained attention for their potential to reveal more about the underlying nature of stuttering and serve as adjunct therapeutic approaches for stuttering intervention. In this review, we present existing research and discuss critical factors that might influence the efficacy of these interventions, such as location, polarity, intensity, and duration of stimulation, as well as the impact of combined behavioral training. Additionally, we explore implications for future studies, including the application of different neuromodulation methods to address various aspects of stuttering such as speech fluency and associated psychological and cognitive aspects in people who stutter.

引用次数: 0

Administering the Lidcombe Program to children who stutter with concomitant disorders: Insights from an exploratory retrospective chart review study

IF 2.1 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders

Pub Date : 2025-01-26 DOI: 10.1016/j.jfludis.2025.106101

Sébastien Finlay , Pascaline Kengne Talla , Maïlie Fortin , Julie Braën , Laurie Levesque , Ingrid Verduyckt

Purpose

Children who stutter (CWS) in clinical settings may present with concomitant disorders (CDs), which can complexify the delivery of the Lidcombe Program (LP). However, there is limited evidence on how CDs influence treatment outcomes in CWS, leaving clinicians with little guidance regarding best practices with these children. This exploratory study, conducted in partnership with a rehabilitation center's clinical team, aims to understand which CDs and suspected CDs speech-language pathologists document when treating CWS with the LP and their relationship to treatment characteristics and outcomes.

Method

A retrospective chart review was conducted on 47 children diagnosed with developmental stuttering who received the LP between 2016 and 2018.

Results

38 CWS (80.9 %) had either at least one confirmed (59.6 %) or suspected (21.3 %) CD, of which 61.7 % were language-related and 27.6 % attention-related. CWS with diagnosed and suspected CDs had significantly higher stuttering severity rating (SR) scores post-treatment as compared to CWS without CDs (p =.001), although all groups significantly reduced their stuttering. There were high drop-out rates in all groups. CWS with diagnosed and suspected CDs who dropped out had significantly higher SR scores than CWS without CDs who progressed to Stage 2 (p =.011 and p =.014, respectively).

Conclusion

The LP is effective in improving fluency in both CWS with and without CDs. However, CWS with diagnosed or suspected CDs finished or dropped out of Stage 1 with significantly higher SR scores than CWS without CDs. Future research is needed to confirm these results and investigate the factors underlying the observed differences.

{"title":"Administering the Lidcombe Program to children who stutter with concomitant disorders: Insights from an exploratory retrospective chart review study","authors":"Sébastien Finlay , Pascaline Kengne Talla , Maïlie Fortin , Julie Braën , Laurie Levesque , Ingrid Verduyckt","doi":"10.1016/j.jfludis.2025.106101","DOIUrl":"10.1016/j.jfludis.2025.106101","url":null,"abstract":"<div><h3>Purpose</h3><div>Children who stutter (CWS) in clinical settings may present with concomitant disorders (CDs), which can complexify the delivery of the Lidcombe Program (LP). However, there is limited evidence on how CDs influence treatment outcomes in CWS, leaving clinicians with little guidance regarding best practices with these children. This exploratory study, conducted in partnership with a rehabilitation center's clinical team, aims to understand which CDs and suspected CDs speech-language pathologists document when treating CWS with the LP and their relationship to treatment characteristics and outcomes.</div></div><div><h3>Method</h3><div>A retrospective chart review was conducted on 47 children diagnosed with developmental stuttering who received the LP between 2016 and 2018.</div></div><div><h3>Results</h3><div>38 CWS (80.9 %) had either at least one confirmed (59.6 %) or suspected (21.3 %) CD, of which 61.7 % were language-related and 27.6 % attention-related. CWS with diagnosed and suspected CDs had significantly higher stuttering severity rating (SR) scores post-treatment as compared to CWS without CDs (<em>p =</em>.001), although all groups significantly reduced their stuttering. There were high drop-out rates in all groups. CWS with diagnosed and suspected CDs who dropped out had significantly higher SR scores than CWS without CDs who progressed to Stage 2 (<em>p =</em>.011 and <em>p =</em>.014, respectively).</div></div><div><h3>Conclusion</h3><div>The LP is effective in improving fluency in both CWS with and without CDs. However, CWS with diagnosed or suspected CDs finished or dropped out of Stage 1 with significantly higher SR scores than CWS without CDs. Future research is needed to confirm these results and investigate the factors underlying the observed differences.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106101"},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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