Journal of Fluency Disorders最新文献_第7页

Palin Stuttering Therapy for School aged Children and usual treatment: A randomised controlled trial feasibility study 学龄儿童佩林口吃治疗与常规治疗：一项随机对照试验可行性研究

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

Journal of Fluency Disorders

Pub Date : 2025-06-01 Epub 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).

尽管对一些8-14岁的口吃儿童有明确的需求和基于证据的治疗，但没有高水平的有效性证据，言语和语言治疗师对知识和信心的评价很低。一个可能解决这些需求、增加服务可用性和改善结果的项目是针对学龄儿童的佩林口吃治疗（Palin STSC(8−14)）。目的研究进行一项明确的随机对照试验，比较Palin STSC（8−14）与常规治疗的可行性。目标是确定：征聘率和保留率；结果措施的适当性；研究和Palin STSC治疗的可接受性（8−14）；治疗忠诚;以及成本效益措施的适当性。方法采用双组、集群随机试验，治疗师随机化，按服务分层。8岁、0-14岁和11岁的儿童及其父母被分配给治疗师，并在治疗前和6个月后完成问卷调查。评估是根据其测量或预测治疗结果的潜力而选择的。治疗师在试验开始和结束时完成了测量。采用半结构化访谈和治疗保真度检验进行过程分析。结果超额完成招募目标(儿童n = 67；志贺样毒素n = 37)。研究过程在很大程度上是可以接受的，佩林STSC（8−14）疗法也是如此。治疗保真度很高，SLT依从性为85.7 %，佩林STSC（8 - 14）的平均每名儿童治疗次数为6.9次，而常规治疗为3.5次。结论达到了可行性指标。基于招募、保留和依从率以及我们的结果测量，一项全面的随机对照试验似乎是可行的，并且有理由评估Palin STSC的有效性（8 - 14）。

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引用次数: 0

A phenomenological exploration of the contextual variability of stuttering 结巴语境变异性的现象学探索

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

Journal of Fluency Disorders

Pub Date : 2025-06-01 Epub Date: 2025-05-10 DOI: 10.1016/j.jfludis.2025.106120

Amanda Ortiz-Alvarez , Richard Arenas

Purpose

It is well documented that stuttering is contextually variable, as its frequency and duration can vary widely across contexts and emerge from interactions across internal and external factors (i.e., corresponding to the speaker and communication contexts in which a speaker may find themselves, respectively). While much of the previous literature has described contextual variability from listeners' vantage points, there is scant research capturing speaker-centered perspectives. As such, this study explored the beliefs and experiences of 10 people who stutter (PWS) regarding: a) how their stuttering varies; b) potential contributors to its variability; and c) how stuttering variability can impact quality of life.

Methods

Ten PWS participated in phenomenological interviews to discuss their lived experiences of stuttering. Analyses of interviews yielded experiential themes and corresponding subthemes encompassing unique and shared insights across participants.

Results

Participants' depictions of contextual variability revealed four broad experiential themes: "randomness and cyclical patterns of stuttering," "internal state factors," "specific cues," and "perceived judgment within social contexts."

Conclusion

The current investigation highlighted various factors that participants felt were associated with stuttering variability based on their lived experiences. Notably, alignment of several findings (e.g., saliency of perceived judgement) with previous conceptualizations of stuttering variability (e.g., concern for social approval) yielded descriptions grounded within speakers’ perspectives that contextualized prevailing (i.e., listener-oriented) narratives of stuttering which have been historically dominant across therapy and research. Thus, results from the present study underscored the vital importance of accounting for lived experiences to advance our current understanding of stuttering and contextual variability.

有充分的证据表明，口吃是环境变量，因为它的频率和持续时间可以在不同的语境中有很大的不同，并且是由内部和外部因素的相互作用产生的（即，分别对应于说话者和说话者可能发现自己的交际语境）。虽然之前的许多文献都是从听者的角度来描述语境变化，但很少有研究从说话者的角度来描述语境变化。因此，本研究探讨了10名口吃者（PWS）的信念和经历：a)他们的口吃如何变化；B)其变异性的潜在贡献者；c)口吃的可变性如何影响生活质量。方法采用现象学访谈法对10名口吃患者进行口吃生活经历调查。对访谈的分析产生了经验主题和相应的子主题，其中包含了参与者之间独特和共享的见解。结果：参与者对情境可变性的描述揭示了四个广泛的经验主题：“口吃的随机性和周期性模式”、“内部状态因素”、“特定线索”和“社会情境中的感知判断”。结论当前的调查强调了参与者认为与他们的生活经历有关的口吃变异性的各种因素。值得注意的是，一些研究结果（例如，感知判断的显著性）与先前对口吃变异性的概念化（例如，对社会认可的关注）相一致，产生了基于说话者视角的描述，这些描述将在治疗和研究中历史上占主导地位的口吃叙事语境化（例如，以听众为导向）。因此，本研究的结果强调了生活经历的重要性，以促进我们目前对口吃和环境变化的理解。

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引用次数: 0

Turkish adaptation of the palin parent rating scales: A validity and reliability assessment 佩林父母评定量表的土耳其改编：效度和信度评估

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

Journal of Fluency Disorders

Pub Date : 2025-06-01 Epub 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.

目的佩林家长评定量表（Palin parents Rating Scales，简称PRS）是一个标准化的工具，旨在衡量：(1)口吃对儿童的影响；(2)口吃的严重程度及其对父母的影响；(3)父母对口吃的了解程度和处理口吃的信心。本研究考察了量表的土耳其语适应性的效度和信度。方法研究对象包括118名3岁、0-14岁、1岁口吃儿童的193名家长。分析包括验证性因子分析（CFA）、采用分级反应模型的项目反应理论、内部一致性分析（Cronbach’s alpha、McDonald’s omega和Guttman’s lambda）、复合信度和重测信度。结果CFA支持量表的原始结构，并对因子内的三个条目对重新排序后对模型进行验证，最终模型具有可接受的拟合指数(χ2 = 387.78, χ2/df = 2.67, p <； .01；如果=点;CFI =。90, RMSEA =.09)。结果支持母亲和父亲之间的测量不变性，值在0.71 ~ 6.44之间。复合可靠度值范围为0.82 ~。92提供了聚合效度的证据。信度系数令人满意（≥0.83），重测结果证实了时间稳定性（r = .64 - 0.72）。结论心理测量分析结果，包括效度和信度评估，证实了原版本在土耳其语改编（Palin PRS-TR）中的三因素、19项结构。因此，佩林PRS-TR是一种有效和可靠的仪器，用于临床和科学设置。

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引用次数: 0

The application of non-invasive neuromodulation in stuttering: Current status and future directions 非侵入性神经调节在口吃中的应用：现状与未来方向。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub 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.

经颅直流电刺激（tDCS）和经颅磁刺激（TMS）等非侵入性神经调节方法已被广泛应用于提高各种神经源性交流障碍的治疗效果。最近，这些方法因其揭示更多关于口吃的潜在本质和作为口吃干预的辅助治疗方法的潜力而受到关注。在这篇综述中，我们介绍了现有的研究，并讨论了可能影响这些干预效果的关键因素，如刺激的位置、极性、强度和持续时间，以及联合行为训练的影响。此外，我们还探讨了对未来研究的影响，包括应用不同的神经调节方法来解决口吃的各个方面，如言语流畅性以及口吃者相关的心理和认知方面。

引用次数: 0

Administering the Lidcombe Program to children who stutter with concomitant disorders: Insights from an exploratory retrospective chart review study 对伴有结巴障碍的儿童实施利德库姆计划：一项探索性回顾性图表回顾研究的见解。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub 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.

目的：在临床环境中口吃（CWS）的儿童可能会出现伴随性疾病（cd），这可能会使Lidcombe计划（LP）的实施复杂化。然而，关于cd如何影响CWS治疗结果的证据有限，这使得临床医生对这些儿童的最佳实践几乎没有指导。这项探索性研究是与一家康复中心的临床团队合作进行的，旨在了解言语语言病理学家在使用LP治疗CWS时记录了哪些cd和疑似cd，以及它们与治疗特征和结果的关系。方法：对2016年至2018年接受LP治疗的47例发育性口吃患儿进行回顾性图表分析。结果：38例CWS（80.9 %）至少有一种CD确诊（59.6 %）或疑似（21.3 %），其中61.7 %与语言相关，27.6 %与注意相关。与没有口吃的CWS相比，确诊和疑似口吃的CWS治疗后的口吃严重程度评分（SR）得分显著更高（p =.001），尽管所有组的口吃均显著减少。所有组的辍学率都很高。确诊和疑似cd的CWS退出的SR评分明显高于进展到2期的无cd的CWS (p =。011和p =。014年,分别)。结论：LP能有效提高有或无cd的CWS流利度。然而，诊断或疑似cd的CWS完成或退出i期，其SR评分明显高于无cd的CWS。未来的研究需要证实这些结果，并调查观察到的差异背后的因素。

{"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":"2025-03-01","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}

引用次数: 0

A discussion of topics related to teaching a graduate stuttering course 关于研究生结巴课程教学的主题讨论

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub 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.

目的探讨研究生结巴课程的教学，特别关注当代问题，如假性结巴、计数结巴以及课堂和临床实践中的材料运用。方法在2024年5月举行的世界口吃和杂乱组织大会的小组讨论中，与会者向口吃教育学专家小组提交了他们的问题。为了记录和继续讨论，每位专家轮流回答了最常见的问题。结果虽然专家们在各自的课程中对关键的学习活动有不同的框架，但每个人都注意将口吃者的生活经历放在中心，并将学习活动置于临床目的中。本讨论中分享的教学见解为口吃课程的教师提供了指导，使学生能够从人文主义的角度评估、治疗和咨询他们的口吃客户。

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引用次数: 0

Adult stuttering prevalence II: Recalculation, subgrouping and estimate of stuttering community engagement 成人口吃患病率II：重新计算，分组和估计口吃社区参与。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1016/j.jfludis.2024.106086

Max Gattie , Elena Lieven , Karolina Kluk

Purpose

Epidemiological research of stuttering has frequently focused on children, with a relative paucity of population level data specific to adults. Prevalence data for adults are reassessed here, including a breakdown of whether stuttering is overt or covert, and whether onset was in childhood or adulthood. The engagement of adults who stutter with stuttering communities is also estimated.

Methods

Prevalence calculations were based on data from studies having the strongest designs, following the systematic review of Gattie, Lieven & Kluk (2024, this issue). Original data for engagement with stuttering communities were gathered from English language internet stuttering support groups, a national stuttering charity in the UK and a regional stuttering support group in Manchester, UK.

Results

Adult stuttering prevalence was estimated at 0.96% (95% CI 0.65, 1.44). This can be broken down to 0.63% overt stuttering (95% CI 0.46, 0.79) comprising 0.53% childhood onset and 0.10% adult onset; and 0.33% covert stuttering (95% CI 0.19, 0.58) comprising 0.28% childhood onset and 0.05% adult onset. Covert stuttering will have been overestimated, and may often be very mild. Engagement with stuttering communities was estimated at 0.99% internationally, 0.63% nationally and 1.01% regionally. Actual engagement will have been lower due to attrition and overcounting.

Conclusion

The adult stuttering prevalence estimate of 0.96% is consistent with the widely-cited all ages stuttering prevalence estimate of 1%. Of adults who stutter, fewer than 1% engage with stuttering communities.

目的：口吃的流行病学研究经常集中在儿童身上，相对缺乏针对成年人的人口水平数据。这里重新评估了成人的患病率数据，包括口吃是显性的还是隐性的，以及是在儿童期还是成年期发病。对口吃者参与口吃社区的成年人也进行了估计。方法：患病率计算基于具有最强设计的研究数据，遵循gatti， Lieven & Kluk（2024年，本期）的系统综述。参与口吃社区的原始数据来自英语互联网口吃支持团体，英国的一个国家口吃慈善机构和英国曼彻斯特的一个地区口吃支持团体。结果：成人口吃患病率估计为0.96% （95% CI 0.65, 1.44）。这可以分解为0.63%的显性口吃（95% CI 0.46, 0.79），包括0.53%的儿童发病和0.10%的成人发病；隐性口吃占0.33% (95% CI 0.19, 0.58)，其中儿童发病0.28%，成人发病0.05%。隐蔽性口吃可能被高估了，而且通常可能非常轻微。据估计，与口吃社区的接触在国际上为0.99%，在全国为0.63%，在区域为1.01%。由于人员流失和重复计数，实际用户粘性会降低。结论：成人口吃患病率估计值0.96%与广泛引用的各年龄段口吃患病率估计值1%一致。在口吃的成年人中，只有不到1%的人参加口吃社区。

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引用次数: 0

A scoping review of speech-language pathologists’ experiences, practices, attitudes and perspectives of working with people who stutter 语言病理学家的经验，实践，态度和观点的范围审查与口吃的人工作。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.1016/j.jfludis.2024.106097

Kate Bridgman, Shane Erickson

Background and purpose

Speech-language pathologists (SLPs) can play an integral role working with people who stutter (PWS) across the lifespan. There is a rich, yet relatively recent, history of research capturing specific aspects of the role, yet no paper has sought to combine the published literature relating to it. This review is intended to: (1) establish key themes related to SLPs’ experiences, practices and attitudes of working with PWS; (2) determine how these may have changed over time; and (3) identify what gaps in the knowledge about this topic still exist.

Methods

A scoping review was conducted to synthesise all relevant peer-reviewed literature. Studies were included if they met the following inclusion criteria: a) reported on primary research; b) published in a peer-reviewed journal; c) written in English, and, d) reported on SLPs working with people who stutter.

Results

A total of 897 articles were identified and reviewed, with 27 included in the final analysis. Content analysis of the study results revealed themes relating to SLP factors, SLP attitudes, clinical management and service delivery.

Conclusion

While much has been published on this topic, and considerable change has been observed over time, there is still much to learn. Future investigations may include more in-depth exploration of SLPs’ lived experience working with PWS and a systematic approach to increase SLP competency and confidence in working with PWS.

背景和目的：语言病理学家（slp）可以在一生中与口吃者（PWS）一起发挥不可或缺的作用。有一个丰富的，但相对较新的，研究历史捕捉角色的具体方面，但没有一篇论文试图结合已发表的文献与它有关。本综述的目的是：(1)建立与公共服务人员与PWS合作的经验、做法和态度相关的关键主题；(2)确定这些因素如何随时间变化；(3)确定关于这一主题的知识仍然存在哪些空白。方法：进行范围综述，综合所有相关的同行评议文献。符合以下纳入标准的研究被纳入：a)有初步研究报告；B)发表在同行评议的期刊上；c)用英语写的，d)报道了slp与口吃者的合作。结果：共纳入897篇文献，其中27篇纳入终分析。研究结果的内容分析揭示了与SLP因素、SLP态度、临床管理和服务提供有关的主题。结论：虽然关于这个主题已经发表了很多，并且随着时间的推移已经观察到相当大的变化，但仍然有很多东西需要学习。未来的研究可能包括更深入地探索学生志愿服务人员与PWS合作的生活经验，以及系统地提高学生志愿服务人员与PWS合作的能力和信心。

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引用次数: 0

A pilot study of stuttering treatment for older children (STOC) 一项针对大龄儿童口吃治疗的试点研究。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2025-01-26 DOI: 10.1016/j.jfludis.2025.106102

Jóhanna T. Einarsdóttir , Thorlakur Karlsson , Íris Ösp Bergþórsdóttir , Kirstín Lára Halldórsdóttir , Kathryn Crowe

Purpose

This pilot study explored an operant treatment for school-age children, Stuttering Treatment for Older Children (STOC), in increasing quality of life and the fluency of school-aged children who stutter.

Method

The participants were seven children 9–13 years old. A single-case experimental design using multiple baselines was utilized, with participants randomly assigned to baselines of different lengths. STOC is a home-based treatment program that combined time-out with a specific performance-based criteria. Recordings of children’s speech were collected routinely as monthly samples (n = 653) and during treatment sessions (n = 1551). Clinicians immediately reviewed and provided feedback on recordings of sessions. Fidelity was measured in terms of dosage, adherence, quality of the delivery, and responsiveness.

Results

For all participants, the STOC intervention showed promising results. Participant-reported quality of life significantly increased for those participants who completed the STOC program. The frequency of stuttering (percentage of syllables stuttered) decreased by an average of 72 % between the initial baseline measurement and later stages. Additionally, the quantity of speech increased by 18 %, speech sounded more natural, with naturalness scores increased by 50 %, and the severity of stuttering decreased by 56 %. Only four participants finished the intervention. This suggests that the benefits of the intervention include both overall greater well-being and less disfluencies.

Conclusions

This pilot study showed increased speech fluency and quality of life among participants who completed the intervention. However, further investigation is crucial, and we encourage the academic community to engage in this research area.

目的：本初步研究探讨了一种适用于学龄儿童的有效治疗方法，即stutter treatment for Older children (STOC)，以提高学龄口吃儿童的生活质量和流利程度。方法：研究对象为7名9 ~ 13岁的儿童。采用单例实验设计，使用多个基线，参与者随机分配到不同长度的基线。STOC是一种基于家庭的治疗方案，将暂停治疗与特定的基于表现的标准相结合。儿童的语言记录作为每月的样本（n = 653）和治疗期间（n = 1551）定期收集。临床医生立即对会议录音进行审查并提供反馈。保真度是根据剂量、依从性、给药质量和反应性来衡量的。结果：对于所有参与者，STOC干预显示出令人满意的结果。完成STOC项目的参与者报告的生活质量显著提高。在最初的基线测量和后期阶段之间，口吃的频率（音节口吃的百分比）平均下降了72% %。此外，说话的数量增加了18% %，说话听起来更自然，自然度分数提高了50% %，口吃的严重程度降低了56% %。只有4名参与者完成了干预。这表明，干预的好处包括总体上更大的幸福感和更少的不流畅。结论：这项初步研究表明，完成干预的参与者的语言流畅性和生活质量有所提高。然而，进一步的调查是至关重要的，我们鼓励学术界参与这一研究领域。

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引用次数: 0

Time to talk about stuttering: A cross-sectional study about the beliefs and attitude of adolescents toward stuttering 是时候谈谈口吃了：一项关于青少年对口吃的信念和态度的横断面研究。

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

Journal of Fluency Disorders

Pub Date : 2025-03-01 Epub Date: 2024-12-21 DOI: 10.1016/j.jfludis.2024.106098

S. Van Eerdenbrugh , M. Aerts , R. Sevenants

Introduction

This study investigated the attitude of Belgian (Flemish) high school students of 15 years and older toward stuttering, compared them with international samples and evaluated the impact of an attitude program about stuttering.

Method

Nine schools participated in this study. The students completed the POSHA-S before and after the program. The program consisted of a class discussion guided by a PowerPoint presentation about six stuttering-related topics and the song Time To Talk, written for this project by Portland. The first questionnaire was filled out by N = 582. For N = 229, answers from pre- and post-intervention could be matched.

Results

In general, female adolescents had a more positive attitude toward people who stutter, as did students from the highest education level. Catholic and atheist adolescents differed from Islamic adolescents, as well as adolescents who were born in Belgium from those who were born in another country, for one construct (cause of stuttering). The scores of the Belgian sample showed a similar variability as those of the other European samples and the POSHA-S database. A statistically significant attitude change was observed after the attitude program for helping people who stutter (Pre M = 37.35 versus Post M = 47.59, p < .001).

Conclusion

Mainly the variables sex and type of education explain observed attitude differences among the adolescents. Adding music to an attitude program about stuttering seems a viable way to increase better insight in how to help people who stutter in adolescents aged 15 and older.

前言：本研究调查了比利时（佛兰德）15岁及以上高中生对口吃的态度，并将其与国际样本进行比较，评估了态度项目对口吃的影响。方法：9所学校参与本研究。学生们在课程前后分别完成了POSHA-S。这个项目包括一个课堂讨论，由一个关于六个口吃相关话题的ppt演示和一首由Portland为这个项目写的歌曲Time To Talk指导。第一份问卷由N = 582填写。对于N = 229，干预前和干预后的答案可以匹配。结果：总体而言，女性青少年对口吃者的态度更为积极，受教育程度最高的学生也是如此。天主教和无神论的青少年与伊斯兰教的青少年不同，出生在比利时的青少年与出生在其他国家的青少年也不同，因为一个结构（口吃的原因）。比利时样本的分数显示出与其他欧洲样本和POSHA-S数据库相似的可变性。研究结果表明：青少年的态度差异主要由性别和受教育程度两方面来解释（p < 0.05）。在关于口吃的态度课程中加入音乐似乎是一种可行的方法，可以更好地了解如何帮助15岁及以上的青少年口吃者。

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