Journal of Fluency Disorders最新文献_第8页

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 : 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。

{"title":"Time to talk about stuttering: A cross-sectional study about the beliefs and attitude of adolescents toward stuttering","authors":"S. Van Eerdenbrugh , M. Aerts , R. Sevenants","doi":"10.1016/j.jfludis.2024.106098","DOIUrl":"10.1016/j.jfludis.2024.106098","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>Pre M</em> = 37.35 versus <em>Post M</em> = 47.59, <em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106098"},"PeriodicalIF":2.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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 : 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。

{"title":"A scoping review of speech-language pathologists’ experiences, practices, attitudes and perspectives of working with people who stutter","authors":"Kate Bridgman, Shane Erickson","doi":"10.1016/j.jfludis.2024.106097","DOIUrl":"10.1016/j.jfludis.2024.106097","url":null,"abstract":"<div><h3>Background and purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106097"},"PeriodicalIF":2.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792544","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

Stuttering severity and social anxiety among adults who stutter: A multilevel analysis 成人口吃者的口吃严重程度与社交焦虑：多层次分析

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

Journal of Fluency Disorders

Pub Date : 2024-10-31 DOI: 10.1016/j.jfludis.2024.106088

Xiaofan Lei , Viann N. Nguyen-Feng , Jayanthi Sasisekaran

Purpose

The purpose of this study is to further investigate the association between social anxiety and stuttering severity among adults who stutter (AWS) at both the between- and within-person levels of analysis.

Method

Sixty-two AWS (women = 27, men = 35; M_age = 39.5 years, SD_age = 14.8) first completed a questionnaire (e.g., trait social anxiety and personality traits) and provided two speech samples (i.e., conversation, reading). Then, participants enrolled in up to 21 days of ecological momentary assessment (EMA) to self-report their momentary stuttering severity, social anxiety, and avoidance behaviors during social interactions. Correlational analyses and hierarchical regression analyses were conducted on between-person level measures. Multilevel mediation analysis was conducted on EMA data to disaggregate between- and within-person processes.

Results

At the between-person level, percent syllables stuttered (%SS) and person mean Self-Reported Stuttering Severity (iSRSS) were both significantly correlated with trait social anxiety, but not above and beyond the effects of neuroticism, extraversion, the overall impact of stuttering, and avoidance behaviors. At the within-person level, when AWS self-reported to stutter more than they usually do on average, they also tended to exhibit higher levels of social anxiety than they usually did, regardless of the amount of avoidance behaviors exhibited at those moments. The within-person effect between stuttering severity and social anxiety was also significantly mediated by avoidance behaviors.

Conclusion

The associations between social anxiety and stuttering differed based on the analysis level (between vs within-person) and whether covariates are included.

方法62名口吃成人（女性27人，男性35人；平均年龄39.5岁，平均年龄14.8岁）首先填写了一份调查问卷（如特质社交焦虑和人格特质），并提供了两份语音样本（即对话和朗读）。然后，参与者参加长达 21 天的生态瞬间评估（EMA），以自我报告他们在社会交往中的瞬间口吃严重程度、社交焦虑和回避行为。对人与人之间的测量结果进行了相关分析和分层回归分析。结果在人与人之间，口吃音节百分比（%SS）和个人平均自述口吃严重程度（iSRSS）均与特质社交焦虑显著相关，但不超越神经质、外向性、口吃的总体影响和回避行为的影响。在个人层面上，当 AWS 自我报告的口吃程度平均高于他们通常的口吃程度时，他们也倾向于表现出比通常更高的社交焦虑水平，而不管在这些时刻表现出多少回避行为。结论：社交焦虑与口吃之间的关联因分析水平（人与人之间或人与人之间）和是否包含协变量而有所不同。

{"title":"Stuttering severity and social anxiety among adults who stutter: A multilevel analysis","authors":"Xiaofan Lei , Viann N. Nguyen-Feng , Jayanthi Sasisekaran","doi":"10.1016/j.jfludis.2024.106088","DOIUrl":"10.1016/j.jfludis.2024.106088","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to further investigate the association between social anxiety and stuttering severity among adults who stutter (AWS) at both the between- and within-person levels of analysis.</div></div><div><h3>Method</h3><div>Sixty-two AWS (women = 27, men = 35; M<sub>age</sub> = 39.5 years, SD<sub>age</sub> = 14.8) first completed a questionnaire (e.g., trait social anxiety and personality traits) and provided two speech samples (i.e., conversation, reading). Then, participants enrolled in up to 21 days of ecological momentary assessment (EMA) to self-report their momentary stuttering severity, social anxiety, and avoidance behaviors during social interactions. Correlational analyses and hierarchical regression analyses were conducted on between-person level measures. Multilevel mediation analysis was conducted on EMA data to disaggregate between- and within-person processes.</div></div><div><h3>Results</h3><div>At the between-person level, percent syllables stuttered (%SS) and person mean Self-Reported Stuttering Severity (iSRSS) were both significantly correlated with trait social anxiety, but not above and beyond the effects of neuroticism, extraversion, the overall impact of stuttering, and avoidance behaviors. At the within-person level, when AWS self-reported to stutter more than they usually do on average, they also tended to exhibit higher levels of social anxiety than they usually did, regardless of the amount of avoidance behaviors exhibited at those moments. The within-person effect between stuttering severity and social anxiety was also significantly mediated by avoidance behaviors.</div></div><div><h3>Conclusion</h3><div>The associations between social anxiety and stuttering differed based on the analysis level (between vs within-person) and whether covariates are included.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"82 ","pages":"Article 106088"},"PeriodicalIF":2.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult stuttering prevalence I: Systematic review and identification of stuttering in large populations 成人口吃患病率I：大规模人群中口吃的系统回顾和鉴定。

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

Journal of Fluency Disorders

Pub Date : 2024-10-09 DOI: 10.1016/j.jfludis.2024.106085

Max Gattie , Elena Lieven , Karolina Kluk

Purpose

Stuttering epidemiology is reviewed with a primary goal of appraising methods used to identify stuttering in large populations. Secondary goals were to establish a best estimate of adult stuttering prevalence; identify data that could subgroup stuttering based upon childhood versus adult onset and covert versus over behaviour; and conduct a preliminary assessment of the degree to which stuttering features as a co-occurring diagnosis.

Methods

Systematic review followed PRISMA guidelines. Quality assessment was based on the Joanna Briggs Institute Prevalence Critical Appraisal Tool, with criteria adjusted for appraisal of stuttering.

Results

15 sets of data were assessed for quality, with three meeting criteria for inclusion. These estimated adult stuttering prevalence at 0.67% at age 14–17 years (Taghipour et al., 2013); 0.21% at age 16–20 years (Tsur et al., 2021); and 0.63% when aged over 21 years (Craig et al., 2002).

Conclusion

Systematic review indicates adult stuttering prevalence is between 0.6–0.7%. A false positive paradox follows from the low prevalence of stuttering in the general population, creating a need for very high specificity when measuring stuttering in the general population. Failure to achieve high specificity (99.9% is suggested) leads to loss of statistical power due to presence of false positives. A corollary of the false positive paradox is that sensitivity in measurement of stuttering can be relatively low (90% is suggested) before general population estimates of stuttering prevalence are appreciably affected. Despite this relaxation of measurement requirements regarding sensitivity, covert stuttering is likely to have been underestimated. Covert stuttering might be accounted for using data from prospective cohort studies, however such a revision seems unlikely to exceed the widely-accepted 1% adult stuttering prevalence estimate; see Gattie, Lieven & Kluk (2024 this issue) for an estimate at 0.96 %. When used to estimate stuttering prevalence, data reported by Tsur et al. (2021) are outlying, with the relatively low estimate possibly due to origin as military conscript data and/or generalised healthcare screening.

目的：回顾口吃流行病学，主要目的是评估用于识别大人群口吃的方法。次要目标是建立成人口吃患病率的最佳估计；确定数据，可以根据儿童和成人发病以及隐蔽和过度行为对口吃进行分组；并对口吃作为一种共同发生的诊断的程度进行初步评估。方法：按照PRISMA指南进行系统评价。质量评估基于乔安娜布里格斯研究所流行关键评估工具，并对口吃的评估标准进行了调整。结果：对15组资料进行了质量评估，其中3组符合纳入标准。这些研究估计14-17岁成人口吃患病率为0.67% （Taghipour等人，2013年）；16-20岁为0.21% (Tsur et al., 2021)；21岁以上为0.63% （Craig et al, 2002）。结论：系统评价提示成人口吃患病率在0.6-0.7%之间。一般人群中口吃的低患病率导致了假阳性悖论，因此在测量一般人群中的口吃时需要非常高的特异性。由于假阳性的存在，未能达到高特异性（建议为99.9%）导致统计效力的丧失。假阳性悖论的一个推论是，测量口吃的灵敏度可能相对较低（建议为90%），然后对口吃患病率的一般人群估计才会受到明显影响。尽管对灵敏度的测量要求有所放松，但隐蔽的口吃可能被低估了。隐性口吃可能使用前瞻性队列研究的数据来解释，但是这样的修订似乎不太可能超过广泛接受的1%成人口吃患病率估计；参见Gattie， Lieven & Kluk（2024年）对0.96%的估计。当用于估计口吃患病率时，Tsur等人（2021）报告的数据是孤立的，相对较低的估计值可能是由于征兵数据和/或广泛的医疗保健筛查。

{"title":"Adult stuttering prevalence I: Systematic review and identification of stuttering in large populations","authors":"Max Gattie , Elena Lieven , Karolina Kluk","doi":"10.1016/j.jfludis.2024.106085","DOIUrl":"10.1016/j.jfludis.2024.106085","url":null,"abstract":"<div><h3>Purpose</h3><div>Stuttering epidemiology is reviewed with a primary goal of appraising methods used to identify stuttering in large populations. Secondary goals were to establish a best estimate of adult stuttering prevalence; identify data that could subgroup stuttering based upon childhood versus adult onset and covert versus over behaviour; and conduct a preliminary assessment of the degree to which stuttering features as a co-occurring diagnosis.</div></div><div><h3>Methods</h3><div>Systematic review followed PRISMA guidelines. Quality assessment was based on the Joanna Briggs Institute Prevalence Critical Appraisal Tool, with criteria adjusted for appraisal of stuttering.</div></div><div><h3>Results</h3><div>15 sets of data were assessed for quality, with three meeting criteria for inclusion. These estimated adult stuttering prevalence at 0.67% at age 14–17 years (Taghipour et al., 2013); 0.21% at age 16–20 years (<span><span>Tsur et al., 2021</span></span>); and 0.63% when aged over 21 years (<span><span>Craig et al., 2002</span></span>).</div></div><div><h3>Conclusion</h3><div>Systematic review indicates adult stuttering prevalence is between 0.6–0.7%. A false positive paradox follows from the low prevalence of stuttering in the general population, creating a need for very high specificity when measuring stuttering in the general population. Failure to achieve high specificity (99.9% is suggested) leads to loss of statistical power due to presence of false positives. A corollary of the false positive paradox is that sensitivity in measurement of stuttering can be relatively low (90% is suggested) before general population estimates of stuttering prevalence are appreciably affected. Despite this relaxation of measurement requirements regarding sensitivity, covert stuttering is likely to have been underestimated. Covert stuttering might be accounted for using data from prospective cohort studies, however such a revision seems unlikely to exceed the widely-accepted 1% adult stuttering prevalence estimate; see <span><span>Gattie, Lieven & Kluk (2024</span></span> this issue) for an estimate at 0.96 %. When used to estimate stuttering prevalence, data reported by <span><span>Tsur et al. (2021)</span></span> are outlying, with the relatively low estimate possibly due to origin as military conscript data and/or generalised healthcare screening.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106085"},"PeriodicalIF":2.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873083","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

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 : 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。

{"title":"Adult stuttering prevalence II: Recalculation, subgrouping and estimate of stuttering community engagement","authors":"Max Gattie , Elena Lieven , Karolina Kluk","doi":"10.1016/j.jfludis.2024.106086","DOIUrl":"10.1016/j.jfludis.2024.106086","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>Prevalence calculations were based on data from studies having the strongest designs, following the systematic review of <span><span>Gattie, Lieven & Kluk (2024</span></span>, 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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106086"},"PeriodicalIF":2.1,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873094","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

Corrigendum to “Do dyslexia and stuttering share a processing eficit?", [Journal of Fluency Disorders, 67 (2021) 105827] 对 "阅读障碍和口吃有共同的处理缺陷吗？"的更正，[《流利障碍杂志》，67 (2021) 105827]。

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

Journal of Fluency Disorders

Pub Date : 2024-09-26 DOI: 10.1016/j.jfludis.2024.106087

Mahmoud M. Elsherif , Linda R. Wheeldon , Steven Frisson

引用次数: 0

A theory building critical realist evaluation of an integrated cognitive-behavioural fluency enhancing stuttering treatment for school-age children. Part 1: Development of a preliminary program theory from expert speech-language pathologist data. 对学龄儿童口吃流利性强化认知行为综合治疗的理论构建批判现实主义评估。第 1 部分：从语言病理专家的数据中发展出初步的方案理论。

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

Journal of Fluency Disorders

Pub Date : 2024-08-24 DOI: 10.1016/j.jfludis.2024.106076

Michelle C. Swift , Marilyn Langevin

Purpose

This study initiated a program of research that aims to develop a program theory underlying integrated cognitive-behavioural fluency enhancing stuttering treatments for school-age children. This research asks, what in the treatment program works (or does not work), for whom, in what contexts, and why.

Methods

Using a critical realist evaluation approach, seven speech-language pathologists (SLPs) with extensive experience in treating children who stutter were asked about barriers and facilitators of optimal treatment outcomes within the context of the Comprehensive Stuttering Program - School-aged Children (CSP-SC). From these data discrete resource mechanisms, contexts, within child reasoning mechanisms, and outcomes were derived and a preliminary program theory was proposed.

Results

Facilitating and impeding child physiology, treatment and SLP resource mechanisms, family and school contexts, and within-child mechanisms were identified. Facilitating mechanisms included motivation, personality/psychological characteristics, understanding and trust of the treatment process, experience of speaking with less effort, and self-efficacy. Impeding mechanisms included reduced motivation, impeding personality/psychological characteristics, lack of buy-in, and, for some children, a prohibitive cost of effort in using learned strategies.

Conclusion

A preliminary program theory was hypothesized which will be further developed in future analysis of data obtained from children and parents who participated in the CSP-SC at the same centre from which the SLPs came. Subsequent research with new cohorts of SLPs, children, and parents from other treatment programs and centres will be needed to establish the generalizability of the program theory generated in this program of research

目的：本研究启动了一项研究计划，旨在为学龄儿童的口吃综合认知行为流利性强化治疗开发一种基础计划理论。这项研究的问题是：治疗计划中哪些内容有效（或无效），对谁有效，在什么情况下有效，为什么有效：采用批判现实主义评估方法，向七位在治疗口吃儿童方面具有丰富经验的语言病理学家（SLPs）询问了在 "学龄儿童口吃综合治疗计划"（CSP-SC）背景下取得最佳治疗效果的障碍和促进因素。从这些数据中得出了离散的资源机制、环境、儿童内部推理机制和结果，并提出了初步的计划理论：结果：确定了促进和阻碍儿童生理、治疗和 SLP 资源机制、家庭和学校环境以及儿童内部机制。促进机制包括动机、个性/心理特征、对治疗过程的理解和信任、说话省力的体验以及自我效能感。阻碍机制包括动机减弱、个性/心理特征阻碍、缺乏认同感，以及对某些儿童来说，使用所学策略的努力成本过高：我们提出了一个初步的项目理论假设，该理论将在今后的数据分析中得到进一步发展，这些数据来自于在同一中心参加 CSP-SC 的儿童和家长，而 SLP 就来自于该中心。随后还需要对来自其他治疗项目和中心的新一批 SLPs、儿童和家长进行研究，以确定本研究项目中产生的项目理论的普遍性。

{"title":"A theory building critical realist evaluation of an integrated cognitive-behavioural fluency enhancing stuttering treatment for school-age children. Part 1: Development of a preliminary program theory from expert speech-language pathologist data.","authors":"Michelle C. Swift , Marilyn Langevin","doi":"10.1016/j.jfludis.2024.106076","DOIUrl":"10.1016/j.jfludis.2024.106076","url":null,"abstract":"<div><h3>Purpose</h3><p>This study initiated a program of research that aims to develop a program theory underlying integrated cognitive-behavioural fluency enhancing stuttering treatments for school-age children. This research asks, what in the treatment program works (or does not work), for whom, in what contexts, and why.</p></div><div><h3>Methods</h3><p>Using a critical realist evaluation approach, seven speech-language pathologists (SLPs) with extensive experience in treating children who stutter were asked about barriers and facilitators of optimal treatment outcomes within the context of the Comprehensive Stuttering Program - School-aged Children (CSP-SC). From these data discrete resource mechanisms, contexts, within child reasoning mechanisms, and outcomes were derived and a preliminary program theory was proposed.</p></div><div><h3>Results</h3><p>Facilitating and impeding child physiology, treatment and SLP resource mechanisms, family and school contexts, and within-child mechanisms were identified. Facilitating mechanisms included motivation, personality/psychological characteristics, understanding and trust of the treatment process, experience of speaking with less effort, and self-efficacy. Impeding mechanisms included reduced motivation, impeding personality/psychological characteristics, lack of buy-in, and, for some children, a prohibitive cost of effort in using learned strategies.</p></div><div><h3>Conclusion</h3><p>A preliminary program theory was hypothesized which will be further developed in future analysis of data obtained from children and parents who participated in the CSP-SC at the same centre from which the SLPs came. Subsequent research with new cohorts of SLPs, children, and parents from other treatment programs and centres will be needed to establish the generalizability of the program theory generated in this program of research</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"82 ","pages":"Article 106076"},"PeriodicalIF":2.1,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X24000408/pdfft?md5=31f0d80a3f068eb219915c8816e045c6&pid=1-s2.0-S0094730X24000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113944","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

Public attitudes toward stuttering and cluttering in Chinese and Japanese speech-language pathology students 中国和日本语言病理学学生对口吃和杂音的公众态度。

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

Journal of Fluency Disorders

Pub Date : 2024-08-24 DOI: 10.1016/j.jfludis.2024.106077

Yu-An Chen , Shoko Miyamoto , Kenneth O. St. Louis

Purpose

This study utilized the Chinese and Japanese translations of the Public Opinion Survey of Human Attributes-Stuttering (POSHA–S) and Cluttering (POSHA–Cl) to compare the differences in (a) attitudes towards stuttering versus cluttering in speech-language pathology (SLP) students in either China or Japan, (b) attitudes of SLP students in China versus Japan towards either stuttering or cluttering, and (c) attitudes of Chinese and Japanese students versus international databases for stuttering and cluttering.

Method

The POSHA–S and POSHA–Cl were both administered to 99 SLP students from six universities in China and 352 SLP students from two universities in Japan.

Results

Attitudes toward stuttering were markedly different for Chinese versus Japanese students. Overall, stuttering attitudes were slightly more positive than cluttering attitudes in both countries; however, compared to China, Japanese SLP students attitudes toward stuttering and cluttering were more disimilar. In addition, compared with the international database, the attitudes of Chinese and Japanese SLP students toward self-reactions to both disorders were more positive.

Conclusion

Chinese and Japanese SLP students’ attitudes toward both stuttering and cluttering are likely to be influenced by geography, culture, education, and the “halo effect.” The attitudes of the SLP students in China and Japan are more negative than the attitudes as shown in the global data.

目的：本研究使用人类属性民意调查--口吃（POSHA-S）和口吃（POSHA-Cl）的中文和日文译本，比较（a）中国或日本语言病理学（SLP）专业学生对口吃和口吃的态度差异；（b）中国和日本语言病理学专业学生对口吃或口吃的态度差异；（c）中国和日本学生对口吃和口吃国际数据库的态度差异：方法：对中国六所大学的 99 名口吃矫正专业学生和日本两所大学的 352 名口吃矫正专业学生进行了 POSHA-S 和 POSHA-Cl测试：结果：中国学生和日本学生对口吃的态度明显不同。总体而言，中日两国学生对口吃的态度都略高于对杂音的态度；但与中国相比，日本SLP学生对口吃和杂音的态度差异更大。此外，与国际数据库相比，中国和日本的语言辅导员学生对这两种障碍的自我反应的态度更为积极：结论：中日SLP学生对口吃和口吃障碍的态度可能受到地理、文化、教育和 "光环效应 "的影响。与全球数据相比，中国和日本 SLP 学生的态度更为消极。

{"title":"Public attitudes toward stuttering and cluttering in Chinese and Japanese speech-language pathology students","authors":"Yu-An Chen , Shoko Miyamoto , Kenneth O. St. Louis","doi":"10.1016/j.jfludis.2024.106077","DOIUrl":"10.1016/j.jfludis.2024.106077","url":null,"abstract":"<div><h3>Purpose</h3><p>This study utilized the Chinese and Japanese translations of the <em>Public Opinion Survey of Human Attributes-Stuttering</em> (<em>POSHA–S</em>) and <em>Cluttering</em> (<em>POSHA–Cl</em>) to compare the differences in (a) attitudes towards stuttering versus cluttering in speech-language pathology (SLP) students in either China or Japan, (b) attitudes of SLP students in China versus Japan towards either stuttering or cluttering, and (c) attitudes of Chinese and Japanese students versus international databases for stuttering and cluttering.</p></div><div><h3>Method</h3><p>The <em>POSHA–S</em> and <em>POSHA–Cl</em> were both administered to 99 SLP students from six universities in China and 352 SLP students from two universities in Japan.</p></div><div><h3>Results</h3><p>Attitudes toward stuttering were markedly different for Chinese versus Japanese students. Overall, stuttering attitudes were slightly more positive than cluttering attitudes in both countries; however, compared to China, Japanese SLP students attitudes toward stuttering and cluttering were more disimilar. In addition, compared with the international database, the attitudes of Chinese and Japanese SLP students toward self-reactions to both disorders were more positive.</p></div><div><h3>Conclusion</h3><p>Chinese and Japanese SLP students’ attitudes toward both stuttering and cluttering are likely to be influenced by geography, culture, education, and the “halo effect.” The attitudes of the SLP students in China and Japan are more negative than the attitudes as shown in the global data.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"82 ","pages":"Article 106077"},"PeriodicalIF":2.1,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitigating stuttering self-stigma: How do we start and where do we go? Using a Participative Concept Mapping Approach to develop a local framework of principles 减轻口吃的自我耻辱感：我们如何开始，又将何去何从？使用参与式概念绘图法制定本地原则框架

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

Journal of Fluency Disorders

Pub Date : 2024-07-19 DOI: 10.1016/j.jfludis.2024.106075

Geneviève Lamoureux , Sébastien Finlay , Anne Moïse-Richard , Lucie Ménard , Ingrid Verduyckt

Purpose

This study aims to create a stigma reduction framework for stuttering in the local context of Québec, Canada using the Participative Concept Mapping Approach (PCMA), focusing on both self and societal stigma.

Method

Employing a mixed-methods approach, this study engaged 17 experts—people who stutter, clinicians and health innovation specialists—in PCMA workshops. Via diverse steps, including generation, sorting and rating of ideas in response to the focus prompt, "To effectively address stuttering (self-)stigma, an intervention should…" these sessions led to a framework depicted in visual maps, then refined into actionable principles through qualitative analysis. Mixed-methods data analysis used the open-source R-CMap software to generate visual maps illustrating the relationships among ideas as well as importance and feasibility ratings.

Results

The collaborative workshops identified 95 ideas in response to the focus prompt, reunited in 7 clusters, evolving into 16 principles to mitigate stuttering stigma and self-stigma. At the therapy level, these principles emphasize personalized therapy, thorough assessments, stigma-free therapeutic environment, empowerment, and the importance of group inclusivity and educating the relational circles. Societally, they advocate for initiatives such as improved educational outreach, empathy enhancement, and better representation. This dual approach targets individual experiences and societal views on stuttering, stressing the need for an all-encompassing intervention framework.

Conclusion

The findings demonstrate PCMA's usefulness in crafting local, culturally sensitive, tailored interventions for stigma reduction. The study emphasizes the necessity of holistic approaches that address individual experiences and societal perceptions, offering a model to conduct similar exercises in diverse local settings.

本研究旨在利用参与式概念绘图法（PCMA），在加拿大魁北克当地建立一个减少口吃耻辱感的框架，重点关注自我和社会耻辱感。本研究采用混合方法，让 17 位专家--口吃患者、临床医生和健康创新专家--参与 PCMA 工作坊。通过不同的步骤，包括针对焦点提示 "为有效解决口吃（自我）羞辱问题，干预措施应...... "进行想法的生成、分类和评级，这些会议产生了一个可视化地图描述的框架，然后通过定性分析提炼为可操作的原则。混合方法数据分析使用开源 R-CMap 软件生成可视化地图，说明各种想法之间的关系以及重要性和可行性评级。合作研讨会根据焦点提示确定了 95 个想法，并将其归纳为 7 个群组，最终形成 16 项原则，以减轻口吃耻辱感和自我耻辱感。在治疗层面，这些原则强调个性化治疗、全面评估、无污名化治疗环境、赋权，以及团体包容性和教育关系圈的重要性。在社会层面，他们倡导改进教育推广、增强同理心和提高代表性等举措。这种双重方法针对个人经历和社会对口吃的看法，强调需要一个全方位的干预框架。研究结果表明，PCMA 适用于制定本地的、文化敏感的、有针对性的干预措施，以减少污名化。该研究强调了针对个人经历和社会观念的整体方法的必要性，为在不同的地方环境中开展类似活动提供了一种模式。

{"title":"Mitigating stuttering self-stigma: How do we start and where do we go? Using a Participative Concept Mapping Approach to develop a local framework of principles","authors":"Geneviève Lamoureux , Sébastien Finlay , Anne Moïse-Richard , Lucie Ménard , Ingrid Verduyckt","doi":"10.1016/j.jfludis.2024.106075","DOIUrl":"10.1016/j.jfludis.2024.106075","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to create a stigma reduction framework for stuttering in the local context of Québec, Canada using the Participative Concept Mapping Approach (PCMA), focusing on both self and societal stigma.</p></div><div><h3>Method</h3><p>Employing a mixed-methods approach, this study engaged 17 experts—people who stutter, clinicians and health innovation specialists—in PCMA workshops. Via diverse steps, including generation, sorting and rating of ideas in response to the focus prompt, \"To effectively address stuttering (self-)stigma, an intervention should…\" these sessions led to a framework depicted in visual maps, then refined into actionable principles through qualitative analysis. Mixed-methods data analysis used the open-source R-CMap software to generate visual maps illustrating the relationships among ideas as well as importance and feasibility ratings.</p></div><div><h3>Results</h3><p>The collaborative workshops identified 95 ideas in response to the focus prompt, reunited in 7 clusters, evolving into 16 principles to mitigate stuttering stigma and self-stigma. At the therapy level, these principles emphasize personalized therapy, thorough assessments, stigma-free therapeutic environment, empowerment, and the importance of group inclusivity and educating the relational circles. Societally, they advocate for initiatives such as improved educational outreach, empathy enhancement, and better representation. This dual approach targets individual experiences and societal views on stuttering, stressing the need for an all-encompassing intervention framework.</p></div><div><h3>Conclusion</h3><p>The findings demonstrate PCMA's usefulness in crafting local, culturally sensitive, tailored interventions for stigma reduction. The study emphasizes the necessity of holistic approaches that address individual experiences and societal perceptions, offering a model to conduct similar exercises in diverse local settings.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"81 ","pages":"Article 106075"},"PeriodicalIF":2.1,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141775249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Italian normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) Scales for adults who stutter 意大利口吃成人无益想法和信念量表（UTBAS）的标准数据。

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

Journal of Fluency Disorders

Pub Date : 2024-06-25 DOI: 10.1016/j.jfludis.2024.106074

Simona Bernardini , Sara Onnivello , Silvia Lanfranchi

Purpose

This study aimed to assess the reliability and validity of the Italian translation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales for adults who stutter, as there are no assessment tools currently available in Italy. The UTBAS scales provide a comprehensive stuttering-specific measure of the unhelpful thoughts and beliefs that can be used to screen for indicators of social anxiety in adults who stutter. Additionally, the UTBAS scales also allow the identification of negative thoughts and beliefs that negatively impact speech treatment outcomes.

Method

The translation of the UTBAS scales into Italian (UTBAS-ITA) was completed using the forward-backward translation process and it was administered to 98 adults who stutter (AWS) and 98 adults who do not stutter (AWNS). Both groups were matched for gender and age. We also administered the UTBAS-ITA to 76 AWS a second time within a two-week interval to assess test-retest reliability. Additionally, we administered the State-Trait Anxiety Inventory and the Fear of Negative Evaluation Scale to 20 AWS to assess concurrent validity.

Results

The UTBAS-ITA showed good power of discrimination between AWS and AWNS, high internal validity, high internal consistency, good construct validity, and good test-retest reliability.

Conclusion

Since there is a scarcity of clinical assessment tools for adults who stutter in Italy, the UTBAS-ITA could serve as an assessment tool and outcome measure for clinical and research environments.

目的：本研究旨在评估意大利语翻译的关于口吃的有害想法和信念量表（UTBAS）的可靠性和有效性，因为意大利目前还没有针对成人口吃患者的评估工具。UTBAS量表提供了一种针对口吃的无益想法和信念的综合测量方法，可用于筛查成年口吃者的社交焦虑指标。此外，UTBAS 量表还能识别对语言治疗效果产生负面影响的消极想法和信念：将UTBAS量表翻译成意大利语（UTBAS-ITA）的工作采用了前向-后向翻译程序，并对98名口吃成人（AWS）和98名不口吃成人（AWNS）进行了测试。两组的性别和年龄均匹配。我们还在两周内对 76 名口吃成人进行了第二次UTBAS-ITA测试，以评估测试再测的可靠性。此外，我们还对 20 名 AWS 施测了状态-特质焦虑量表和害怕负面评价量表，以评估并发效度：UTBAS-ITA在AWS和AWNS之间显示出良好的区分能力、较高的内部效度、较高的内部一致性、良好的建构效度和良好的测试-再测试可靠性：结论：由于意大利缺乏针对成人口吃患者的临床评估工具，UTBAS-ITA 可以作为临床和研究环境中的评估工具和结果测量工具。

{"title":"Italian normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) Scales for adults who stutter","authors":"Simona Bernardini , Sara Onnivello , Silvia Lanfranchi","doi":"10.1016/j.jfludis.2024.106074","DOIUrl":"10.1016/j.jfludis.2024.106074","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to assess the reliability and validity of the Italian translation of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales for adults who stutter, as there are no assessment tools currently available in Italy. The UTBAS scales provide a comprehensive stuttering-specific measure of the unhelpful thoughts and beliefs that can be used to screen for indicators of social anxiety in adults who stutter. Additionally, the UTBAS scales also allow the identification of negative thoughts and beliefs that negatively impact speech treatment outcomes.</p></div><div><h3>Method</h3><p>The translation of the UTBAS scales into Italian (UTBAS-ITA) was completed using the forward-backward translation process and it was administered to 98 adults who stutter (AWS) and 98 adults who do not stutter (AWNS). Both groups were matched for gender and age. We also administered the UTBAS-ITA to 76 AWS a second time within a two-week interval to assess test-retest reliability. Additionally, we administered the State-Trait Anxiety Inventory and the Fear of Negative Evaluation Scale to 20 AWS to assess concurrent validity.</p></div><div><h3>Results</h3><p>The UTBAS-ITA showed good power of discrimination between AWS and AWNS, high internal validity, high internal consistency, good construct validity, and good test-retest reliability.</p></div><div><h3>Conclusion</h3><p>Since there is a scarcity of clinical assessment tools for adults who stutter in Italy, the UTBAS-ITA could serve as an assessment tool and outcome measure for clinical and research environments.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"81 ","pages":"Article 106074"},"PeriodicalIF":2.1,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X2400038X/pdfft?md5=fa50eeee69da92781e365747b053d5dd&pid=1-s2.0-S0094730X2400038X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538876","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