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

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引用次数: 0

Abstract

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.

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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。

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Fluency Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.70

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Fluency Disorders provides comprehensive coverage of clinical, experimental, and theoretical aspects of stuttering, including the latest remediation techniques. As the official journal of the International Fluency Association, the journal features full-length research and clinical reports; methodological, theoretical and philosophical articles; reviews; short communications and much more – all readily accessible and tailored to the needs of the professional.