Eye movement as a simple, cost-effective tool for people who stutter: A case study.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Hilary D-L McDonagh, Patrick Broderick, Kenneth Monaghan
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引用次数: 0

Abstract

Background:  Access to services remains the biggest barrier to helping the most vulnerable in the South African Stuttering Community. This novel stuttering therapy, harnessing an unconscious link between eye and tongue movement, may provide a new therapeutic approach, easily communicated and deliverable online.

Objectives:  This study provides both objective and subjective assessments of the feasibility of this intervention. Assessment tools holistically address all components of stuttering in line with comprehensive treatment approaches: core behaviours, secondary behaviours, anticipation and reactions.

Method:  On receipt of ethical approval, this single-subject case design recruited one adult (21-year-old) male with a developmental stutter (DS). The participant gave informed consent and completed four scheduled assessments: baseline, after 5-week training, 3 months post-intervention and 24 months post-completion. The study used objective assessment tools: Stuttering Severity Instrument-4 (SSI-4); Subjective-assessment tools: SSI-4 clinical use self-report tool (CUSR); Overall Assessment of Speaker's Experience of Stuttering (OASES-A); Premonitory Awareness in Stuttering (PAiS) and Self-Report Stuttering Severity* (SRSS) (*final assessment).

Results:  The participant's scores improved across all assessment measures, which may reflect a holistic improvement. The participant reported that the tool was very useful. There were no negative consequences.

Conclusion:  This case report indicates that this innovative treatment may be feasible. No adverse effects were experienced, and the treatment only benefited the participant. The results justify the design of a pilot randomised feasibility clinical trial.Contribution: The results indicate that this is a needed breakthrough in stuttering therapy as the instructions can be easily translated into any language. It can also be delivered remotely reducing accessibility barriers.

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眼动作为一种简单、经济高效的口吃工具:一项案例研究。
背景:获得服务仍然是帮助南非口吃社区最弱势群体的最大障碍。这种新颖的口吃疗法,利用眼睛和舌头运动之间的无意识联系,可能提供一种新的治疗方法,易于沟通,并可在网上交付。目的:本研究对这种干预措施的可行性进行了客观和主观评估。评估工具根据综合治疗方法全面解决口吃的所有组成部分:核心行为、次要行为、预期和反应。方法:在获得伦理批准后,本单受试者病例设计招募了一名患有发育性口吃(DS)的成年(21岁)男性。参与者给予知情同意,并完成了四项预定的评估:基线、5周训练后、干预后3个月和完成后24个月。该研究使用了客观评估工具:口吃严重程度工具-4(SSI-4);主观评估工具:SSI-4临床使用自我报告工具(CUSR);演讲人口吃经历的总体评估(OASES-A);口吃监测前意识(PAiS)和自我报告口吃严重程度*(SRSS)(*最终评估)。结果:参与者在所有评估措施中的得分都有所提高,这可能反映了整体的改善。与会者报告说,该工具非常有用。没有任何负面后果。结论:该病例报告表明,这种创新的治疗方法可能是可行的。没有出现任何不良反应,治疗仅使参与者受益。这些结果证明了一项试点随机可行性临床试验的设计是合理的。贡献:研究结果表明,这是口吃治疗的一个必要突破,因为说明书可以很容易地翻译成任何语言。它还可以远程交付,减少可访问性障碍。
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
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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