Journal of Fluency Disorders最新文献

{"title":"How reliable and useful are social media videos about stuttering? A comprehensive evaluation of content and credibility","authors":"Derya Çavdar MsC (Corresponding Author) ,&nbsp;Muhsin Dölek ,&nbsp;Özlem Oğuz","doi":"10.1016/j.jfludis.2025.106116","DOIUrl":"10.1016/j.jfludis.2025.106116","url":null,"abstract":"<div><div>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 (<em>p</em> &lt; .001). On YouTube, videos created by SLTs are superior in quality, reliability, comprehensibility compared to videos produced by other healthcare professionals (<em>p</em> &lt; .001). Additionally, videos on AWS receive a greater number of positive comments compared to videos from SLTs and other healthcare professionals (<em>p</em> &lt; .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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106116"},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734970","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}

{"title":"Sleep parameters in children who stutter: A comparison with children who do not stutter using actigraphy","authors":"Maria Clara Helena Couto ,&nbsp;Cristiane Moço Canhetti de Oliveira ,&nbsp;Isabella Meneses da Silva ,&nbsp;Ana Luiza Decanini Miranda de Souza ,&nbsp;Mahara Proença ,&nbsp;Tiago V. Barreira ,&nbsp;Luciana Pinato","doi":"10.1016/j.jfludis.2025.106115","DOIUrl":"10.1016/j.jfludis.2025.106115","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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 &lt; 0.05.</div></div><div><h3>Results</h3><div>CWS exhibited significantly longer sleep onset latency (p &lt; 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.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106115"},"PeriodicalIF":2.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714950","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}

{"title":"Palin Stuttering Therapy for School aged Children and usual treatment: A randomised controlled trial feasibility study","authors":"S.K. Millard ,&nbsp;S. Murphy ,&nbsp;G. Barton ,&nbsp;L. Rixon ,&nbsp;L. Shepstone ,&nbsp;E. Sims ,&nbsp;V. Joffe","doi":"10.1016/j.jfludis.2025.106114","DOIUrl":"10.1016/j.jfludis.2025.106114","url":null,"abstract":"<div><h3>Background</h3><div>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)).</div></div><div><h3>Aim</h3><div>To investigate the feasibility of conducting a definitive randomised controlled trial comparing Palin STSC(8−14) with usual treatment<em>.</em> 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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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).</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"84 ","pages":"Article 106114"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579968","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}

{"title":"A discussion of topics related to teaching a graduate stuttering course","authors":"Julia S. Kerrigan ,&nbsp;Shelley B. Brundage ,&nbsp;Christopher D. Constantino ,&nbsp;Derek E. Daniels ,&nbsp;Naomi H. Rodgers","doi":"10.1016/j.jfludis.2025.106103","DOIUrl":"10.1016/j.jfludis.2025.106103","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106103"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372912","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}

{"title":"Reimagining stuttering therapy and outcomes through an acceptance and collaborative lens","authors":"Farzan Irani ,&nbsp;Michael Azios ,&nbsp;Michael Boyle ,&nbsp;Geoffrey A. Coalson ,&nbsp;Scott Palasik ,&nbsp;Jack Rodriguez ,&nbsp;Eric Swartz","doi":"10.1016/j.jfludis.2025.106105","DOIUrl":"10.1016/j.jfludis.2025.106105","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106105"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081805","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}

{"title":"Stuttering as an act of love","authors":"Christopher Dominick Constantino","doi":"10.1016/j.jfludis.2025.106104","DOIUrl":"10.1016/j.jfludis.2025.106104","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106104"},"PeriodicalIF":2.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076063","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}

{"title":"The application of non-invasive neuromodulation in stuttering: Current status and future directions","authors":"Mehdi Bakhtiar ,&nbsp;Karim Johari","doi":"10.1016/j.jfludis.2025.106100","DOIUrl":"10.1016/j.jfludis.2025.106100","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106100"},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069136","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}

{"title":"Administering the Lidcombe Program to children who stutter with concomitant disorders: Insights from an exploratory retrospective chart review study","authors":"Sébastien Finlay ,&nbsp;Pascaline Kengne Talla ,&nbsp;Maïlie Fortin ,&nbsp;Julie Braën ,&nbsp;Laurie Levesque ,&nbsp;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}

{"title":"A pilot study of stuttering treatment for older children (STOC)","authors":"Jóhanna T. Einarsdóttir ,&nbsp;Thorlakur Karlsson ,&nbsp;Íris Ösp Bergþórsdóttir ,&nbsp;Kirstín Lára Halldórsdóttir ,&nbsp;Kathryn Crowe","doi":"10.1016/j.jfludis.2025.106102","DOIUrl":"10.1016/j.jfludis.2025.106102","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106102"},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076061","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}

{"title":"Reliability and validity of the unhelpful thoughts and beliefs scale for Persian-speaking adults who stutter (UTBAS-P): A cross-cultural examination of social anxiety in people who stutter","authors":"Sima Farpour ,&nbsp;Bijan Shafie ,&nbsp;Ross Menzies ,&nbsp;Hamid Karimi","doi":"10.1016/j.jfludis.2025.106099","DOIUrl":"10.1016/j.jfludis.2025.106099","url":null,"abstract":"<div><h3>Background and Aim</h3><div>An increasing body of research indicates that many adults who stutter (AWS) experience anxiety in social and verbal situations. The Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales were developed to assess speech-related anxiety and negative cognitions associated with stuttering. This study aimed to translate the UTBAS into Persian, investigate its psychometric properties for Persian-speaking AWS, and compare the results with previously published UTBAS scores across various cultures.</div></div><div><h3>Method</h3><div>The UTBAS scales were translated into Persian according to the protocols of the International Quality of Life Assessment Project and the World Health Organization. Sixty-two adults with developmental stuttering, aged between 18 and 51 years, participated in this study. The psychometric properties of UTBAS-P were investigated using similar measures to those used in previous studies where valid and reliable versions were available. Additionally, UTBAS-P scores were compared to UTBAS scores previously reported for Australian, Japanese, and Turkish participants.</div></div><div><h3>Results</h3><div>The results showed that UTBAS-P had an acceptable face, content, and construct validity. It was significantly correlated with other anxiety-related measures. Additionally, its low and negative correlations with unrelated constructs, such as the NEO-PI-R domains of openness, agreeableness, and conscientiousness, confirmed its divergent validity. Regarding reliability, the significant test-retest reliability score (Pearson r = 0.87, p &lt; 0.001) confirmed the stability of UTBAS-P scores over time, and its internal consistency was confirmed by Cronbach’s alpha of 0.99. Similarities and differences were found between participants' UTBAS scores across different cultures.</div></div><div><h3>Conclusion</h3><div>All four currently translated versions of the UTBAS have demonstrated high levels of validity and reliability, showing strong correlations with well-known anxiety measures. These findings suggest that the UTBAS has potential for use both clinically and in cross-cultural studies.</div></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"83 ","pages":"Article 106099"},"PeriodicalIF":2.1,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014793","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}