Aslı Altınsoy , Ramazan Sertan Özdemir , Şükrü Torun
{"title":"A preliminary comparison of fluent and non-fluent speech through Turkish predictive cluttering inventory-revised","authors":"Aslı Altınsoy , Ramazan Sertan Özdemir , Şükrü Torun","doi":"10.1016/j.jfludis.2023.106019","DOIUrl":"10.1016/j.jfludis.2023.106019","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study is to compare the speech fluency performance of non-fluent participants namely people with stuttering (PWS), people with cluttering (PWC) and people with cluttering and stuttering (PWCS) with a fluent control group using the Turkish version of Predictive Cluttering Inventory-revised (TR-PCI-r).</p></div><div><h3>Methods</h3><p>The study recruited non-fluent individuals (n = 60) and fluent controls (n = 60) between the ages of 6 and 55. The non-fluent group was perceptually evaluated by two speech and language pathologists (SLP). The speaking, reading and retelling samples were collected from 18 PWC, 17 PWCS, 25 PWS and 60 controls. The scores of each factor were compared. Age and gender differences were analyzed. Validity and reliability were calculated.</p></div><div><h3>Results</h3><p>The agreement between two SLPs was found to be at the barely acceptable level (<em>κ</em> = 0.378). PWC and PWCS produced parallel outcomes in the speech motor area. In every other domain and in total scores, PWC were different from PWCS, PWS, and the controls. There was a variation in the total scores obtained by the children and adolescents in the PWS and between males and females in the controls. Except for three items (namely items 8, 22, 27), TR-PCI-r met the content validity criterion. Furthermore, TR-PCI-r was found to be a reliable tool as shown by <em>ɑ</em>> 0.70 and ICC values of between 0.75 and 0.90.</p></div><div><h3>Conclusion</h3><p>The scores from TR-PCI-r indicated that, speech motor characteristics of PWC and PWCS were similar. Other features assessed by the tool seemed to distinguish PWC from PWCS, PWS and controls.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"79 ","pages":"Article 106019"},"PeriodicalIF":2.1,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X23000621/pdfft?md5=2b85ce8f1de7a035c5a9976dbfb44538&pid=1-s2.0-S0094730X23000621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614207","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}
Amir Hossein Rasoli Jokar , Steven Roche , Hamid Karimi
{"title":"Stuttering on Instagram: What is the focus of stuttering-related Instagram posts and how do users engage with them?","authors":"Amir Hossein Rasoli Jokar , Steven Roche , Hamid Karimi","doi":"10.1016/j.jfludis.2023.106021","DOIUrl":"10.1016/j.jfludis.2023.106021","url":null,"abstract":"<div><h3>Purpose</h3><p>Instagram has become a popular platform for sharing and seeking health-related information, including stuttering. However, concerns have been raised about the accuracy, confidentiality, and potential negative impact of such information. This study aims to examine how stuttering is defined and understood on Instagram, and how users engage with related content.</p></div><div><h3>Methods</h3><p>We analyzed highly engaged Instagram posts with the hashtag \"#Stuttering\" published within a year and their corresponding comments using thematic analysis.</p></div><div><h3>Results</h3><p>The results revealed four main themes and nine sub-themes that highlighted different understandings of stuttering on Instagram, including the need for intervention, emotional impact on people who stutter, positive meanings, and mental health implications. User engagement varied based on the nature of the post, with users showing appreciation, objections, seeking advice, celebrating success stories, mocking, or advocating for people who stutter.</p></div><div><h3>Conclusion</h3><p>Although Instagram can serve as a means of normalizing stuttering and highlighting success stories, it raises concerns about the promotion of non-evidence-based treatments and the use of stuttering for political or entertainment purposes. This study emphasizes the need to critically evaluate health-related information presented on social media platforms. To provide reliable information to PWS and their families who seek information on social media, it is recommended to promote evidence-based information on stuttering through trustworthy organizations such as the National Stuttering Association or the Stuttering Foundation, particularly on special occasions like International Stuttering Awareness Day.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106021"},"PeriodicalIF":2.1,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X23000645/pdfft?md5=b12303a8f0bf68c5d7466cebc20d2efb&pid=1-s2.0-S0094730X23000645-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509622","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}
Nurten Tiryaki , R. Sertan Özdemir , Çağdaş Karsan , Michael P. Boyle
{"title":"Turkish adaptation of the self-stigma of stuttering scale (4S): Study of validity and reliability (4S-TR)","authors":"Nurten Tiryaki , R. Sertan Özdemir , Çağdaş Karsan , Michael P. Boyle","doi":"10.1016/j.jfludis.2023.106020","DOIUrl":"10.1016/j.jfludis.2023.106020","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to adapt the Self-Stigma of Stuttering Scale (4S) into Turkish and evaluate its factor structure, reliability, and validity in Turkish culture.</p></div><div><h3>Methods</h3><p>The original 4S scale was translated into Turkish (4S-TR) using a forward-backward translation technique and was administered to 350 adults who stutter (AWS). To discover latent variables evaluated on the scale, two-factor analyses were performed. Internal consistency and temporal stability were calculated to ensure reliability. Test-retest reliability correlation scores were calculated with multiple applications of the scale within about two weeks. To verify construct validity, participants also completed the Turkish versions of the Self-Esteem Rating Scale-Short Form (BSDÖ-KF) and the Satisfaction with Life Scale(YDÖ).</p></div><div><h3>Results</h3><p>The explanatory factor analysis showed three factors explaining 74.76 % of the total variance. The findings were also validated by confirmatory factor analysis. High levels of internal consistency (<em>r</em> = .89) and test-retest reliability (<em>r =</em> .96) were obtained. In terms of construct validity, our findings revealed that self-stigma has a significant negative correlation with self-esteem (<em>r = −</em>.41) and life satisfaction (<em>r = −.</em>38) as was predicted.</p></div><div><h3>Conclusions</h3><p>The findings demonstrate preliminary evidence that the 4S-TR is a viable and valid instrument for self-stigma evaluation in three domains (stigma awareness, stereotype agreement, and self-concurrence). The 4S-TR can be applied for research and clinical purposes in Turkish.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106020"},"PeriodicalIF":2.1,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211538","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}
Mark Onslow , Robyn Lowe , Suzana Jelčić Jakšić , Ann Packman , Ellen Kelly , Verity MacMillan , Gabrielle Hodes
{"title":"The Fifth Croatia Stuttering Symposium: Part II. Natural recovery from early stuttering","authors":"Mark Onslow , Robyn Lowe , Suzana Jelčić Jakšić , Ann Packman , Ellen Kelly , Verity MacMillan , Gabrielle Hodes","doi":"10.1016/j.jfludis.2023.106018","DOIUrl":"10.1016/j.jfludis.2023.106018","url":null,"abstract":"<div><h3>Purpose</h3><p>The Fifth Croatia Stuttering Symposium of 2022 continued the Fourth Croatia Stuttering Symposium 2019 theme of the connection between research and clinical practice. At the 2022 Symposium, there were 145 delegates from 21 countries. This paper documents the contents of the second of three Symposium modules.</p></div><div><h3>Methods</h3><p>The module topic was that some children with early stuttering will recover naturally. A clinical situation was considered where a parent of a 3-year-old child asked if a clinician can predict whether their child will recover from stuttering without treatment.</p></div><div><h3>Results</h3><p>A distinguished scholar presented a 5-minute video interpretation of research about this topic. Three master clinicians then each presented a 2-minute video demonstration of how that research might be applied in a clinical situation. Following that, the convenors moderated a discussion between the distinguished scholar, master clinicians, and delegates regarding the research and how it applies to clinical practice.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106018"},"PeriodicalIF":2.1,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66784486","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}
Ryan A. Millager , Mary S. Dietrich , Robin M. Jones
{"title":"Corrigendum to “Behavioral and cognitive-affective features of stuttering in preschool-age children: Regression and exploratory cluster analyses” [Journal of Fluency Disorders 76 (2023) 105972]","authors":"Ryan A. Millager , Mary S. Dietrich , Robin M. Jones","doi":"10.1016/j.jfludis.2023.106017","DOIUrl":"10.1016/j.jfludis.2023.106017","url":null,"abstract":"","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106017"},"PeriodicalIF":2.1,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X23000608/pdfft?md5=93459a4fc87326f9ee81a40646e77b0b&pid=1-s2.0-S0094730X23000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684123","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}
Haley J. Warner , Ravi Shroff , Arianna Zuanazzi , Richard M. Arenas , Eric S. Jackson
{"title":"Linguistic features of stuttering during spontaneous speech","authors":"Haley J. Warner , Ravi Shroff , Arianna Zuanazzi , Richard M. Arenas , Eric S. Jackson","doi":"10.1016/j.jfludis.2023.106016","DOIUrl":"10.1016/j.jfludis.2023.106016","url":null,"abstract":"<div><h3>Purpose</h3><p>Previous work shows that linguistic features (e.g., word length, word frequency) impact the predictability of stuttering events. Most of this work has been conducted using reading tasks. Our study examined how linguistic features impact the predictability of stuttering events during spontaneous speech.</p></div><div><h3>Methods</h3><p>The data were sourced from the FluencyBank database and consisted of interviews with 35 adult stutterers (27,009 words). Three logistic regression mixed models were fit as the primary analyses: one model with four features (i.e., initial phoneme, grammatical function, word length, and word position within a sentence), a second model with six features (i.e., the features from the previous model plus word frequency and neighborhood density), and a third model with nine features (i.e., the features from the previous model plus bigram frequency, word concreteness, and typical age of word acquisition). We compared our models using the Area Under the Curve statistic.</p></div><div><h3>Results</h3><p>The four-feature model revealed that initial phoneme, grammatical function, and word length were predictive of stuttering events. The six-feature model revealed that initial phoneme, word length, word frequency, and neighborhood density were predictive of stuttering events. The nine-feature model was not more predictive than the six-feature model.</p></div><div><h3>Conclusion</h3><p>Linguistic features that were previously found to be predictive of stuttering during reading were predictive of stuttering during spontaneous speech. The results indicate the influence of linguistic processes on the predictability of stuttering events such that words associated with increased planning demands (e.g., longer words, low frequency words) were more likely to be stuttered.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106016"},"PeriodicalIF":2.1,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684122","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}
Georgina Johnson , Mark Onslow , Sarah Horton , Elaina Kefalianos
{"title":"Reduced stuttering for school-age children: A systematic review","authors":"Georgina Johnson , Mark Onslow , Sarah Horton , Elaina Kefalianos","doi":"10.1016/j.jfludis.2023.106015","DOIUrl":"10.1016/j.jfludis.2023.106015","url":null,"abstract":"<div><h3>Background</h3><p>Treatment of school-age children (6–12 years of age) who stutter is a public health priority. Their clinical needs include a psychosocial focus and stuttering reduction. For the latter clinical need, there is a critical window of opportunity for these children warranting research attention.</p></div><div><h3>Purpose</h3><p>The purpose of the review is to guide future clinical research by establishing (a) what interventions are associated with stuttering reduction for school-age children (b) the reported immediate and longer-term effects of those interventions, and (c) the level of evidence for these interventions in terms of study design.</p></div><div><h3>Methods</h3><p>Fourteen databases and three conference proceedings were searched for interventions used to reduce stuttering in school-age children. Primary outcomes were mean stuttering reductions pre-treatment, immediately post-treatment, and any follow-up assessments.</p></div><div><h3>Results</h3><p>Of the 4305 studies identified from the databases, 67 studies met inclusion criteria. Five different treatment approaches were reported in the literature that might reduce stuttering for a school-age child, but with varying effect sizes. These include (a) operant methods, (b) speech restructuring, (c) combined operant methods and speech restructuring, (d) machine-driven treatments, and (e) treatments with a cognitive behaviour therapy component.</p></div><div><h3>Conclusions</h3><p>Operant methods warrant investigation in future clinical trial research, as do variants of speech restructuring. Hybrid approaches showed encouraging results, including speech restructuring variants combined with operant methods or with cognitive behaviour therapy. However, evidence is preliminary only at Phase I and II trials. Several treatments with reported clinical promise have been overlooked for decades and require further investigation.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106015"},"PeriodicalIF":2.1,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152913","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}
Rosalee Shenker , Naomi Rodgers , Barry Guitar , Mark Onslow
{"title":"Contemporary clinical conversations about stuttering: Neurodiversity and ableism","authors":"Rosalee Shenker , Naomi Rodgers , Barry Guitar , Mark Onslow","doi":"10.1016/j.jfludis.2023.106014","DOIUrl":"10.1016/j.jfludis.2023.106014","url":null,"abstract":"<div><h3>Purpose</h3><p>To discuss issues about neurodiversity and ableism, and how they pertain to clinical management of stuttering, with particular reference to early childhood stuttering.</p></div><div><h3>Methods</h3><p>During a webinar this year, the issue emerged of how concepts of neurodiversity and ableism apply to early childhood stuttering during the pre-school years. It became apparent that this topic elicited disparate views and would be of particular interest to students of speech-language pathology. Consequently, the leaders of that webinar continued the conversation by written dialogue for the purpose of placing it on record.</p></div><div><h3>Results</h3><p>The discussants reached agreement on many points, but there was some diversity of viewpoint about how neurodiversity and ableism should apply to clinical practice with children who have recently begun to stutter.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"78 ","pages":"Article 106014"},"PeriodicalIF":2.1,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138298","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}
Horabail Venkatagiri , Nuggehalli P. Nataraja , Theja Kuriakose
{"title":"Nonword reading by adults who stutter in a transparent orthography","authors":"Horabail Venkatagiri , Nuggehalli P. Nataraja , Theja Kuriakose","doi":"10.1016/j.jfludis.2023.105996","DOIUrl":"10.1016/j.jfludis.2023.105996","url":null,"abstract":"<div><h3>Purpose</h3><p>Using word- and nonword-reading passages in Kannada, which has a transparent orthography, we attempted to determine (a) whether orthographic differences between English and Kannada may explain the observed differences in stutter rates on nonwords, and (b) whether longer nonwords, like words, incur higher rates of stutters.</p></div><div><h3>Methods</h3><p>Stutters are defined as sound or syllable repetitions, sound prolongations, broken words or nonwords (a pause within a word or nonword), abnormal pauses, and intrusive vowel-like sounds. Twenty-six persons, who stutter, read the word and nonword passages. The nonwords were created by changing the first syllable of each word; otherwise words and nonwords were equivalent in length and syllable structure. Stutters were counted from audio-recordings and statistically analyzed.</p></div><div><h3>Results</h3><p>PWS stuttered on words in varying amounts and in significantly larger amounts on nonwords. Stutter frequency increased roughly in proportion to the increase in the length of phonological words (previously known) and nonwords (reported for the first time here).</p></div><div><h3>Conclusion</h3><p>The results cannot be attributed to the difficulty of pronouncing nonwords because Kannada orthography has a one-to-one relationship between the written and spoken forms of words. Speech production is a multi-stage process consisting of ideation, lemma selection, phonological word creation, and the articulatory planning and execution. Because nonwords lack meaning and clearly identifiable part of speech, it appears that stutters arise late in the speech production process at the phonological word formation and articulatory planning stages. Meaning, lexicality, and morphosyntax may not contribute significantly to the occurrence of stutters.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"77 ","pages":"Article 105996"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199677","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}