Journal of Fluency Disorders最新文献_第9页

Systematic review of implementation quality of non-pharmacological stuttering intervention trials for children and adolescents 儿童和青少年非药物口吃干预试验实施质量的系统评价

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2022-03-01 DOI: 10.1016/j.jfludis.2021.105884

Hilde Hofslundsengen , Melanie Kirmess , Linn Stokke Guttormsen , Kari-Anne Bottegaard Næss , Elaina Kefalianos

{"title":"Systematic review of implementation quality of non-pharmacological stuttering intervention trials for children and adolescents","authors":"Hilde Hofslundsengen , Melanie Kirmess , Linn Stokke Guttormsen , Kari-Anne Bottegaard Næss , Elaina Kefalianos","doi":"10.1016/j.jfludis.2021.105884","DOIUrl":"10.1016/j.jfludis.2021.105884","url":null,"abstract":"<div><h3>Purpose</h3><p>This narrative systematic review in line with PRISMA guidelines aims to investigate the implementation quality of previously published group comparison clinical trials of stuttering interventions for children and adolescents (under age 18 years).</p></div><div><h3>Methods</h3><p>We searched for publications in the databases Eric, PsychInfo, PubMed and Web of Science using the search terms ‘stutt*’ or ‘stamm*’and ‘intervention’, ‘trial’ or ‘treatment’. We reviewed the implementation elements reported in studies and how these elements were used to report intervention outcomes.</p></div><div><h3>Results</h3><p>3,017 references published between 1974–2019 were identified. All references were screened for eligibility using predefined selection criteria resulting in 21 included studies. The implementation quality details reported varied between studies. Existing studies most commonly lacked details about the support system provided to SLPs administering the interventions and monitoring of treatment fidelity both in the clinical setting and in the home environment. Support systems for participant’s parents and treatment dosage were generally well reported. Dosage was the most common implementation quality element considered in analyses of treatment effect and within discussions of findings.</p></div><div><h3>Conclusion</h3><p>Findings highlight the need for future clinical trials of stuttering interventions to closely adhere to systematic guidelines for reporting implementation quality to ensure reliability of trial outcomes. A checklist for reporting clinical trials of non-pharmacological stuttering interventions is proposed.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"71 ","pages":"Article 105884"},"PeriodicalIF":2.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X21000632/pdfft?md5=aef844e01fa3138d515d711a592c9d8a&pid=1-s2.0-S0094730X21000632-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10324771","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: 3

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2022-03-01 DOI: 10.1016/j.jfludis.2021.105883

Mark O’Malia

引用次数: 0

书评

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2022-03-01 DOI: 10.1016/j.jfludis.2021.105882

Charles Repine

引用次数: 0

The effect of gap duration on the perception of fluent versus disfluent speech 间隔时间对流利与不流利言语知觉的影响

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2022-03-01 DOI: 10.1016/j.jfludis.2022.105896

Haley J. Warner , D.H. Whalen , Daphna Harel , Eric S. Jackson

{"title":"The effect of gap duration on the perception of fluent versus disfluent speech","authors":"Haley J. Warner , D.H. Whalen , Daphna Harel , Eric S. Jackson","doi":"10.1016/j.jfludis.2022.105896","DOIUrl":"10.1016/j.jfludis.2022.105896","url":null,"abstract":"<div><h3>Purpose</h3><p>Gap duration contributes to the perception of utterances as fluent or disfluent, but few studies have systematically investigated the impact of gap duration on fluency judgments. The purposes of this study were to determine how gaps impact disfluency perception, and how listener background and experience impact these judgments.</p></div><div><h3>Methods</h3><p>Sixty participants (20 adults who stutter [AWS], 20 speech-language pathologists [SLPs], and 20 naïve listeners) listened to four tokens of the utterance, “Buy Bobby a puppy,” produced at typical speech rates. The gap duration between “Buy” and “Bobby” was systematically manipulated with gaps ranging from 23.59 ms to 325.44 ms. Participants identified stimuli as fluent or disfluent.</p></div><div><h3>Results</h3><p>The disfluency threshold – the point at which 50 % of trials were categorized as disfluent – occurred at a gap duration of 126.46 ms, across all participants and tokens. The SLPs exhibited higher disfluency thresholds than the AWS and the naïve listeners.</p></div><div><h3>Conclusion</h3><p>This study determined, based on the specific set of stimuli used, when the perception of utterances tends to shift from fluent to disfluent. Group differences indicated that SLPs are less inclined to identify disfluencies in speech potentially because they aim to be less critical of speech that deviates from “typical”.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"71 ","pages":"Article 105896"},"PeriodicalIF":2.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10799293","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: 2

Complex nonverbal response inhibition and stopping impulsivity in childhood stuttering 儿童口吃的复杂非语言反应抑制和停止冲动

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105877

Levi C. Ofoe, Julie D. Anderson

{"title":"Complex nonverbal response inhibition and stopping impulsivity in childhood stuttering","authors":"Levi C. Ofoe, Julie D. Anderson","doi":"10.1016/j.jfludis.2021.105877","DOIUrl":"10.1016/j.jfludis.2021.105877","url":null,"abstract":"<div><h3>Purpose</h3><p>The primary purpose of this study was to examine complex nonverbal response inhibition and stopping impulsivity in children who do (CWS) and do not stutter (CWNS).</p></div><div><h3>Method</h3><p>A total of 30 CWS and 30 CWNS between the ages of 3;1 and 6;0 (years; months) performed the Peg-Tapping Task (PTT; Diamond & Taylor, 1996; Luria, 1966), in which children were required to tap a dowel once when an examiner taps twice and vice versa. The main dependent variables were the number of practice trials, response accuracy, response latency for accurate responses, and the number of extra taps (i.e., tapping more than two times).</p></div><div><h3>Results</h3><p>The CWS were less accurate and slower on the PTT than the CWNS, with no differences in the number of practice trials. Furthermore, the CWS, especially boys, produced more extra taps than the CWNS.</p></div><div><h3>Conclusions</h3><p>Findings revealed that preschool CWS have weaknesses in complex response inhibition and stopping impulsivity in the nonverbal domain compared to CWNS. Taken together, these findings along with those of previous studies indicate that CWS may have weaknesses in inhibition and impulsivity in the nonverbal domain as well as the verbal domain, suggesting a domain-general weakness.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105877"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jfludis.2021.105877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39426559","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

Preliminary study of self-perceived communication competence amongst adults who do and do not stutter 结巴和非结巴成人自我感知沟通能力的初步研究

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105848

Danielle Werle, Katherine L. Winters, Courtney T. Byrd

{"title":"Preliminary study of self-perceived communication competence amongst adults who do and do not stutter","authors":"Danielle Werle, Katherine L. Winters, Courtney T. Byrd","doi":"10.1016/j.jfludis.2021.105848","DOIUrl":"10.1016/j.jfludis.2021.105848","url":null,"abstract":"<div><h3>Purpose</h3><p>Adults who stutter report a significant impact of stuttering on their quality of life, including negative thoughts and attitudes toward communication. In addition to this impact, adolescents who stutter also report lower levels of self-perceived communication competence (SPCC) compared to fluent peers. The purpose of this study was to extend the investigation of SPCC to adults who do and do not stutter. Additional aims investigated included if 1) SPCC predicted overall impact of stuttering, and, 2) stuttering frequency predicted SPCC among adults who stutter.</p></div><div><h3>Methods</h3><p>Twenty-four adults who stutter and twenty-seven adults who do not stutter matched for age, gender, and education completed the <em>Self-Perceived Communication Competence Scale</em> (<span>Richmond & McCroskey, 1997</span>). All participants who stutter completed the <em>Overall Assessment of the Speaker’s Experience of Stuttering</em> (<em>OASES</em> [ages 18+]; <span>Yaruss & Quesal, 2006</span>) and speaking samples to measure stuttering frequency.</p></div><div><h3>Results</h3><p>Adults who stutter reported significantly lower <em>SPCC</em> scale total scores than adults who do not stutter. For adults who stutter, lower <em>SPCC</em> scale scores significantly predicted more severe overall impact of stuttering as measured by the <em>OASES.</em> Stuttering frequency did not predict <em>SPCC</em> scale scores.</p></div><div><h3>Discussion</h3><p>This is the first study to report differences in self-perceived communication competence between adults who do and do not stutter. Results suggest adults who stutter report lower self-perceived communication competence compared to adults who do not stutter. Adults who perceive themselves to have greater communication competence reported less severe overall impact of stuttering, and stuttering frequency did not influence SPCC. Clinical implications for intervention are discussed.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105848"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jfludis.2021.105848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38826381","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: 13

Does stammering act as a barrier to exercise and sport in Irish adults who stammer? 对于爱尔兰口吃的成年人来说，口吃是否成为锻炼和运动的障碍?

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105880

Siobhán O’Connor , Kieran A. Moran , Enda F. Whyte , Aisling C. Lacey

{"title":"Does stammering act as a barrier to exercise and sport in Irish adults who stammer?","authors":"Siobhán O’Connor , Kieran A. Moran , Enda F. Whyte , Aisling C. Lacey","doi":"10.1016/j.jfludis.2021.105880","DOIUrl":"10.1016/j.jfludis.2021.105880","url":null,"abstract":"<div><h3>Purpose</h3><p>Exercise and sport participation lead to many physical and psychosocial benefits. However, barriers to exercise and sporting participation exist. This study aims to examine if stammering acts as a barrier to exercise and sporting participation in adults.</p></div><div><h3>Methods</h3><p>One hundred and six adults who stammer (male n = 74, female n = 32; 33.83 ± 14.5 years) completed an anonymous questionnaire which evaluated their stammering history, exercise and sporting participation, views on why they exercise, whether stammering prevented or negatively influenced their participation in exercise or sport. Descriptive statistics were then calculated.</p></div><div><h3>Results</h3><p>The majority (90.6 %) of participants take part in some form of exercise/sport. However, their stammer prevented them from taking part in a specific exercise/sport at least once (49.1 %), due to being too nervous to introduce themselves, nervous or fear of stammering or being judged. Their stammer also negatively impacted their involvement when participating at least once (42.4 %), with not feeling part of the team and fear of speaking reported. Self-disclosure of their stammer and improving awareness of stammering were identified as common facilitators for taking part in exercise/sport.</p></div><div><h3>Conclusion</h3><p>Stammering was not found to impact general participation in exercise and sport but was identified as a barrier to partaking in specific exercise and sport and their enjoyment thereof. Encouraging those who stammer to inform those involved in sport and exercise (e.g. fellow players, coaches) about their stammer and improving stammer awareness across the general and sporting population may encourage further participation in exercise and sport in those who stammer.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105880"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0094730X21000590/pdfft?md5=97e3a2892324357eef58090753b76e95&pid=1-s2.0-S0094730X21000590-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39433271","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: 1

No other choice: Speech-Language Pathologists’ attitudes toward using telepractice to administer the Lidcombe Program during a pandemic 没有其他选择:语言病理学家对在流行病期间使用远程实践管理Lidcombe计划的态度

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105879

Gissella Santayana , Brenda Carey , Rosalee C. Shenker

{"title":"No other choice: Speech-Language Pathologists’ attitudes toward using telepractice to administer the Lidcombe Program during a pandemic","authors":"Gissella Santayana , Brenda Carey , Rosalee C. Shenker","doi":"10.1016/j.jfludis.2021.105879","DOIUrl":"10.1016/j.jfludis.2021.105879","url":null,"abstract":"<div><h3>Purpose</h3><p>Telepractice has been shown to be a viable modality for the delivery of stuttering treatment. Since the advent of COVID-19, speech-language pathologists must adapt in-clinic treatments for online presentation. This research aimed to gather information from speech-language pathologists on their experiences of telepractice to deliver the Lidcombe Program to treat stuttering in young children.</p></div><div><h3>Methods</h3><p>This paper presents the findings of an online survey that polled the clinical experiences of 106 speech-language pathologists who were delivering the Lidcombe Program via telepractice during COVID-19.</p></div><div><h3>Results</h3><p>The majority of respondents were experienced clinicians from the United States and Canada who had attended a Lidcombe Program workshop. Prior to COVID-19, 80 % had provided some clinical services online (up to 10 % of the time), and at the start of COVID-19 public lockdown orders, 77 % viewed telepractice as both a necessity and an opportunity. Three months after the public lockdown orders, the large majority, 94 %, said that they would continue to use both telepractice and in-clinic treatment in the future. Technology issues, concerns about establishing the clinical relationship, and identification of mild stuttering featured as challenges of telepractice service delivery, while benefits included time efficiency, flexibility of scheduling, and improved clinical processes.</p></div><div><h3>Conclusion</h3><p>Respondents reported that the Lidcombe Program was easily translatable to telepractice and the majority intend to continue telepractice in the future.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105879"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39498541","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: 2

Working memory in adults who stutter using a visual N-back task 使用视觉N-back任务的口吃成人的工作记忆

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105846

Zoi Gkalitsiou, Courtney T. Byrd

{"title":"Working memory in adults who stutter using a visual N-back task","authors":"Zoi Gkalitsiou, Courtney T. Byrd","doi":"10.1016/j.jfludis.2021.105846","DOIUrl":"10.1016/j.jfludis.2021.105846","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to investigate working memory in adults who do (AWS) and do not (AWNS) stutter using a visual N-back task. Processes involved in an N-back task include encoding, storing, rehearsing, inhibition, temporal ordering, and matching.</p></div><div><h3>Methods</h3><p>Fifteen AWS (11 males, 4 females; <em>M</em> = 23.27 years, <em>SD</em> = 5.68 years) and 15 AWNS (<em>M</em> = 23.47 years, <em>SD</em> = 6.21 years) were asked to monitor series of images and respond by pressing a “yes” button if the image they viewed was the same as the image one, two, or three trials back. Stimuli included images with phonologically similar (i.e., phonological condition) or phonologically dissimilar (i.e., neutral condition) names. Accuracy and manual reaction time (mRT) were analyzed.</p></div><div><h3>Results</h3><p>No difference was found between AWS and AWNS in accuracy. Furthermore, both groups were more accurate and significantly faster in 1- followed by 2- followed by 3-back trials. Finally, AWNS demonstrated faster mRT in the phonological compared to neutral condition, whereas AWS did not.</p></div><div><h3>Conclusion</h3><p>Results from this study suggest different processing mechanisms between AWS and AWNS for visually presented phonologically similar stimuli. Specifically, a phonological priming effect occurred in AWNS but not in AWS, potentially due to reduced spreading activation and organization in the mental lexicon of AWS. However, the lack of differences between AWS and AWNS across all N-back levels does not support deficits in AWS in aspects of working memory targeted through a visual N-back task; but, these results are preliminary and additional research is warranted.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105846"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jfludis.2021.105846","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25556891","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: 6

Relationships between stigma-identity constructs and psychological health outcomes among adults who stutter 成人口吃者的耻感认同建构与心理健康结果的关系

IF 2.1 3区医学

Journal of Fluency Disorders Pub Date : 2021-12-01 DOI: 10.1016/j.jfludis.2021.105842

Hope Gerlach , Stephenie R. Chaudoir , Patricia M. Zebrowski

{"title":"Relationships between stigma-identity constructs and psychological health outcomes among adults who stutter","authors":"Hope Gerlach , Stephenie R. Chaudoir , Patricia M. Zebrowski","doi":"10.1016/j.jfludis.2021.105842","DOIUrl":"10.1016/j.jfludis.2021.105842","url":null,"abstract":"<div><h3>Purpose</h3><p>In the current study, stuttering was conceptualized as a concealable stigmatized identity (CSI). The purpose of this investigation was to determine if four specific stigma-identity constructs that contribute to variability in psychological distress among people in other CSI groups also contribute among adult who stutter (AWS).</p></div><div><h3>Method</h3><p>505 AWS completed an online survey that included measures of four stigma-identity constructs in addition to general demographics and measures of self-rated stuttering severity, distress, and adverse impact of stuttering on quality of life. Hierarchical regression was performed to determine the extent that stigma-identity constructs explained variability in psychological health outcomes among AWS. Self-rated stuttering severity was investigated as a moderator in these relationships.</p></div><div><h3>Results</h3><p>The stigma-identity constructs accounted for a significant proportion of the variability in distress (∼25 %) and adverse impact of stuttering on quality of life (∼30 %) among AWS. Further, the constructs of salience, centrality, and concealment were positively predictive of distress and adverse impact of stuttering after controlling for demographics and neuroticism. Compared to the other predictor variables (self-rated stuttering severity, demographic characteristics, neuroticism, and the three other stigma-identity constructs), concealment was the strongest predictor of adverse impact of stuttering on quality of life. Finally, self-rated stuttering severity was a moderating variable.</p></div><div><h3>Conclusions</h3><p>The results from this study suggest that there are useful applications in conceptualizing stuttering as a type of CSI. Speech-language pathologists should be aware of the relationships that stigma has with psychological health outcomes among AWS and should consider the implications for intervention.</p></div>","PeriodicalId":49166,"journal":{"name":"Journal of Fluency Disorders","volume":"70 ","pages":"Article 105842"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jfludis.2021.105842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25484158","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: 25