IFA Congresses

Longitudinal Treatment Outcome: Four Case Studies

Details: Category: 2003 IFA Congress Articles

Longitudinal Treatment Outcome: Four Case Studies

Marilyn Langevin and Deborah Kully
Institute for Stuttering Treatment & Research (ISTAR), The University of Alberta, 3rd floor; 8220 - 114 Street, Edmonton, Alberta, Canada, T5J 2P4

SUMMARY

This report focuses on the process of maintenance for four subjects over a 5 year longitudinal period. Findings indicated that: fluctuations in fluency occurred but were not excessive, slower rates of speech can sound relatively natural, the expectancy to stutter remained salient in spite of good maintenance of speech gains, there were general trends for either maintenance of improved post-treatment confidence in approaching a variety of speech situations or improvement over the follow-up period, and either post treatment normalization of communication attitudes was maintained or normalization was achieved at 5 years. All subjects were maintaining a substantial amount of their post- treatment speech and emotional/attitudinal gains at 5 years follow-up.

Slow Rate Effect on the Fluency of Preschoolers Who Stutter: Clinician-Child Adjacent Utterances

Details: Category: 2003 IFA Congress Articles

Slow Rate Effect on the Fluency of Preschoolers Who Stutter: Clinician-Child Adjacent Utterances

Jennifer S. Carlson¹ and Lisa R. LASALLE²
¹Claire Santagati Vatz, M.A., C. C. C., INC., Private Practice, 250 Mt. Lebanon Blvd, Suite 41], Pittsburgh, PA 15234, USA
²University of Wisconsin-Eau Claire, Communication Disorders Department, 239 Water Street, Eau Claire, WI 54702, USA

SUMMARY

The purpose of this study was to determine if clinicians’ slow speech rates facilitate fluency of preschoolers who stutter. Seven preschoolers who stutter and their clinicians served as participants. Clinicians’ speech rates were categorized into “slow” ( 3.0 syllables per second [SPS]) or “fast” ( 3.33 SPS), and the children’s adjacent utterances as “stuttered” or “normally disfluent/fluent.” As a group, observed probabilities did not differ from expected where the child either stuttered or spoke fluently, based on clinician rate of speech. One boy, however, stuttered significantly more when his clinician spoke quickly, while another boy stuttered significantly more when his clinician spoke slowly.

Test-Phase Of The German Program For The Evaluation Of Stuttering Therapies (PEVOS)

Details: Category: 2003 IFA Congress Articles

Test-Phase Of The German Program For The Evaluation Of Stuttering Therapies (PEVOS)

Julia Pape-Neumann¹, Hans-Georg Bosshardtz², Ulrich Natke³, Horst Oertle⁴
¹Bandesvereinigung Stotterer-Selbsthilfe e.l/., Gereonswall 112, 50670 Koln, Germany
²Faculty of Psychology, Rahr- University Bochum, Germany
³Faculty of Experimental Psychology, University Diisseldorfi Germany
⁴Centre for Stationary Speech Therapy, Bad Salzdetfurth, Germany

SUMMARY

On the initiative of the German self-help organisation the program for the evaluation of stuttering therapies PEVOS (Programm zur Evaluation von Stottertherapien) was developed to evaluate different stuttering therapies over a time period of two years after therapy. The concept was designed by a group of therapists and scientists and was tested since 2001. In the test-phase data were collected from ten therapists with 100 clients. Fluency data were obtained by telephone calls. Functional outcomes and changes in attitudes and emotions were measured with questionnaires. Results of the test-phase’s evaluation including the first two assessments will be presented, organisational problems and possible solutions will be discussed.

Many Types of Data: Stuttering Treatment Outcomes Beyond Fluency

Details: Category: 2003 IFA Congress Articles

Many Types of Data: Stuttering Treatment Outcomes Beyond Fluency

Robert W. Quesal¹, J. Scott Yaruss², and Lawrence F. Molt³
¹Communication Sciences and Disorders, Western Illinois University, Macomb, IL 61455, USA
²Department of Communication Sciences and Disorders, University of Pittsburgh, Pittsburgh, PA 15260, USA
³Department of Communication Disorders, Auburn University, Auburn, AL 36849, USA

SUMMARY

The purpose of this manuscript is to summarize arguments for supplementing the existing treatment outcomes literature with information drawn from a number of other relevant sources. The paper presents 4 case studies and asks whether existing literature provides all of the information needed to make appropriate treatment recommendations. In some cases, it is clear that the existing literature is helpful; in other cases, however, it appears that additional information is required. The paper concludes with suggestions for other aspects of the stuttering disorder that can be considered in clinical decision making and treatment outcomes research for evaluating the entirety of the experience of stuttering from the perspective of the speaker.

Tracking the Progress of Stuttering Treatment Using Subjective Parent Ratings

Details: Category: 2003 IFA Congress Articles

Tracking the Progress of Stuttering Treatment Using Subjective Parent Ratings

William S. Rosenthal
Department of Communicative Sciences and Disorders, California State University, Hayward, Hayward, California, 94542, USA

SUMMARY

A parent rating procedure for young children who stutter is described. The procedure is subjective, requires no objective Counts of behavior, but corresponds well with both clinician assessments and objective SSI-3 scores. These parent ratings can be important sources of confirmation about the progress (or lack thereof) observed by clinicians. They are also useful during breaks in therapy, so that significant or alarming changes can be detected early and timely intervention provided. Graphic and statistical analysis of the data shows good correspondence between SSI-3 changes and parent rating changes over the same period of time.

IFA Congresses

Longitudinal Treatment Outcome: Four Case Studies

Slow Rate Effect on the Fluency of Preschoolers Who Stutter: Clinician-Child Adjacent Utterances

Test-Phase Of The German Program For The Evaluation Of Stuttering Therapies (PEVOS)

Many Types of Data: Stuttering Treatment Outcomes Beyond Fluency

Tracking the Progress of Stuttering Treatment Using Subjective Parent Ratings

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