Behavioral Stuttering Interventions for Children and Adolescents: A Systematic Review and Meta-Analysis

Nye, Chad; Vanryckeghem, Martine; Schwartz, Jamie; Herder, Carl; Turner, Herbert M.; Howard, Courtney

doi:10.1044/1092-4388(2012/12-0036)

Cited by 80 publications

(53 citation statements)

References 30 publications

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“…Treatments for stuttering in school aged children seem to be less efficacious. 55 Preparation • Is he or she able to understand what you and others say to him or her?…”

Section: Stutteringmentioning

confidence: 99%

Identifying and managing common childhood language and speech impairments

Reilly

McKean

Morgan

et al. 2015

BMJ

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“…Treatments for stuttering in school aged children seem to be less efficacious. 55 Preparation • Is he or she able to understand what you and others say to him or her?…”

Section: Stutteringmentioning

confidence: 99%

Identifying and managing common childhood language and speech impairments

Reilly

McKean

Morgan

et al. 2015

BMJ

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“…These treatments have encompassed diverse techniques from the use of carbon dioxide, or pharmacological interventions, to those that are behaviourally based. Recent published reviews of stuttering interventions have included: Nye et al (2013), which evaluated the effectiveness of nine studies reporting behavioural interventions for children and adolescents; Blomgren (2013), which provided an overview of selected approaches to interventions with children and adults; Sidavi and Fabus (2010), which summarized the literature on interventions with pre-school and elementary school-age children; Blomgren (2010), which provided an overview of treatment approaches for adults; Lincoln et al (2006), which examined the use of altered auditory feedback; Herder et al (2006), which reports a systematic review and meta-analysis of behavioural stuttering treatments; and Bothe et al (2006aBothe et al ( , 2006b, which carried out systematic reviews of behavioural treatment studies and pharmacological interventions published up to 2005. These reviews have highlighted the increasing size of the literature, and the wide variety of approaches that exist.…”

Section: Introductionmentioning

confidence: 99%

“…Interventions for children may be also divided into either direct approaches which intervene with the child, or indirect approaches which target family interactions. Existing reviews have identified evidence of treatment effectiveness for behavioural interventions across adults and children (Nye et al 2013, Blomgren 2013, Bothe et al 2006a. Treatment involving response-contingent principles in particular has been recommended for children, and the use of combined approaches with adults (Bothe et al 2006a).…”

Section: Introductionmentioning

confidence: 99%

The state of the art in non‐pharmacological interventions for developmental stuttering. Part 1: a systematic review of effectiveness

Baxter

Johnson

Blank

et al. 2015

Intl J Lang & Comm Disor

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BackgroundThe growing range of available treatment options for people who stutter presents a challenge for clinicians, service managers and commissioners, who need to have access to the best available treatment evidence to guide them in providing the most appropriate interventions. While a number of reviews of interventions for specific populations or a specific type of intervention have been carried out, a broad‐based systematic review across all forms of intervention for adults and children was needed to provide evidence to underpin future guidelines, inform the implementation of effective treatments and identify future research priorities.AimsTo identify and synthesize the published research evidence on the clinical effectiveness of the broad range of non‐pharmacological interventions for the management of developmental stuttering.Methods & ProceduresA systematic review of the literature reporting interventions for developmental stuttering was carried out between August 2013 and April 2014. Searches were not limited by language or location, but were restricted by date to studies published from 1990 onwards. Methods for the identification of relevant studies included electronic database searching, reference list checking, citation searching and hand searching of key journals. Appraisal of study quality was performed using a tool based on established criteria for considering risk of bias. Due to heterogeneity in intervention content and outcomes, a narrative synthesis was completed.Main ContributionThe review included all available types of intervention and found that most may be of benefit to at least some people who stutter. There was evidence, however, of considerable individual variation in response to these interventions. The review indicated that effects could be maintained following all types of interventions (although this was weakest with regard to feedback and technology interventions).ConclusionsThis review highlights a need for greater consensus with regard to the key outcomes used to evaluate stuttering interventions, and also a need for enhanced understanding of the process whereby interventions effect change. Further analysis of the variation in effectiveness for different individuals or groups is needed in order to identify who may benefit most from which intervention.

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“…• In children, strong evidence supports the Lidcombe method, which is based on the principle of operant learning and is delivered in constant collaboration with the parents (28)(29)(30)(31). Fluent speech is positively reinforced, and if stuttering events occur these are gently corrected.…”

Section: Therapymentioning

confidence: 95%