Innovations, Watersheds and Gold Standards: Concluding Symposium Reflections

Onslow, Mark

doi:10.1002/9781118702796.ch18

Cited by 3 publications

(4 citation statements)

References 40 publications

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“…The speech therapy was based on the principles of stuttering therapy (see e.g., Laiho et al, 2022; Onslow, 2022, p. 217), and the positive outcomes of the therapies they received are therefore attributable to the knowledge about the treatment methods for stuttering. However, the speech therapy provided was not manualized; it was individualized for both children, and it integrated elements of several stuttering therapy methods.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is important to increase an acceptance of stuttering, build self-confidence, encourage communication and participation in social activities, and counsel family members and teachers. Many programs for school-aged children who stutter integrate techniques of speech restructuring (use of a novel speech pattern, such as slow articulation rate, to reduce or eliminate stuttering; see Onslow, 2022, p. 217) or stuttering modification (techniques to modify disfluent parts of speech; e.g., Van Riper, 1973) to cognitive-behavioral therapy, solution-focused therapy, and other methods that address the psychological effects of stuttering (e.g., Fourlas & Marousos, 2015; Murphy et al, 2007; Shields, 2018; Yaruss et al, 2012; see also Kelman & Nicholas, 2017; Yaruss et al, 2006). Stuttering modification treatment (Van Riper, 1973) begins with identifying the target behavior in detail and motivating the client.…”

Section: Introductionmentioning

confidence: 99%

“…Kevin also practiced pausing and phrasing speech, refraining from producing long sentences during one exhalation in order to maintain optimal airflow during speech. With these techniques, applied and combined with the speech restructuring and stuttering modification therapies (e.g., Onslow, 2022, p. 217), Kevin learned quickly to speak without VBTs in the therapy. Next, attention was paid to identifying and modifying his residual tics.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of speech therapy in treating vocal blocking tics in children with Tourette syndrome: Two case reports

Peltokorpi

Laiho²,

Carlson

et al. 2023

Clin Child Psychol Psychiatry

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Tourette syndrome is characterized by at least two motor tics and one vocal tic, which persist for over a year. Infrequently, tics can manifest as blocking tics in speech when they prevent a person from starting to speak or interrupt their speech flow. Vocal blocking tics (VBTs) resemble stuttering, and they can be difficult to differentiate from each other. A previous report described two patients with severe VBTs who did not benefit from stuttering-therapy-based speech therapy and were treated effectively with cannabis-based medicine. Here, we present the cases of two patients, seven- and nine-year-old boys, who benefited from speech therapy in which stuttering therapy techniques were used. Detailed descriptions of the interventions are included. Further research is needed to test the effectiveness of speech therapy in treating VBTs in a larger group of children with Tourette syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of speech therapy in treating vocal blocking tics in children with Tourette syndrome: Two case reports

Peltokorpi

Laiho²,

Carlson

et al. 2023

Clin Child Psychol Psychiatry

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“…The %SS measure requires clinical training to implement (La Trobe University , University of California ) and requires collection and off‐line analysis of speech samples. This could be one of the many explanations for the observation that so few clinical trials have been published in this field (Onslow ). For example, there are more than a thousand randomized trials available to physiotherapists to guide their clinical reasoning about managing back pain, yet speech–language pathologists who seek to make clinical decisions about pre‐schoolers who stutter have only a handful of randomized trials available to them.…”

Section: Critique Of the Restart Trialmentioning

confidence: 99%

After the RESTART trial: six guidelines for clinical trials of early stuttering intervention

Onslow

Lowe

2019

Intl J Lang & Comm Disor

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Background The Rotterdam Evaluation Study of Stuttering Therapy randomized trial (RESTART) was seminal, comparing the Lidcombe Program with RESTART Demands and Capacities Model‐based treatment (RESTART‐DCM) for pre‐school age children who stutter. Aims To critique the methods of the RESTART trial to develop guidelines for its systematic replication and extension. Beyond that, to contribute to the refinement of existing methodological guidelines for early stuttering intervention. Method The discussion is organized around methodological issues of primary outcomes, treatment completion, clinician allegiance, treatment fidelity, age exclusions and no‐treatment control reasoning. Main Contribution We recommend six methodological guidelines to guide future clinical trials comparing the Lidcombe Program with RESTART‐DCM, which can be applied to clinical trials of other early stuttering intervention methods: (1) incorporate a continuous measure of primary outcome; (2) ensure that all children in clinical trials have completed treatment; (3) eliminate potential bias due to clinician allegiance; (4) establish treatment fidelity within and beyond the clinic; (5) include children younger than 3 years in clinical trials; and (6) establish an estimate of treatment effect size at some stage of treatment development. Conclusion In addition to guiding future clinical research comparing RESTART‐DCM and Lidcombe Program treatment, these recommendations may extend to influence positively other treatment developments for early stuttering.

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Comparison of Percentage of Syllables Stuttered With Parent-Reported Severity Ratings as a Primary Outcome Measure in Clinical Trials of Early Stuttering Treatment

Onslow

Jones

O’Brian

et al. 2018

J Speech Lang Hear Res

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There is no statistical reason to favor %SS over parent-reported stuttering SRs as primary outcomes for clinical trials of early stuttering treatment. However, there are logistical reasons to favor parent-reported stuttering SRs. We conclude that parent-reported rating of the child's typical stuttering severity for the week or month prior to each assessment is a justifiable alternative to %SS as a primary outcome measure in clinical trials of early stuttering treatment.

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Innovations, Watersheds and Gold Standards: Concluding Symposium Reflections

Cited by 3 publications

References 40 publications

Effectiveness of speech therapy in treating vocal blocking tics in children with Tourette syndrome: Two case reports

Effectiveness of speech therapy in treating vocal blocking tics in children with Tourette syndrome: Two case reports

After the RESTART trial: six guidelines for clinical trials of early stuttering intervention

Comparison of Percentage of Syllables Stuttered With Parent-Reported Severity Ratings as a Primary Outcome Measure in Clinical Trials of Early Stuttering Treatment

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