Stuttering Treatment Outcomes Measurement: Assessing Above and Below the Surface

Blomgren, Michael

doi:10.1044/ffd17.3.19

Cited by 5 publications

(8 citation statements)

References 13 publications

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“…The collection of 12-and 24-month follow-up data is ongoing. The battery of outcomes data is similar to the one advocated by Blomgren and colleagues (Blomgren, 2007;Blomgren et al, 2005) and Quesal (2007). Surface features of speech fluency as well as other important variables that are not as apparent as the overt manifestations of the disorder are included in the assessment battery.…”

Section: Preliminary Treatment Outcomessupporting

confidence: 66%

“…However, in today's health care environment, some sort of empirical evidence for treatment effectiveness is required by consumers, insurance companies, thirdparty payers, and speech-language pathologists. Unequivocal multidimensional evidence demonstrating treatment effectiveness of the SSMP and many other intensive stuttering treatment programs remains relatively rare despite calls for the verification of outcomes (Blomgren, 2007;Blomgren, Roy, Callister, & Merrill, 2005;Conture, 1996;Cordes & Ingham, 1998;Ingham, 2003;Onslow, 2003;Yaruss, 2001). The aim of this preliminary report is to begin the process of documenting and reporting outcomes of the SSMP.…”

Section: Introductionmentioning

confidence: 99%

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The Successful Stuttering Management Program: A Preliminary Report on Outcomes

Tsiamtsiouris

Krieger

2010

Perspect Fluen Fluen Disord

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The purpose of this study was to test the hypothesis that adults who stutter will exhibit significant improvements after attending a residential, 3-week intensive program that focuses on avoidance reduction and stuttering modification therapy. Preliminary analyses focused on four measures: (a) SSI-3, (b) speech rate, (c) S-24 Scale, and (d) OASES. Results indicated significant improvements on all of the measures.

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Section: Preliminary Treatment Outcomessupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

The Successful Stuttering Management Program: A Preliminary Report on Outcomes

Tsiamtsiouris

Krieger

2010

Perspect Fluen Fluen Disord

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“…A comprehensive approach to stuttering treatment includes dealing with both the surface elements of stuttering as well as the deeper attributes of stuttering such as anxiety, fear of stuttering, approach-avoidance issues, self-confidence issues, and self-perception issues 6. This multidimensional approach follows the mandate of the World Health Organization (WHO, Geneva, Switzerland).…”

Section: Treatments For Adultsmentioning

confidence: 99%

“…Stuttering is also a multidimensional disorder 4,5. Aspects of stuttering that exist “below the surface” include private and affective aspects of stuttering 6. It should be obvious that people who stutter do not enjoy stuttering.…”

Section: Introductionmentioning

confidence: 99%

Behavioral treatments for children and adults who stutter: a review

Blomgren¹

2013

PRBM

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This paper provides a brief overview of stuttering followed by a synopsis of current approaches to treat stuttering in children and adults. Treatment is discussed in terms of multifactorial, operant, speech restructuring, and anxiolytic approaches. Multifactorial and operant treatments are designed for young children who stutter. Both of these approaches involve parent training and differ primarily in their focus on reducing demands on the child (multifactorial) or in their use of response contingent stimulation (operant conditioning). Speech restructuring and anxiolytic approaches are used with adults who stutter. Speech restructuring approaches focus on the mechanics of speech production, and anxiolytic treatments tend to focus on the symptoms and social and vocational challenges of stuttering. The evidence base for these different approaches is outlined. Response contingent therapy (for children) and speech restructuring therapy (for adults) have the most robust empirical evidence base. Multifactorial treatments for children and stuttering management approaches for adults are popular but are based on theoretical models of stuttering; the evidence base is not robust and tends to be inferred from work in areas such as cognitive behavior therapy and desensitization. Comprehensive, or holistic, approaches to treating stuttering are also discussed. Comprehensive approaches for treating stuttering in adults address both improved speech fluency and stuttering management.

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“…Elements that exist below the surface include covert or affective aspects of stuttering, such as speaking avoidance, reduced social and occupational participation, and negative affective functioning in areas like locus of control, mood, and anxiety. 3 Therefore, it appears that stuttering would be best treated using a multifaceted approached that includes addressing both the core, or surface, elements as well as elements of stuttering that exist below the surface.…”

mentioning

confidence: 99%

Stuttering Treatment for Adults: An Update on Contemporary Approaches

Blomgren¹

2010

Semin Speech Lang

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This article provides a brief overview of historical and current approaches to stuttering treatment for adults. Treatment is discussed in terms of stuttering management approaches, fluency-shaping approaches, and combined approaches. The evidence base for these various approaches is outlined. Fluency-shaping approaches have the most robust outcome evidence. Stuttering management approaches are based more on theoretical models of stuttering, and the evidence base tends to be inferred from work using the approaches of cognitive behavior therapy and desensitization with other disorders such as anxiety. Finally, comprehensive approaches to treating stuttering are discussed, and several clinical methods are outlined. Comprehensive approaches target both improved speech fluency and stuttering management. Although it is presented that a comprehensive approach to stuttering treatment will provide the best results, no single approach to stuttering treatment can claim universal success with all adults who stutter.

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Stuttering Treatment Outcomes Measurement: Assessing Above and Below the Surface

Cited by 5 publications

References 13 publications

The Successful Stuttering Management Program: A Preliminary Report on Outcomes

The Successful Stuttering Management Program: A Preliminary Report on Outcomes

Behavioral treatments for children and adults who stutter: a review

Stuttering Treatment for Adults: An Update on Contemporary Approaches

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